08-102457 1 r
City of Federal Way • Q
Community Development Services Plumbing Perm#: 08-102457-00-P L
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: LY [ {}l'T a1 reci dent e I r- w I old
Project Address: 29500 11TH PLS Parcel Number: 515180 0015
Project Description: Replace electric hot water tank. ' mug
`
Owner Applicant Contractor
KIENG TAING&CHHOUNG LY BURIEN NATURAL GAS BURIEN NATURAL GAS
15615 NE 6TH ST 153 SW 154TH ST BURIENG027OD 8/19/09
BELLEVUE WA 98008-4321 BURIEN WA 98166 153 SW 154TH ST
BURIEN WA 98166
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Wednesday, May 19, 2010
Permit Issued on Monday, May 19, 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: 'L/L/L
g 7"—~ Date. 5 ` —
THIS CARD IS TO PFMAIN ON-SITE
Ary
CITY OF ommunity Developmrit Inspection Record
Federal WayIVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 08-102457-00-PL
Owner: KIENG TAING & CHHOUNG LY
Address: 29500 11TH PL S
FEDERAL WAY, WA 98003-3740
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 ,fr
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RyECEI D410 ,
A.CITY OF : MAY 19 2008 g _ 1 \{ S 7`."
Federal Way PERMIT
COMMUNITY DEVELOP�E PIC SF MF CO ME E �DE EN FP
.33325 8T"AVENUE SOI(1'H Y >; E®E IT CATION �� _-_
FEDERAL WAY K
253-835-2607.FAX 253 835-2609 CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
i PROPERTY INFORMATION
SITE ADDRESS C75®0 I ) 5 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I1 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
(Attach nepalate page/,r[englhy legal des,tx,o,u
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING GirM>:c;HANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DEA�sRIPTION(Provide deta' escription of work included on this ermit onto)
UAS 're.A..✓eiK. ., (.c . k -
PROJECT NAME(Name of Business or Owner Last Name) L1
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER L ('c1 &s - o c)
MAI _D S� i C ,STATE.ZIP E-AIAIL ADDRESS
acisvo i . 5 i ec,�c ve / GJv�, g��v3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
+3:,L,r.'�,�.tile-c.�14& (ate__ iCJ.c �Ue(s G,.� (a-OCAd $' -a i
MAILING ADDRESS STATE.ZIP _ CELL PHONE
163. -5.(J, 1St 1`'`' t- i ,r,�e,vv tjA 'Ai . ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NIIA R EXPI 4TION DATE FAX NUMBER
(A — 1636 3(4(4 - 00 2i-- t 0 )acs - loo
CONTRACTOR'S ACTOR'S REGISTRATIO NUMBER EXPI TION DAT E-MAIL ADDRESS
it
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY.STATE.ZIPCELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect o Tenant 0 Agent o Other ( )
PROJECTNAM�/E PRIMARY PHONE ` E-MAIL ADDRESS
CONTACT ' C ( (S(St/N_ (
(ae(A 1 s - \c3-��L C
LENDER NAME Per RCW 19.27.095:
-�l Lender information is required if project value exceeds$5,000
MAILI CITY.STATE.ZIP PHONE
( )
II DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
O 111
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. Sg.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
*'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 Work13 61,19.co (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
COMPRESSORS I FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/ShowerCombol LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS cmues
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 pplication. re
SIGNATURE ! V DATE 5 1 g
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
NEW c ADDITION ALTERATION REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? _YES c NO
ZONING DESIGNATION CHANGE OF USE? YES NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? _YES NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? YES NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application