08-105241 •
R Plflmbng
City of Federal Way
munity Development Services Permit #: 08-105241 -00-PL
P.O.Box 9718
ederal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
253)835-2607 Fax (253)835-2609 p q
Project Name: TIN
Project Address: 111 S 340TH ST Unit G Parcel Number: 325945 0690 '
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
CHRISTINA A TIN CHRISTINA A TIN CHRISTINA A TIN
32529 11TH AVE SW 32529 11TH AVE SW 32529 11TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Saturday, May 2, 2009
Permit Issued on Monday, November 3, 2008
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 of Federal Way.
Owner or agent: '.- Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF `" Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-105241-00-PL
Owner: CHRISTINA A TIN
Address: 111 S 340TH ST Unit G •
FEDERAL WAY, WA 98003
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 Date By Date
Final-Plumbing(4075)
Approved
By Date
•
•
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
f11Y OFA E C 6 I \p dEgb- — /�/ /
Federal Way Y — — — 1/
COMMUMTYDRVELOPMEAT SERVICES nI Q 7 R M I T SF MF CO ME ELE EN FP
3332FEDERAL WAYSWA 98063-97M
8 97 9718 1,0V `/� PLICATION TD
253-835-2607•FAX 253.835-2609 / /
wtaw.dttpfedemlttragcorn QTY OF FEDERAL WAY
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
R PROPERTY INFORMATION
34lp� S/ - 8601-P" /
SITE ADDRESSSUITE/UNIT#_u 0// 6
ASSESSOR'S TAX/PARCEL# 3 Z J 9 115:- 0&. 1c) LOT SIZE(s•f)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnptlon)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ,PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
.t,-4 •12 f i Thit.
PROJECT NAME(Name of Business or Owner Last Name) °``J
• PEOPLE INFORMATION
PROPERTY NAME _IAPRIMARY PHONE
�t�J
OWNER L (Sf V Q A A . TIN ( ',',,) 2,_;;,. - 44'51--
MAILING ADDRESS CITY,STATE,ZIP E- ADDRESS
,5�9 0/ � s�. , ;Wd ; `fie/o.� y4 e
CONTRACTOR COMPANY NAME APPLICANT NAME
T, " OFFICE PHONE
MAILING ADDRESS�(( CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT� ,�� NAME OFFICE PHONE
L/4"ivi.ST%AJ/4 / J %h' LW•,i s!7ifi•4 A - i`/4/ ( ) _
RESS // CITY,STATE,ZIP CELL PHONE
MAXolG7,fADD,z 9 // Ql/ SO Flt' s 1- 16/4 y (,e14 92a2. •( 1 _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent 0 Other el ti-,W b1''- ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT (24'4'0114-,_ ( ) _
LENDER NAME
Per InformationLender is required if project value exceeds 55,000
MAI NG ADDRESS CITY,STATE,ZIP PHONE
( ) _
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED U B
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• •
AREA DESCRIPTION N\\\\. EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT f
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING sr TOTAL PROPOSED sr TOTAL sr
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOM 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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commetclap
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orn,b/shower Combo) LAVS(Bathroom S;bka) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toney
. ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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. ,
SIGNATURE:
.4 C.a' \//� DATE
Property Owner and/or Authorized Agent _
—
•
❑NEW ❑ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k'Handouts\Permit Application