15-100983 J • .,
• Plumbing
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-100983-00-Pt
33325 8th Ave S
Federal Way,WA 96003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 p eQ 835-3050
Project Name: MENDOZA
Project Address: 30845 13TH PL S Parcel Number: 401540 0060
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
JOY MENDOZA JOY MENDOZA OWNER IS CONTRACTOR
ALFRED T MENDOZA 30845 13TH PL S
30845 13TH PL S FEDERAL WAY WA 98003
FEDERAL WAY,WA 98003
•
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Saturday,August 29, 2015
Permit Issued on Monday, March 2, 2015
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: 3 -.02--/5
THIS CARD IS TO MAIN ON-SITE ,r
Federal '. 0 Construction In ction Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-100983-00-PL Address: 30845 13TH PL S
Project: JOY MENDOZA FEDERAL WAY, WA 98003-4700
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) 0 Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By r L... Date 3_ 5-- VS By Date
0 Final-Plumbing(4075)
Approved
By P,4-(. Date 3.-Jr^' i C
❑ Rough Electrical
El
Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
GRY OF
we* PERMIT tPPLICATION
Federal Way
MAR 022015
OFEDERAL WAY
PERMIT NUMBERI
_ /C6 6 L U 3 - pL
TARGET DATE
12
SITE ADDRESS O j3 ^ ^ tO jL SUITE/UNIT#
J ��/�lWn 'l 1�J 6. 9�jal03 36 81(S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 075 - 0 _6
TYPE OF PERMIT 0 BUILDING ® PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ?._eP( .CeG( (�('C /L �- 'eCd' &1' of 5-eft C&d
I' r .
PROJECT DESCRIPTION
41
Detailed description of work to _
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
STATE ZIP
NAMEn_
V�! lseV PHONE
.0VJ3 7310,-I OJ
MAILING ADDRESS l E-MAIL
CONTRAC OR
3ovis l3-(-� P/ S at-C ed elld.61?eC @ 6AI(4
CITYr,e �� STATE ZIP ?8-0D3
8-UD3 FAX
�... WA STATE CONTRACTOR'S
OR'S LICENSE# J� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
m ,v&)J ,3(o40Cr 3 7 /I
AME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
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 D OWNER-FINANCED
Required value of$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: C.)471-6 I o7� DATE
PRINT NAME: D VY] 1E' fL(%l
Bulletin 11100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated apart 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 $ /at' C6
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) I 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 0 No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
s,%';�•"/�i�f1,+ ,/"';7: / .0 o r+f+t�'Jf 'r/f °/ Wi+" // ✓ / r / Wi / ✓ +` ,/
,ItgV jam✓ / / // f r /» /;X '/ ,.
r ,:'',"l/�% ,rt���,'��,✓,,./,,`"rf/,'''r�'ri,.�y'��,'y�,�. n�.,,'r� ../'""" /P:%�i/ir/,''f�W9�"'i,,•''..�f !"r�.4'f`��!✓i/�'r�``/l'/ �.
FIRST FLOOR(or Mobile Home)
r++ji•1 ++S I .•+w•✓�"//tel r 3/'/'��'++",�+'j/' ! ,, 't'� /� r"// ''
Lt ®' ✓ i fr/ /t/ r11 ,� j lig4I / fie 44 s';%f _._._—.__._..—___......_....._.. �.— — .._.._
",,d F „�, �r�r�i'r���f�/'�<'�!i��, �, � , �%r.„ ✓
COVERED ENTRY
�r+xi/ /�/ /^�a s r ri / /'f r/',+�i'/% ,✓/ 'i ��irf f/fj+/i /'
GARAGE ❑ CARPORT ❑
✓� � !"'/i"J/.f"`i/`"fiy r„''�! F'/Fyj"// l ✓ /k / ,%/i✓� /,/l//y "+ "`y'y/,/
EXI' DSO PROPOSED TOTAL
Area Totals
f/ F#,r✓`F7,``✓!7 'ri„''j .'/,'rfW, O , /f Yr.y�
:, ;014 F✓,✓`,i0/:/F� �i% '✓''rffcgi ri/=` 1-, /.r;l"r;
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW • DITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
,%/R r . t 4 ># of , �! r r;/,' �l�,e 1N/i'�r �`/`�:/,'�� '�''
"i % ,'74i+j/.Yk''." //'may i"; a, ,;W/ 1' '' ,// /'/ ^F//'�'r,�f //§''"
ADDIT •N
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
.. � ./.: .,%,+r ! ,'✓" ,1 'et4''G,.. ✓ 0! ,-, ,,*4#4, /✓ ✓ jf f/:4 , ,i/rr
��; �%l,.'.'/,'fes✓ ,,✓i /f#4Ai,, a/„
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application