17-102527 Plumbing
c ;ri�e;era, Permit #:17-102527-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: GORDON
Project Address: 1921 S 291ST ST Parcel Number:422300 0210
Project Description: Waste crawl space re-pipe in ABS
Owner Applicant Contractor
CHARLES D GORDON RESCUE ROOTER RESCUE ROOTER
1921 S 291ST ST 175-A ROY RD SW RESCUR*007Q7(1/1/18)
FEDERAL WAY WA 98003 PACIFIC WA 98047 175-A ROY RD SW
PACIFIC WA 98047
PERMIT EXPIRES Tuesday,21 November,2017
Permit Issued on Thursday,May 25,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City oof deral Way.
Owner or agent: Date: 5/Z571-3-
THIS CARD IS TO REMAIN ON-SITE
"�� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102527 00 Address: 1921 S 291ST ST
Project: PAMELA K GORDON FEDERAL WAY WA 98003-3818
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
•
® Plumbing Groundwork(4190) 0 Rough Plumbing(4230) 0 Final-Plumbing(4075)
Approved to cover Approved Approved
,By Date �By Date , By i/{4 Date 612 ty• f':
El Rough Electrical 1J Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
4i.„ ..‘ RECEIVED
PERMIT APPLICATION
CITY OF
MAY 2 5 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +perrnitcenter@cityoffederalway.com
CITY OF FEDci-(AL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER l 1 _ 1 V L. 5 2- 7 _ ? L.- 5/z19/11-
- / TARGET DATE
SITE ADDRESS SUITE/UNIT#
I(1Z I S 2--(4.l s+ Sq-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ , (eSou-00 L 2 2- 3 O b _ 02- to
TYPE OF PERMIT %BUILDING APLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT r- ,- �j C,, 0)2:0 0 `�
n 1
PROJECT DESCRIPTION 1 ^
11\V`>-..e) r
Detailed description of work to cYawl 1'{ )I i I v1 prgs
be included on this permit only
NA,IE PRIMARY PHONE
me 101(6(ov\
PROPERTY OWNER MAILING ADDRESS E-MAIL
19zI s Z01s+ Si
CITY S ATE ZIP
!aVl \ J9 1
kINJ U 1 s(03
NAME 14�S V u V0�' PHONE
MAILING DRESS , l + E-MAIL ,�
11-5 �V' ...61,
S V S (01 f}i<W I$(i/ 0 a (5• C[tail
CONTRACTOR
YpAUE ZIP FAX
/lCl�i(/ WW -1J
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
V GUIL.44 COI-CH- I / I /20x1 ZO- UT- I0O(-1(9$'-00-' I;L
NAME PRIMARY PHONE
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME /� , P-_ - PHONE
PROJECT CONTACT pit
�Ia iy- 'r '� Ls3� X15-7-1,51
(The individual to receive and MAILING ADDRESS JJ -MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application/ 7zs(lm
SIGNATURE: �f�—� �_ 4DATE 5
Lo i
PRINT NAME: All V1 oS '/
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe),
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(band sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR - SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
,ci.15 ‘ ,r,;` r,v r;^"%b s.%�y t,rrr frr frr✓fyfr d: f�f,.rF ,r,,!�,'r''"',,frrlrr zr/�r�f �''ra• .__._._.................._.._....._............_.........................__._.._..._..._......_._._..........._.......-'---._..
-tVg
,'fF, >/ffr'. ', f','rr£f`9r:rrf'rf',yl !'Mi''•�f•"' y -'),rri/fi�f,+'6'z"^s` 4*,g re .r *r
uliOtAp;
FIRST FLOOR(or Mobile Home)
l F; f%'��sf i ;O�`� f f,'! ��'%"� !f f r'`r 5y�r
f �.
r` rr
F� r' f, r f
lr � rrf,,`ri�'`�r !r r ,f
/+��;�!!r'r" i f /rr = .__..._.._..................._...__................_.............__.._......_.._._....._.._....._......._........_._.....__._
��� t.. ��o� ,f,/. ,.,,,ri',.�s rf ..._....__._
COVERED ENTRY
fiP"r',€=sv r ✓rliAy� r9% r
' ' r � yrir ,„f ' V
P.Pr
g ` ?S �
Te
,
4f ! ; f.%r !r Jl /• ° i
- ` ; ' i �
....._..._......................:......_..............................._.................__....._......_.._........._............. __........
