17-105691 Plumbing
City of Federal Way � ' Permit #•• _
CommunityCityof Development Dept.
1 /-105691-00-PL
33325 8th Ave S
Federal Way,WA 98003 ILE
nspection Request Line: (253) 8353050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MADERA WEST CONDOMINIUMS BUILDING D UNIT 203
Project Address: 31500 33RD PL SW Parcel Number: 500790 0310
Project Description: Remove and replace existing hot water tank.
Owner Applicant Contractor
SCOTT PETERSON TIM MOEN OWNER IS CONTRACTOR
5468 ARROWHEAD CT 520 S 317TH ST
LIVERMORE,CA 94551 FEDERAL WAY WA 98003
r33a c`" *� - a//9q= Hill
q Plumbing Fixtures g [( I13J
Water Heaters 1
PERMIT EXPIRES Saturday,26 May,2018
Permit Issued on Monday,November 27,2017
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� 7and the City of Federal Way.
Owner or agent: %r Imo/ /v 1 T- Date: I (7?C(
f'
a
4\1116..___ THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105691 00 Address: 31500 33RD PL SW Unit D-203
Project: JULIE PETERSON FEDERAL WAY WA 98023-5916
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) ® Final-Plumbing(4075)
Approved to cover Approved Approved
By Date By Date By Date
Rough Electrical CI Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
�► PERMIT APPLICATION
CITY OF ; , Nov 2 7 2017
Federal Way
PERMIT CENTER+ 33325 8'h Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
0QMMUNfrY DEVELOPMENT
PERMIT NUMBER , q /?_-1 / (1
TARGET DATE
SITE ADDRESS W , SUITE/UNIT#
J 5 a o 33 alt, V L Rvr 2_c .3 v 12)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ IoDb ' v 0 2 ® _ C� 3 1 0
TYPE OF PERMIT ❑ BUILDING LJ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
e-� cr -r- 0- fi k
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
5G DT-T - S u-Z l ? ►LS ON)
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
N N Si(* }-,L-
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAM 1 \ 1 ' \LE PRIMARY� �PHONE
APPLICANT MAILING ADDRESS E-MAIL
S ) Po^A AZE Ccs G rnArL.CD
p ATE Ehoo FAX
NAME PRIMARY PHONE
PROJECT CONTACT I I r'1 , Y O E
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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 ti a part of this application.
SIGNATURE• DATE // Z
///*-7
PRINT NAME:
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 fixture 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
VALUE OF PLUMBING WORK
PLUMBING 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(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? I 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
RFcinINTIAI. - Niiw(IR A r nhTi(lN
��...��Y....��.. . . .. .moo_.� .��� ..
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
j SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
. i EXISTING PROPOSED TOTAL
Totals
r
Area L o a is
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area inConstructionGroup(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:\i-iandouts\Permit Application