10-101312 • • Plumbing
City of Federal Way
Community Development Services Permit #: 10-101312-00-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: CLANIN
Project Address: 1017 S 313TH ST Parcel Number: 787540 0165
Project Description: Install associated piping for kitchen sink,dishwasher,washing machine, bathtub,lavatory,
water heater and(2) hose bibs
Owner Applicant Contractor
KARL J JANSEN KARL J JANSEN KARL J JAN SEN
307 SW LANGSTON RD 307 SW LANGSTON RD 307 SW LANGSTON RD
RENTON WA 98055-2341 RENTON WA 98055-2341 RENTON WA 98055-2341
Plumbing Fixtures
Bathtubs 1 Dishwashers 1 Laundry Washer Outlets 1
Lavatories 1 Other Plumbing Fixtures 3 Sinks 1
Water Heaters 1
PERMIT EXPIRES Monday, September 27, 2010
Permit Issued on Wednesday, March 31, 2010
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: V Date: I 3
P!NALZD
4 o
411146. • THIS CARD IS TO AIN ON-SITE .
CITY OF Construction Ins ection Record.
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-101312-00-PL Address: 1017 S 313TH ST
Owner: KARL J JANSEN FEDERAL WAY, WA 98003-5315
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.
El Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
.By G "3 Date 44,2 ,( v By Date 'By Date
•0 Final-Plumbing(4075)
Approved •
By Date it.4.0 -7-0(6)
Rough Electrical Final Electrical
El
of Way
❑ Approved ElApproved Approved
By Date By Date By Date
Z. - LZ /
carOP :::: '� 'ERMIT �.(tvDPL
� SF MF CO ME EL E EN FP
Federal Wa IV
COMMUNITY DEVELOFMENT R PPLICATI :: �- 1 -! __.
253.8352607•FAX 253-8352609 O
w�ku_citgo�edmikujiispil pp pp � i� �!iiiiiiiinii - -
......................::...:::..:................:... s k i•S:i/.•..•::..^.._ :;:;•;';':;":::: :'•i: :'• :..;>;'}':��::::::;%' :: ''MM i?i%'y� �::'i:?rINEE `)>,4��:`:'i::;?
• SITE S)D .:... .. ........................ . ...................:..........: ::...:::::::.::::::»::: :::: ::::::::: ::::::::::::::::::::::::::::::::::.:::::::::::::..�:::::::::.:::.:::..:::::...........
�. Y OF FEDRAL�WA3�'� 5�`
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
0 SSD _ 0 / ,
iiiiiiiiiiiiiiiiiiiiiiiiiiiinilligiiiiiiiiiiiiiiiiingiiiiiiiiiiiennigiiiiiiiiiiiiiligiliiiiiiiinnionVIREEMSESENSFOMMINESEEMMINER
NAME OF PROJECT
(Tenant or Homeowner Name) L L.L.A N I N-. . ` /�A. / -,4
4..j
❑ BUILDING ''ft-'LUMBING 1❑/MECHANICAL.(�
TYPE OF PERMIT
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
.-1)--/ /l)S 7/ e.._ A)eik.) 5/si L jCS�IJ/C e r11 60/9-T ..
PROJECT DESCRIPTION M(_Te-P_ ID /IDNS L . 7.- A v f Ns L c_
Detailed description of work toAJl`W' Hurl- C�iGLV
be included on this permit only (JT!L! 2 /Idid G 70 / /<( .7-c�,)J S/ ' )/ ii j1f sitz- I
:::::::::::::.::.::.:::::;;;:.;:.: A)60:......M../II Cj`Ii"1-Th ...I 647frt%1h. ..l (-4/ /tTa�t, wA—c-x / - T L /toIC
M 6/6
NAME
PROPERTY OWNER l ' PRIMARY PHONE
..-4'''/7/�., L�tv' r j,3/Z L (f/1_,4 �o)s"- )51>t,,
MAILING ADDRESS,CITY,STIE,ZIP E-MAIL
307 so JC s7bA) i-P ( ZE 7 i .1J4 Y ,-i7
OWNER IS ALSO: 0 CONTRACTOR
❑ APPLICANT /4 PROJECT CONTACT
NAME .._ / PRIMARY PHONE
• (
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
(
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
---- ---- - _ _ /
- _ ._
NAME:...• . --
PRIMARY PHONE V
APPLICANT '._'1j._s''./1 ( )
MAILING ADDRESS,CITY,STATE,ZIP FAX
PROJECT CONTACT ,NAME ( PRIMARY PHONE
(The individual to receive an (-L�ill /N/ L Q I L(-- 14#1 (7._ ) /i'-- q?,.i l-
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) !t)l 7 j 3/
3 S% Fa �1.to Get iT I i.e,,, 3 ( ) _
ALTERNATE CONTACT NAME": /� i PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY 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
informatipn supplied to the city as a part of th,pp.application.
SIGNATURE: f/_if
DATE // J!
PRINT NAME: ' / (.7.4/904-114$4i7
//
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
IIIMS
• ...... .................................................... .........:.......:........:................„....„.„....,.,.........„.„....„:„.:.:„......:.:.,....„.:.:„...„......:::::::::::„:„......,::
Value of Mechanical Work$ ,.„,.—(A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type offixture to be installed o 'felocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIRED C Y SERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(oas)
COMPRESSORS ;.'GAS LOG SETS REFRIGERATION SYST
DUCTING / GAS PIPING WOODSTOVES
• .'TT ��-ee
. :. -TURE> :.
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tab/shower combo) / LAVS(Heed Sieie) TOILETS .' 4 WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OT ER(Describe)
DRAINS SHOWERS VACUUM BREAKERS leLi-t-'
DRINKING FOUNTAINS / SINKS(kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS I WASHING MACHINES 1OzTAL FIXTURES; .
GENERALINFQRMATIQN
.
PROJECT VALUATION 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 El Y7 No
;:x .::
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT:'
FIRST FLOOR(or Mobile Home)
BLf3ND 1t3K ;,..:........
:'""''''::::::':'":::::':'"'''''""'"",:::::7'''':"""" -------------
COVERED ENTRY
GARAGE 0 CARPORT 0 N.
CY...kiEh described - -- ——..—.--
-
EXISTING PROPOSED TOTAL
Area Totals
.:-::: ::-....:,--.:-.m---::-m:n..--.-,.-m-. ...-::-. ._:::mgm-:-....-ona:-,.::-..:-.?",NE;r.itcoms7s,;-r.':47.::-:.::-.:-.-....J.,.-------:-- - ..--..--....---..--.- ----.. -----...::-. .---....:::-..:::::.
ESTIMATED SELLING PRICE$ :` # BEDROOMS
AREA DESCRIPTION AreaConstruction #of
Occupancy Gro . s) Additional Information
in Square Feet Type Stories
.NEW BIU):.#IING
ADDITION
?< :::i*::-.:c: :: :[� Ij i E•MODEL .. - :1M (WE.ME::: :::: ,....'
AREA DESCRIPTION Area s nstruction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
TOTAL » <; .....
TENANT AREA ONLY
; .. . A` I°1 ARE14 4ItLY: ...
Bulletin#100–January 1,2010 Page 2 of 4 k:\Handouts\Permit Application