10-103081 r ,
City of Federal Way • • Plumbing
imunity Development Services Permit #: 10-103081 -00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
.(253)835-2607 Fax (253)835-2609
Project Name: BRUCHAL -
fa" LE
Project Address: 33211 6TH AVE SW Parcel Number: 729803 0200
Project Description: Replace stall shower.
Owner Applicant Contractor
ALVIN&KAREN BRUCHAL ALVIN&KAREN BRUCHAL ALVIN&KAREN BRUCHAL
33211 6TH AVE SW 33211 6TH AVE SW 33211 6TH AVE SW
FEDERAL WAY WA 98023-6180 FEDERAL WAY WA 98023-6180 FEDERAL WAY WA 98023-6180
Plumbing Fkt es y u
Showers 1
PERMIT EXPIRES Sunday, January 16, 2011
Permit Issued on Tuesday, July 20, 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: 45/24.40K4--P ________ Date: 7/2 et/e7
Ftu44 sAi ) (c
_' THIS CARD IS TO REMAIN ON-SITE _ ,
•
CITY OF -�' - - Construction Int ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10-103081-00-PL Address: 33211 6TH AVE SW
Owner: ALVIN & KAREN BRUCHAL FEDERAL WAY, WA 98023-6180
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) `El Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By -" v Date 7 /JO By Date
# *
O Final-Plumbing(4075)
Approved //
By `„ //` D to i//i/ /O/
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
l0 - I03o ?J
Federal v •
PERMIT •MF CO MERE EN FP
COlaffNIAE VELOPMENTSERVICES or\ APPLICATION
253-835-2607•FAX 25'-g�.5_. 00 2a 1'v
.lr EDeRp IL'
SITE ADDRESS t c SUITE/UNIT#
332.1 6-14h A v s IV4vGitor74 0 S 0 D
PROJECT VALUATION 4,,z D ZONING ASSESSOR'S TAX/PARCEL#
$ Z5g (/Y3' ) 4 L"° T' 2 o Div t_" rN R/.066//
TYPE OF PERMIT 1 G XPLUMBING SkartrCHANMAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT RU' V 4 L
(Tenant Name/Homeowner Last Name) L� !! D r
PROJECT DESCRIPTION CJen hR74hrro0M s (3) re- ?de/ t.�1�,`LM
Detailed description of work to N9G( O r ` .f /�1 fC✓/b Ir deS� AnS 7 G q�vn'�it - x//-f'es
be included on this permit only • �!J r'4aaJ
67c,). Pe j e repa/r re fAce- /i2feribr wa/l - /adr fee/%>7,
r4ne/S lr44SlG✓ err �e/a ,!74e- b r��.�c�/a 115(4/1 .00 AV-47
NAME P Y PHONE
PROPERTY OWNER /4G xa reit "k-4,4c-44/ 2r6.439. 4 381
MAILING ADDRESS E-MAIL
332//- 67 A v0 S`✓' a_jbrirchmJ
CITY STATE ZIP CD . aft.-/7e-14
WAy ,WAD 2 3
NAME PHONE
r
MAILIIPG ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME -, PHONE
•(The individual to receive and
' C)/ Jeg
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME + 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 to the city as a�part of this application.
SIGNATURE: L%� 14 ____.. DATE "7/2-1//0
PRINT NAME: 4•friAleSt C}7 G
Bulletin#100-April 14,2010 Page 1 of 3 k:AIIandouts\Per it Application
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VALUE OF MECHANICAL WORE $ 15 Cr (a copy of bid or estimate must be provided)
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 356 FANS(S) GAS PIPE OUTLETS OTHER(Describe) _.
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial),
BOILERS FURNACES HOT WATER TANKS(Gm)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES •
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Indicate how many of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
/ BATHTUBS(orlub/Shower Combo) LAVS(Hunasinks) ..3 TOILETS —, WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS C,yly q r2 Q,ayN SHOWERS VACUUM BREAKERS �!
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
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EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) -----• E STING FIRE SPRINKLER SYSTEM? PROPOSED FI SUPPRESSION SYSTEM?
❑ es D ❑ Yes ❑ No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(o biie Home)
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EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ # OF BEDROOMS
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AREA DESCRIPTION Additional Information
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Bftletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application