17-104827 41/4
RECEIVE® PERMIT APPLICATION
CITY OF
OCT 0 9 2017 PERMIT CENTER+ 33325 8th Avenue South +Federal Way,WA 98003 6325
Federal Way 253 835 2607 + FAX 253 835 2609 +permitcenter cityoffederalway.com
i CITY OF FEDERAL WAY
MM
PERMIT NUMBER / ( 7
- ! 0UN EVE ,-
M - IOJCt
TARGET DATE
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ �-- _ 4;+ = �p I 3 O - 1 1 S-" 0
TYPE OF PERMIT ❑ BUILDING .1'PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OFPROJECT , JJ1
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PROJECT DESCRIPTION l� ev'� �trC-' ect' `IBX'- ��[�' (ic; fk CC A-f,C- t<%c C,t- 1)Ca d
Detailed description of work to .v'. C4. 7 1 4c(x [c �6Lk•.,..k___-' , —I—
i-- 'TB: +'G'c %�) &44..-
be included on this permit only
t
o NAME PRIMARY PHONE
PROPERTY OWNER � � Z� .a 9t a S ��
MAILING ADDRESS E-MAIL
'l 11 �: :� } VLA.. .� %, ,,�:i CC 'j1
CITY 11 STATE P
. ., 3
NAME ]7 p PHONE C )
CLQ �� C .'71
C. 7Y' f� e✓�C�ljykse--011 3/5-J�/5
MAILING ADDRESS OT E-MAIL
CONTRACTOR I ! -A 99714 s C'''a'
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C STATE Z FAX ��� -t-1
_ 11 i� r ll.K ••c.ir S it /
a`>. `itr''c.,G v
WA STATE CONJ OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITYSTATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT C�i✓-d-fc'" ,1„1^
(The individual to receive and MAILING ADDRESS E-MAIL
respond to allcorrespondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING /I LIOWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP /� // 4PHONE
(RCW 19.27.095) / �-�'
I certify under penalty of perjury that I am theproperty 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: 1/�L,Q---tt LX i YIt'! -�. c';'-- DATE 1/4� F- GJ 1r''
PRINT NAME: W Wt t k( d k 6-1,
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicatehaw many of each type offixture 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
( VA UT.O,,rp B r I
VA yr t ve_ntn
PLUMBING PERMIT ---
$ lei-'
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) I WATER HEATERS(Electric) 1
HOSE BIBBS SUMPS WASHING MACHINES I _ TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE flu 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)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTIONqz„arP Fret Occupancy Group(s) Type Staria� Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
Plumbing
City of Federal Way Permit #:17-104827-00-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: TEASLEY
Project Address: 32617 2ND PL S Parcel Number: 169730 1180
Project Description: Remove and replace existing electric water heater.
Owner Applicant Contractor
SUE TEASLEY MIKE MCBRIDECASCADE PLUMBING& CASCADE PLUMBING&
31211 1ST AVE SW DEVELOPEMENT LLC DEVELOPMENT
FEDERAL WAY,WA 98023 19712 99TH ST E CASCAPD895QC(1/4/18)
BONNEY LAKE WA 98391 19712 99Th ST E
BONNEY LAKEyWA 98391
Water Heaters 1
PERMIT EXPIRES Saturday,7 April,2018
Permit Issued on Monday,October 9,2017
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
Washington and the City of Federal Way.
Owner or agent: ' 1OLtL Q �y�C� -. Date:/17 -Zr') 7
e
# ` S ,
4ATHIS CARD IS TO REMVlAIN ON-SITE
Fecierl Wa Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104827 00 Address: 32617 2ND PL S Unit 215
Project: STEVEN TEASLEY FEDERAL WAY WA 98003-5700
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 46
(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.
♦ •f •I •
0 Plumbing Groundwork(4190) Ill Rough Plumbing(4230) 0 Final-Plumbing(4075)
Approved to cover 1 Approved Approved
By Date } By Date By 4)4 Date /O////)-7
0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
,By Date By Date By Date