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14-106183City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: POWELL'S WOOD Project Address: 30112 4TH AVE S Project Description: New water lines. Plumbing Permit #: 14 -106183 -00 -PL Inspection Request Line: (253) 835-3050 Parcel Number: 052104 9012 Owner A lon icant Contractor MONTE POWELL MORRISON PLUMBING MORRISON PLUMBING POWELLS WOOD GARDENS 29712 4TH AVE S MORRIP*894LO (6/20/15) 29607 8TH AVE S FEDERAL WAY WA 98003 29712 4TH AVE S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Plumbing Fixtures Other Plumbing Fixtures ................ 1 PERMIT EXPIRES Monday, June 1, 2015 Permit Issued on Wednesday, December 3, 2014 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 ��jj and the City of Federal Way. Owner or agent /c� 07� %YJ G7r�.!/1fi� Date: �•� —w� '� V CITY OF 4& Federal Way THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 14 -106183 -00 -PL Address: 30112 4TH AVE S Project: MONTE POWELL FEDERAL WAY, WA 98003-3673 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. Approved to cover By Date Final - Plumbing (4075) Approved y 12i Date li-ld'/ '5 Plumbing (413u)Gas Piping (412. Approved f 13 Approved to release test Date ('Z 1 a I j By Date EJ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date Jrr OF A Federal Way RECIV FERMITOAFFLICATIQN DEC 0 3 2014 CITY OF FEDERAL WAY / CDS PERMIT NUMBER _ / _ TARGET DATE SITE ADDRESS 1-14' A ve 9 003 SUITE/UNIT # PROJECT VALUATION 00 $SOO:— ZONING ASSESSOR'S T ARCEL # 2--Lo—_v-- -L2 TYPE OF PERMIT ❑ BUILDING A PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT p PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAME / /�1 orrI—"" r�1vt M , n PHONE MAI G S E-MAIL CONTRACTOR CITFY—e- �q V V STAT -)r^/'/1 //7l ZI ©3 FAX WA STATE CONTRACTOR' LICENSE # M D d j P a9 q. EXPIRATION ATION DATE v6 �a®iS FEDERAL WAY BUSINESS LICENSE # NAME M. '806/' /Q�%I/6D/1 PRIMARY PHONE MAILING 4DDRESS *m E-MAIL APPLICANT CITY STATE ZIP FAX NAME i2 t /�jD�/� PRIMARY PHONE PROJECT CONTACT KJ 0 / r �O 00 MAILING ADDRESS c/� E-MAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) 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 apart of this application. n SIGNATURE: x3 #I DATE �� — 03 PRINT NAME: '8196 I ' " ®l"IJ QfJ Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Pennit Application 0 0 VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing ures 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 GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT # of Additional Information $ S k— Indicate how many o each type offixture to be installed or relocated as part o this project. Do not include existing4lbaures 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? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS # of Additional Information in Safiare Feet EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? r f' ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDI ON AREA DESCRIPTION (in square feet) STING I PROPOSED I TOTAL FOR OFFICE USE FIRST FLOOR (or Mobile Home) COVERED ENTRY GARAGE ❑ CARPORT ❑ �rea Totals MSMa/ PROPOSED I 7 PRICE BEDROOMS COMMERCIAL — NEW/ADDI ON AREA DESCRIPTION Av6a Occupancy Group(s) Construction # of Additional Information in Safiare Feet Type Stories r f' ,✓/ �f ''i l�ir� fi/�'fi:/ :''''` / F.,y/�/ $'>a''yF/i%��.;,,i1F%f%;`F::,.jl/„.”„. . ,%',/,�i,/, ADDITION COMMERCIAL MODEL/TENANT IMPROVEMENTS AREA DESCRI ION .Area Occupancy Group(s) Construction # of dditional Information in Square Feet a Stories 14o TENANT AREA ONLY /PROJEc'f Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application