The URL can be used to link to this page

05-102164 w . r • .y E • '. a City of Federal WayPlumbing Permit#: 05 - 102164 - 00 - PL Community Development Services P.O.Box 9718 _ Federal Way,WA 98063-9718 Ins I re' \u• e: 253 $35-3050 Ph:(253)835-7000 Fax:(253)835-2609 requ Name: KOVALIK Project Address: 33506 10TH S Pl 'arc: ber 6501 0030 Project Description: Plumbing in connection with inte for eration •xistin ilding for q provements. Owner Ap t Contractor KING COUNTY LE. 'LUM' G UMBING 500 4TH AVE 10' AVE : r I'24 227TH AVE E SEATTLE WA FEDERA AY WA \ FEDERAL WAY WA 98104-2337 (253)862-8432 N Fixtures '•tio u r ipti• ' Quantity D- ®Quantity liaL An 8.11 ` ones 1 lik -' - . 1 1 Water Closets V- ' • lik PE'. I T EXP ' " ay 007. tics -, , 1,23 I here' that the above-informat correct and !. the , the above de: •ed ;'rty and the occupancy and the use will be in acco - with ' .,ru o• -g 1 .tions of the "tate W. the City of Federal Way. ...----- Owner or agent....-j _ D 4 ^ ca { ' THIS CARD IS TO MAIN ON-SIrE CITY oF • community DevelopmYnt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-102164-00-PL Owner: Address: 33506 10TH PL S FEDERAL WAY, WA 98003-6306 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. ❑ Plumbing Groundwork(4190) '❑ Rough Plumbing(4230) ❑ Gas Piping(4125) Approved to cover Approved Approved to release test BS Date •/,��y Date By Date ❑ Final-Plumbing(4075) Approved By Date 05/07/2005 21:36 2538138677 F'uE 1 r • LEES PLUMBING 626 W. Main. St. Sumner, WA 98390 (253) 863-8822 (253) 863-8970 fax August 23, 2005 Building Official, City of Federal. Way PO.Box 9718 Federal Way, WA 98063 FAXED: (253) 835-2609 RE: PLUMBING PERMIT - CANCEL #8005 " I©D-[ -00 KOVALIK JO$ Dear Sir or Madam.; This is to notify the City of Federal Way that the job for Kovalik has been terminated. Please cancel our permit. Copy of original receipt attached. Thank you. Sincerely, Stephen Lees, Owner CITY OF 41/1/ Federal Way P 5% 41, -- + PERMIT SF MF CO ME EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES M�� `.,i 0.i--PLICATION 33325 8TH FEDERAL WAY, WA 9•PO BOX 9718 p L I C AT I O N TD FEDERAL WAY,WA 98063-9718 253-835-2607•FAX 253-835-2609 - 0 S / 2 3 / co c www.cituoflederalway.com CITY OF FEDERAL WAY The ollourin• is re•uirkjilk.BoOmGaanP I an inco .lete a•.1icallon will not be acce.ted. Please •tint le.ib1 (in in or • PROPERTY INFORMATION SITE ADDRESS 33-s-0 co /(o /el__ S SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desaiption) _ MIPROJECT INFORMATION . TYPE OF PERMIT 0 BUILDING <7 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJ TDESCRIPTION(Provide detailed description of work included on this permit on1uL 1 ye , AI ,1 try , 4- / s..t, _ PROJECT NAME(Name of Business or Owner Last Name) V(d(. A 1,-,-/ ■ PEOPLE INFORMATION PROPERTY NAME 'a PRIMARY PHONE OWNER 4/ Z K� ic)C) i,( ( ( ) - MAILING ADDRESS CITY,STATE,ZIP CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 511 6%24.- .- 4_Soy-* ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE r• A ' I. CITY OF FEDERAL WA'BUSINESS LICENSE NUMBER , A PIRATION DATE FAX NUMBER - - _$ L / / ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME Si-V4-c..-1 V74-t--s-1.12,-k_ APPLICANT NAM OFFICE PHONE �s lGc-n,b,-h.�. 4,c.,ees. t--3 )r? -f5� MAILING ADDRESS CITY,S ,ZIP CELL PHONE (2— CO /k\ . S T- s�,,..-c..._ 7(3 9(..) ( ) - RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME _ PRIMARY PHONE E-MAIL ADDRESS --. 4-e-e-S ( ) - LENDER � 'R3';•;', l'�'® t s:` NAME ri r e .1.-g-,4,' . MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER o 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 ❑ CARPORT 0 NUMBER OF FLOORS t�asrtR6 PROPOSED roret for"' 3s�d8*I*tf bry PRO sr ,v.ar **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 35 -9 T C90 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(commercial) 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(role) MISC(Describe) j DISHWASHERS { SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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 in 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 ci ,inclu•mg its o ficers and employees,upon the accuracy of the information supplied to the city as a part of this application. / r/ NAME/TITLE `1�jL DATE (Si:,!tune) r (Title) RELATIONSHIP TO PROJECT o Owner ❑Agent 0 Contractor 0 Architect ❑ Other : ..; B Q sem ' a ® s ' • 1 1 ® a a - e.,v, iFfi Y °•... sxx:. .3* "t3' °,,rF.3 Arrir •�,��+� P9 �, eras o � o s ® �.-..sc..� Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application