10-104142 1Plumbing
City of Federal Way
Community Development Services Permit #: 10-104142-00-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: WESTENHOFER
Project Address: 4058 SW 321ST ST Parcel Number: 873190 2700
Project Description: Repipe hot and cold water lines.
Owner Applicant Contractor
BETH WESTENHOFER PACIFIC PLUMBING PACIFIC PLUMBING
4058 SW 321ST ST PO BOX 5278 PACIFP*981CK(2/12/12)
FEDERAL WAY WA 98023-2460 KENT WA 98064 PO BOX 5278
KENT WA 98064
-MePlumbing Fixturesik
Bathtubs 2 Laundry Washer Outlets 1 Lavatories 3
Showers 1 Sinks 1 Water Closets................................. 3
PERMIT EXPIRES Tuesday, March 29, 2011
Permit Issued on Thursday, September 30, 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: '` Date:
F!N/dI6b i o/s //o
THIS CARD IS TO MAIN ON-SITE .
CITY
OF 6 Construction In ction Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10-104142-00-PL Address: 4058 SW 321ST ST
Owner: BETH WESTENHOFER FEDERAL WAY, WA 98023-2460
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.
0 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) ' `0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
. .
•
o Final-Plumbing(4075)
j�j Approved
By .ev// . Date k / /t")
. .
111 Rough Electrical ,111 Final Electrical 111 Right of Way
\ppruved Approved Approved
By Date By Date By Date
/ U - / / 2
•ERMIT
Federal Wad __ SF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
'a u:,,rritur,761rroU,.a;,.rent
SEP 30
SITE ADDRESS IT ( F FED AL WAY SUITE/UNIT#
I/C
' • —r, 4 c-t- t_S)q_y`
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3 73 / '70 _ 7 c
TYPE OF PERMIT ❑ BUILDING PLUMBING 1:1MECHANICAL
❑ DEMOLITION ❑ ENGINE RING ❑ FIRE PREVENTION
NAME OF PROJECT y( r 'el
(Tenant Name/Homeowner Last Name)
/(1 S. 'eV Y
PROJECT DESCRIPTION ' c ("'
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER -
E:(?)F'L_) 4-- f-t,) t.,y e s k -„)la PCS
MAILING ADDRESS. E-MAIL
.S 1 .�".
CITY ST TE ZIP
11- ���_��.,� ti 0,3c
NAME PHONE
7 )- i r''%(4 )- i)0 3 - i3 0 — iS •fid
MAILING ADDRESS E-MAIL
CONTRACTOR // ' C t U .)f
.18
CITY STATE ZIPFAX
JCc' »I ��°1,j (�i v
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Pic % F995NI C /i2Jice_
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
�i lGt4 P/ 5C
CITY ZI
�.j' STATE P. �( ( FAX
w 'I / 4) 13- U
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
El OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING AD ,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the propeitty_owner,,.l.certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
r�
^ -� ( )7,1 /
SIGNATURE: (� DATE
PRINT NAME: !5 e t r J 1 L✓'�
Bulletin#100-April 14,2010 Page 1 of 3 k:AHandouts\Permit Application
•
1111
VALUE OF MECHANICAL W011-$.'�.� (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be i tailed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FAN GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FI PLACE INSE HOODS(commercial)
BOILERS F RNACES HOT WATER TANKS(Gas)
COMPRESSORS AS LOG SETS REFRIGERATION SYST '
DUCTING GAS PIPING WOODSTOVES
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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 it SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 1 SINKS(xitchen/utility) WATER HEATERS(nectric) r �
SUMPS WASHING MACHINES 'L?iY`F`�L FIX lRES z>3
HOSE BIBBS UMP ........................... .................
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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
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FIRST FLOOR(or Mobile Home)\\�
COVERED ENTRY
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED - TOTAL ---_
Area Totals
ESTIMATED SELLING PRICE$ #OF B,Et)RQOMS
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AREA DESCRIPTION Occupancy Groups) Additional Information
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ADDITION
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AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application