17-103235 4r4 t [
Plumbing
City of Federal Way Permit #:17-103235-00-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: LEE/YI
Project Address: 2120 SW 338TH ST Parcel Number:330620 0060
Project Description: Convert existing bathtub to a shower.
Owner Applicant Contractor
JAY LEE NICHOLAS SARYBATH PLUS INC BATH PLUS INC
2120 SW 338TH ST 1427 NE 130TH AVE BATHPPI908Q4(11/28/18)
FEDERAL WAY WA 98023-7759 BELLEVUE WA 98005 1427 130TH AVE NE
BELLEVUE WA 98005
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Showers 1
PERMIT EXPIRES Tuesday,2 January,2018
Permit Issued on Thursday,July 6,2017
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 if the Sta - of
Washington and the City of Federal Way.
Owner or agent: gar Date: /
• A, THIS CARD IS TO REMAIN ON-SITE
�,noF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103235 00 Address: 2120 SW 338TH ST
Project: THAO YI FEDERAL WAY WA 98023-7759
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 1.Y r Date A/ By is°i., Date ""1/4//i 1' By 14)4 Date (3 ))41/)/
❑ Rough Electrical D Final ElectricalD Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF � ' JUL os 2U PERMIT APPLICATION
Federal Way '7
CITY OF FEDERAL WAY
COMMUNITY DE jELOPM,ENT
PERMIT NUMBER ) 1 1 U_ ?j 2 S _ 7 1 / (o /
- - TARGET DATE /
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING %PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
. 41.,k
NAME OF PROJECT7_13, l
IviP,r CGi11,�'Ki C� rl
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME j PRIMARY PHONE
01,i, lwp z.;-2, , Z13 -13? Q
PROPERTY OWNER MAILING A DSS
A Z(ZV 5ii^ 9-t'_ S ' E-MAIL
CITY CI C(( Ci "QST ZIP^';61(d6 2"
s
NAME '_ �4L f'GM1•', / PHONE 1 26�q L 22 58
MAILING ADDRESS �; ',` E-MAIL
CONTRACTOR t Lk 2 ; 1-201 ! ti'Q kk
/// CITYi STA'L'E ZIPC�'�� FAX
% WA ST TE CONTRAC R'S LIC NSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT \� MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME pp � C,` PRIMARY PHONE i
PROJECT CONTACT J ic, c3 �W '?rC qkc. Lit_5.--z-z_ 1 _ 25j6
(The individual to receive and MAILING ADDRESS r�n EMAIL SSS"'`���'
respond to all correspondence 1 LIVI U kkq t— jl)Ia&r�Q IM()-PIV�` (6 4k-
concerning
concerning this application) cITy12.1\ STAT ZIP l FAX
CO 5
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 . the city as a part of this application.
SIGNATURE: I DATE 7/G2
. sm"---
PRINT NAME: 1 ,A
Bulletin#100—February 22,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF M ANICAL WORK
ECHANICAL PE t IT i/ $
i
ndicate how many of each t.se of fixture to be/nstalled or reloc.,ed as part of this project.Do t include existi g es to remain.
AIR HANDLING UNITS FAN. GAS PIPE OUTLETS / OTHER Describe)
AIR CONDITIO fER FI' PLACE INSERTS HOO q S(Commercial)
BOILERS i F RNACES HOT ATER TANKS(Gas)
OMPRESS RS GAS LOG SETS RE'RIGERATION SYST
D TING GAS PIPING •ODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 656 O
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 s nks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS I SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) 1
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 OccupancyGroup(s) Construction #of
Additional Information
AREA DESCRIPTION Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction # of Additional Information
AREA DESCRIPTION Square Feet Occupancy Groups) Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application