05-106181 y • l
Community
City orFederaiWay
DevelopmentServices #:Plumbing Permit 05-106181 -00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: EMLEN/FAUST
Project Address: 31117 44TH AVE SW Parcel 1•er: 112103 9114
Project Description: Relocate washer and utility sink.
Owner Applicant C ractor
JOHN M EMLEN WAYNE DAWSON "SON SERVICES
31117 44TH AVE SW DAWSON SERVICES 7 • SOSII2ONK,12/10/06
FEDERAL WAY WA 31511 42ND AVE SW \ 1511 42ND AVE SW
98023-2126 FEDERAL WAY WA 98023 EDERAL WAY WA 98023
Plumbing Fixtures
Laundry Washer Outlets 1 Sinks
CONDITION •
PERMIT EXPIRES We•r•esday, Oecember 5, 2007
Permit IssuedNgo •ay, December 5, 2005
I hereby certify that the above information is correc Wand that the construction on the above described property and
the occupancy and the use will be •• - .nC,,with the laws, rules and regulations of the State of Washington
the Ci of Federal Way.
Owner or agent: • .► • Date: /_ S
)11 4-1‘
•
a4, 4. Y,7a0 (0
THIS CARD IS TO REMAIN ON-SITE
•
CITY OF - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-106181-00-PL
Owner: JOHN M EMLEN
Address: 31117 44TH AVE SW
FEDERAL WAY, WA 98023-2126
This card is part of your required inspection documents. 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.
0 Plumbing Groundwork(4190) Rough Plumbing (4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By 4t,„, Date 12, 1 OS' By Date
❑ Final-Plumbing(4075)
Approved
By Date
CI A RECEIVEt 6 - ,f1Fe - -�
Federal Way PERMIT
COMMUNTTYDEVELOPMENT SERVICES DEC 0 5 200F MF CO ME EI�% E EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718 �
FEDERAL WAY,WA 98063-9718 A P P L I C AT LO T "
253-835-2607•FAX253-835-2609FEDERAL It'-
www.cituoffederalwau.corn BUILDING DEPT
The ollowin• is re•uired in ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl (in in or .e.
•. NI PROPERTY INFORMATION ..
SITE ADDRESS .?///� "/.. 2")-1-.X./...9e-),
9( , 5 . SUITE/UNIT#
ASSESSOR'S TAX/PARCEL it / / a2, / . - 2 / / i LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
.. .,. - ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 1LUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
/fc-/ e- r 71.-*"' %210 41-tom-,-•,r, 16.-�;...).�
PROJECT NAME(Name of Business or Owner Last Name) /`-' /e— c)/r—r! 174
. PEOPLE INFORMATION
PROPERTY NAME
_ _ /PR�IM�AyRY PHONE
OWNER J c1,4hn1At--JP /L-Lz-s-e-1/-C , -'2.,__s.:72b�`--3"2 • t
MAILING ADDRESS CITY,STATE,ZIP
3///7 5/j�L 'v!'. .S,-.-,) /� ' Ke, , 9 4 ,9 3
CONTRACTOR COMPANY� NAME APPLICANT NAME OFFICE PHONE /
°CJC?e�-e)--5-e' \ieo-1`tlr c-rte` /e--21-' •yr r y <. �7�'s c ( ))-57.?,
,
'2MAILING ADDRESS /J CITY,STTNIE,ZIP /CELLL�PPHHONE / /`,
/'// r-f 1�, -S�c:t✓) C "�/"c-�.EXPIRAT[O D 3 FAX NUMBER
ER n� r;?/c
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
- I - - / /
B L (9-5-3) el?C7C7
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE<:
APPLICANT COMPANY
YYNAMMEEE APPLICANT NAME OFFICE PHONE
1, 1p-e / ) ( ) _
!LING ADDRESS
CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect 0 Tenant a Agent 0 Other(Describe) ( ) _
CONTACT NAME- PRIMARY PHONE
44 �. E-MAIL ADDRESS
7- .e--/,c" ,1i�.e,. — ( _ ( - y ,
LENDER � 4NAME
MAILING ADDRESS CITY,STATE,ZIP
• . ■ DETAILED BUILDING INFORMATION . •
EXISTING USE .-.5..7"4 PROPOSED USE :5' /------/Q
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
.(
AREA DESCRIPTION EXISTING
PROPOSED
TOTAL
SQ.FT. SQ. FT. SQ. FT.
BASEMENT /"
FIRST \_
SECOND \`
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
LXISTIN6 PROPOSED TOTAL OTAl;.?7C1 IN6Sr'•- r T• AL PROPOSED SF -,'DOTAL Sr'E"r,
NUMBER OF FCOO�RS .; , ,'r '' s �,' I , .. _`r` .
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES.
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS •
BBQS FANS HOODS(comm<rciaq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rot<q MISC(Describe)
DISHWASHERS 1 SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
J WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinko) VACUUM BREAKERS ELECTRIC WATER HEATERS
i
. DISCLAIMER/SIGNATURE BLOCK
I
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees Incurred to the investigation and defense of
such claim), which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,includin• its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE ii,;c,-=5 DATE /— ,
(Signature) (Title)
RELATIONSHIP 0 PROJECT 0 Owner 0 Agent -if Contractor 0 Architect 0 Other
tea .. c; gg:_
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Bulletin#100–January 7,2005 Page 2 of 4 k\Handouts\Permit Application