17-104321 Plumbing
City of Federal Way Permit #:17-104321-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph (253)835-2607 Fax:(253)835-2609
Project Name: WEST GREEN CONDOMINIUMS BLDG B UNIT 3
Project Address: 417 S 321ST PL Parcel Number: 926660 0150
Project Description: Electric Water Heater Replacement
Owner Applicant Contractor
ROBERT CLEVENGER LUKE NEMESH OWNER IS CONTRACTOR
417 S 321ST PL 17632 SE 332ND PL
FEDERAL WAY WA 98003 AUBURN WA 98092
USA USA
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� ' Plumbing Fixtures ?
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Water Heaters 1
PERMIT EXPIRES Tuesday, 6 March,2018
Permit Issued on Thursday, September 7,2017
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
/,' ashington and the City of Federal Way.
/ l
Owner or agent: Date: iy / 7
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104321 00 Address: 417 S 321ST PL Unit B-03
Project: ROBERT H CLEVENGER FEDERAL WAY WA 98003-5805
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) ® Final-Plumbing(4075)
Approved to cover Approved Approved
By Date By Date By Date a I4) ) 1
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
''` . PERMIT APPLICATION
CITY OF d
Federal Way PERMIT CENTER+ 33325 8th Avenue South + Fs cleral W WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permiee�xtttCrt� lway.com
'41— SEP o 6 2017
PERMIT NUMBER ( _ ( 0 2 -
( _ PL.
_ _ TARGET DATE
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
SITE ADDRESS k1/4..)
SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# O
$ 100th g 2 -
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT W�, t G'C,(i C'v ca --11-4>g
PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
NAME � PRIMARY PHONE
'
PROPERTY OWNER - "\o 6o �-� ( IeuE je C- ,n�";„<c-;5'.3c,-a6
MAILING ADDRESS E- AIL
t7 5,321-14- P\ a(-Z3 %(e IAr(i 61((C40(.'c z t
CITYSTATE ZIP
ted)( Lk-.(( vJ, l r,z7=.3
NAMEC Wi(L•^^ PHONE
MAILING ADDRESS [I " E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
L,v_•_e-- V ife, . ii: 6.3��l. cC76
APPLICANT MAILING ADDRESS E-MAIL
17 3o2 Sc 3 ••-3 ( Lavtec--ems 'C u.(.t0j
CITY STATE ZIP FAX
AlAvu.r..t do 9 `-6o9a
NAME �f/ PRIMARY PHON
PROJECT CONTACT i;k t�e- /U 4 6(,._ '11,,,5'
-364. 05 74.
MAILING ADDRESS E-MAIL
(The individual to receive and
(
respond to all correspondence (7 63 - J L~d� t"
concerning this application) CITY STATE ZIP FAX
.sl-lot..ti kk) 4- 9 esD9
NAME
PROJECT FINANCING ❑ 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.
SIGNATURE: ,...� DATE q-Nt -
PRINT NAME: L.t' i-‘/(i24.'IitL i(,
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\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
AL U7 PLUMBING
PLUMBING PERMIT VFWORK
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(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS • SINKS(Kitchen/Utility) ir 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
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Square Feet Occupancy Group(s) yYe Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application