10-101682 City of Federal Way e Plumbing.
Community Development Services Permit #: 10-101682-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: PERRY
Project Address: 4202 SW 328TH CT Parcel Number: 873204 0210
Project Description: Install shower,vanity and toilet for residence remodel
Owner Applicant Contractor
RICHARD G&JOANNE PERRY LEDICO BUILDER LLC LEDICO BUILDER LLC
4202 SW 328TH CT PO BOX 516 LEDICBL948D4(3/24/12)
FEDERAL WAY WA 98023-2654 HOBART WA 98025 PO BOX 516
HOBART WA 98025
Y+ y. y3 g t��0d a' i fid. ..t) Fixtures
Showers 1 Sinks 1 Water Closets
PERMIT EXPIRES Saturday, October 23, 2010
Permit Issued on Monday, April 26, 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: J Date:
PII4Acl,t b sir* /1n
THIS CARD IS TO AIN ON-SITE • .
`CITY OF . , • Construction In ...ction Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 10-101682-00-PL Address: 4202 SW 328TH CT
Owner: RICHARD G & JOANNE PERRY FEDERAL WAY, WA 98023-2654
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) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date B r
____. Dat ,..3 /' `� By Date
•
El Final-Plumbing(4075)
Approved
By '/-77/�,/ Date 5/z ///,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IIIPF-
c.,,,,} ` PERMIT
Fe / 0 - / 0 / 8' 2.--
iV L.e ?ft"DE EN FP
COMMUNITY DEVELOPMENT SERVICES A P P L I C A T I O N
253-835-2607•FAX 253-835-2609
,-We'::iti:cj;c 1rra_e' .Crrt APR 2 6 2 010
SITE ADDRESS CITY OF FEDERA ,I I)4j.#
L(1, , ,g5 3 '), '1,. C' . C S S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 2. C74 _ 02 / 0
L y
TYPE OF PERMIT ❑ BUILDING '01PLUMBING ❑ MECHANICAL
•
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) t ',m0
PROJECT DESCRIPTION M"^et 11.01N4 e Lt.
Detailed description of work to r P I sial1 S Wed'''.I V / 4' -t-0//e,-
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ToArJoL PE...A411
MAILING.ADDRESS E-MAIL
.--L.G 1- S(A) 5'1-t e---k—
CITY
k.
CITY STATE ZIP
,a. Woc.l n 0, A 'a i-3
NAME PHONE
l.€ . nal c.ne. . i_ 2-46 `flf Cy6211
MAILINGADDRESS E-MAIL
,ONTRACTOR P O 6m`tc SR. Lit co e ms,, (Ai,
CITY STATE ZIP FAX
Itusnel, '''4o). ,i
:3f•" /i', 6(6 /
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
/ /
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
1 'O �Jny C ti,
CITYSTATE ZIP FAX
`
PROJECT CONTACT NAME PHONE
(The individual to receive and L s1-i-—j L i+M3jC}" c6 f L( ) 6 6 3Q
f
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 4.O . 6 x Si(: t i.d L co, ( MPA. . cp/*•-
CITY STATE ZIP FAX
OMes,Nti-: (-✓A 41. ;' '4. /3 at( /
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 ttoe�to the city as apart
jofthis application.
/
SIGNATURE: ,(4
% DATE 4(\•0 `f
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PRINT NAME: k,',>,0-1 LA vvz,at_.-s- Ll3z, .yl '-te.;'�i,_.. Li.- L.
Bulletin#100-April 14,2010 Page I of 3 k:\Handouts\Pernut Application
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VALUE OF MECHANICAL WORK $ (a copy , bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocate as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSE' S HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LO • TS REFRIGERATION SYST
DUCTING GAS • •ING 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(ormb/shower combo) /r LAVS(xandsink.) / TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS 1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchen/utility) WATER HEATERS(Electric)
WASHING MACHINES ::::'8 L!E?AX i`P %?iiiiii`<
HOSE BIBBS SUMPS ... .......... ..........
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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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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home)
COVERED ENTRY
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GARAGE ❑ CARPORT 0
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EXISTING PROPOSED TOTAL •—•—Y _----
Area Totals
ESTIMATED SELLING PRICK # OF BEDROOMS
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Area Constpj,.tion # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet „""type Stories
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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
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application