17-105373 JJjj Plumbing
City of Federal Way Permit #:17-105373-00-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: NGUYEN
Project Address: 31107 18TH AVE S Parcel Number:785360 0176
Project Description: Replace shower faucet in tri-plex unit.
•
Owner Applicant Contractor
THI NGUYEN THI NGUYEN OWNER IS CONTRACTOR
PO BOX 1274 PO BOX 1274
MERCER ISLAND WA 98040 MERCER ISLAND WA 98040
Plumbing
Showers 1
PERMIT EXPIRES Sunday,6 May,2018
Permit Issued on Tuesday,November 7,2017
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: Date: /7.7 ( {
Fittlik"
F
THIS CARD IS TO REMAIN ON-SITE
Federal WaConstruction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105373 00 Address: 31107 18TH AVE S
Project: THI NGUYEN FEDERAL WAY WA 98003-4909
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) Q Rough Plumbing(4230) ® Final-Plumbing(4075)
Approved to cover Approved Approved
By Date By Date By Date 11 I ZR hi
Rough Electrical ❑ Final Electrical0 Right of Way
Approved Approved Approved
By Date By Date By Date
-40.4%.,..... RECEIVED PERMIT APPLICATION
CITFederal WayNOV 0 7 2017 PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
J COMMUNITY DEVELOPMENTPERMIT NUMBER / _ / D 5 3 7 3 _ 19 /1/7/17
TARGET DATE
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ '' 1Lq�5 7)
TYPE OF PERMIT ❑ BUILDING 'PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT N ` �, _ _
PROJECT DESCRIPTION /1�CQ, Si ' 4` C / — LI(' `&� �� ww n
Li
Detailed description of work to 61.1 a _/,�lyl(,Q_. [xi
li -. is d we- ,2u ''U &t•(t toP
be included on this pennit only
NAME - PRIMARY PHONE
'w u 26b 0371577
PROPERTY OWNERla
MAILING ADD Ess E-MAIL 841(0 ,�
0\4
7 c4
S
CITY n -c .rJkl` JITATE L er R80 .0
80 .0
NAME /3 PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME /+ PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING IIS 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 to the city as a part of this application. �
SIGNATURE: DATEg7/77„
PRINT NAME: int (LO tsd,[/\
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of future 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
VALL OF PLUMBING WORK
PERMIT
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(sans sinks) TOILETS L' WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS c5h -OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS Vet
` "-
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
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 I Construction I #of
AREA DESCRIPTION RmuarP Feet Occupancy Group(s) Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Feet P y pl l Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application