flr/`if%. ` r%k?.%w
GARAGE 0 CARPORT 0
�,l`f y,,,;r:�g r`rrf�,. � r`f.,rn%f//G%Cr'� r/r,�^rr„• rr.rrrrF/,�/r�r,.�v'rr..1�f/ ��r^' WrF''6:. ryi%r'rrr.. �!!r". Gf /�" r ,r .. ......_. ._. ............_._.........................._..._._....._..._..................___._..............._.....
f r '. �
r =x r r r
r
f Fv' r r r
F /' ,r'
Jr •�, 0 f t r ``,i ,,r+/i'.''r
fir:%, ,r. '3^ �ylUf rlfsrr,i,r _���✓f.lu�y%r.,.r:�,f z,.�rt n`f ,f,�� f� l�r'r�r�,;'� rrr �r _........._....._......___.........................._........__.._-...._...._..._._......'..---.._................._..._._....... __.........
EXISTING PROPOSED TOTAL
Area Totals
^'.asifvx 010r�s�f! f/r r r ✓ !r I a! r i
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION S.uare Feet Occupancy Group(s) I re Stories Additional Information
'` ,f,+.�'rr,! .1rv""�, F;E ,.r- ,' f' d! ,,.Y:, r„ �,,... P �.;•,/,r !Fr/f":. ,'' -'J'" ,;r / !,i ,!',"- �.r �. r,:r frr�:.may; ` q ,r1 ,,rrrr ,r y �
F rr'''l'`' r .,, .r r`sf f ,r ,.r,',, t ,
sf f,(`!'�ar�.:'r�'>'"�r'�r:,, r,':r��� /,r ��,.,,.1 f i� �,�,� r
,:•'/e'%l{ / �r' '�i�/' %!�`" "",'',�`.'r✓ ,?.!',j`r`1'r,,0,r%'' r �'r. r r FF','rr'`, rl4 'r` -f,41 rF 1"' r' r
rrrf „f r r r ✓�' �`.... /rrrFr'ffi x ,r!'f l" i r yr '
•
-,tr F✓' `" ,;:«9J,,.-;„ .a' ,Yf rv;?tr / r>, r,,r Jrrt , ,,:,,vr rf ,;r3z-,lsr� x��+g p7/e;•,41... ;'i�r r'�/�,,.; ,�J��r y�;f�'.
_ ,Fru..,/�/'/r ,nr-.,ar, ,, r „. ?;'.';
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION S uare Feet Occupancy Group(s) a Stories Additional Information
,%r f` ;% ?. .. „" / / -. � '/A i' r,,rw'f/.,%i"�,!"�;r.. ;. ,,.. r:rs/,.��',!,,,%rri',f. '`,f'i !',ri` r,f✓ ,`�� r J nr`,?`.
f,` f rr �� ,� �..: >"r�/' r''f• rr%'. r. ,.: ;' "-,'%� j 1,,;�F" r'. .�.lv'';,�'�,'r. /Jr' .,r%i �! mr r',rr,. rJ``l f r.
- f ® :4 +' �f�� � r'pr � ,✓ � J!�/,� �� � r f r r• �,!r,,,, i,
.,.. v,, rr / r? v �/%,,A rrf./rri� '"� +r
,4'�•f..�. '/. r��,.f���`�.',.'+,!,'ifn;`..'.?'i"'��..+,',
TENANT AREA ONLY -_
,.rrrv,, ,r, rr F . x rx /,' ir'
,f ;r.;, !,/`,Jr;f 9•`r rA i ..•!' ,rr..�'rr'r 4*-lfrr40 rye" r e r R r'f!i%
,r ,,.._ ,... r , ," irf ,f :. ,r t�.rr'r�rrfr .�� • rr r�.�r !1� � f,.�'�r,. x.�'�',�'r'f�,�rr''``p xfy�'!r!' �/.�,•;,.:w� �
,�' f s e d A r " !r,,r �r.:.;r�..�,/r1 �rfi y`�f ��. .../� rfi.,�-i drf`'r, f;'f�.-/// '`;r'.:: rrr�!..'!''Ha •'' f r rr -•.f., r
rs'r;d /l FJ,/fri,`�`f 51i rrf^',r lF rr r �`.s= r/ Y l,,y�r.mow"'" J ,4 rrrr
1,,.,;,;r :i %'��rf'i•;��r!%F.� ..�J%%r''®,:�;f', r,,���r.�,�i,'.a.'r;�`.+r.,rt,l�,% rrr�;'^*ir"!i�',✓�,r�<�k�r,/�rr',:F`r�..Jr'y.!'r,%;'✓.�,i�rrr,rf��fe�,%.i•'•�i;,,5/.fir,, .;,,.-,'•;�.r„��Ff�J,l.e�ie;i��,?r,f,e>>.
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application