06-104532•
r City of Federal Way Plumbing Permit #: 06-104532-00-PL
Community Development Services
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: SIMPSON
Project Address: 33020 10TH AVE SW Unit E203 Parcel Number: 420500 1250
Project Description: ALT- replace electric water heater.
Owner Applicant Contractor
GALE SIMPSON ACCLAIM PLUMBING AND DRAINS ACCLAIM PLUMBING AND DRAINS
33020 10TH AVE SW UNIT E203 626 SW 312TH ST ACCLAPD042J6
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003 626 SW 312TH ST
FEDERAL WAY WA 98003
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Saturday, September 6, 2008
Permit Issued on Thursday, September 7, 2006
I hereby certxlhat the above information is correct and that the construction on the above described property and
the occupancy and the use w I be accordance wit ' e laws, rules and regulations of the St € of W hington
i ; i d the �of " ;al Way- 0" "' z.
Owner or agent i � �e: ���7 7
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104532-00-PL
Owner: GALE SIMPSON
Address: 33020 10TH AVE SW
FEDERAL WAY, WA 98023
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.
•❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing (4075)
Approved
By fi.,/ Date 0,/,‘,
REcEivit ,
an of — I q
F'ederaiway SEP 0 7 2006 PERMIT .__
COMMUNITYDEVELOPMENTSERVICES SF MF CO ME EL L DE EN FP
933258TMAVENUE SOUTH•(OTif FEDERAL
pPLI CATI ON
FEDERAL WAY,WA 98063-97 TD
2538352607•FAX253835-2 ILDING DEp a
www,cituofedemhiwu.com —�� `_ —
The ollowing is re•uired information—an incom•fete a••lication will not be accepted. Please •rint legibi n in or ty• .
■ PROPERTY INFORMATION
SITE ADDRESS 3 3 0 L'- /b v L S ,r�' # E 7-0 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# q_ 2 D ? 0 0- < Z- c) LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Attach separateaage/a lengthy htgat deavistan/
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING XPLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Pt_f ia" l LL '.ter J
PROJECT NAME(Name of Business or Owner Last Name) )(:1e S
NI PEOPLE INFORMATION
PROPERTY . NAME'C;IL
r PRIMARY PHONE
OWNER
/-�4L S;
• S .
i;
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
C\\\\------ SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND /
THIRD , z'
\ i
FOURTH -
ADDITIONAL FLOORS(DESCRIBE) \,
DECK(COVERED?)
GARAGE 0 CARPORT 0
suerore ra• � �� `
NUMBER OF FLOORS
*NEW HOMES ONLY** NUMBER OF BEDROO, S 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.
MECIIAHICAL
Value of Mechanical Work $
AIR HANDLING UNITS ., EVAPORATIVE COOLER - GAS LOGS REFRIG.SYSTEMS
BBQS -.', S — " HOODS(eommordes WOODSTOVES
BOILERS FI' ,_ SEWS RANGES MISC(Describe)
COMPRESSORS Di `ACGAS WATER HEATERS
DUCTS i AS PIPE OUTL
PLUMBING "
BATHTUBS 0i-rub/shower Combo) SHOWERS WATER CLOSETS Iroaoq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
. IAVS(Bathroomsinlro► VACUUM BREAKERS ____j___ ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the informationfurnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 m•de by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance e city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
_tap.....
NAME/TITLE Iii . DATE 1'7 —C
L.
(Signatu Crete)
RELATIONSHIP TO PROJECT D Owner U Agent )(Contractor 0 Architect O Other •
j u el "c•J �c?
4"1"'
ip A g „� 1Et
� 1' .,f,'c ., !!,,-• it, 3t' �.l ;r). i! ) ' `'`r., t,<.>rSU lr l`7 �,- �
Riilletin#10(1—IamtAry 1 2006 Pace 2 of 4 k\Handouts\Permit ADnlication