15-102888 a
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Plumbing
City of Federal Way
Community&Econ.Dev.Services ermit #: 15-102888-00-P L
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: REDONDO VISTA
Project Address: 28602 16TH AVE S Unit 202 Parcel Number: 720581 0380
Project Description: water heater install
Owner Applicant Contractor
LAUREL FANNIN LAUREL FANNIN OWNER IS CONTRACTOR
28602 16TH AVE S UNIT 202 28602 16TH AVE S UNIT 202
FEDERAL WAY WA 98003-6116 FEDERAL WAY WA 98003-6116
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Saturday, December 12, 2015
Permit Issued on Monday, June 15, 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: 4// /c2.O/5
• THIS CARD IS T '
EMAIN ON-SITE
.'TMoF Construction Inspection Record - -
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-102888-00-PL Address: 28602 16TH AVE S Unit 202
Project: LAUREL FANNIN FEDERAL WAY, WA 98003-6108
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 Final-Plumbing(4075)
Approved to cover Approved Approved
By Date By Date By Date 9 .J),—, 'n
•
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
PERMICA
CITY OF 'TION
IN.�
Federal Way
JUN 15 2015 17
6ycl
PERMIT NUMBER _ CI-�'y 9F FEDERAL WAYtj\
ARGTE
SITE ADDRESS SUITE/UNIT#
,Z S . zk, �tt . to c,2c
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT 0 BUILDING fr<UMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT FA NN/ '1
PROJECT DESCRIPTION L' /�C 4 7 03 c l l A N K
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �J�R N J J� /Z, A u_A L 63'"6'02(i- I a5
MAILIN
G lY Q a-�/ ! +1\ Akre
E-MAIL
R 3 A1.... LOA ` ,S 'TF1 ZIPq c
NAME O W � r \`1`"( ' I PHONE
(Li
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME 03 1 L � PRIMARY PHONE
APPLICANT MAILING ADDRESS 1pv► l• E-MAIL
CITY STATE ZIP FAX
NAME ''` PRIMARY PHONE
PROJECT CONTACT U
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ' l U.-'- A,P {'L-j c i L E 1:1 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP t PHONE
(RCW 19.27095)
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:�.� / DAT/(tel -- ) 15
PRINT NAME: L A Griec L F4 rJ
Bulletin#100—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 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 #GACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) V 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
Z''O t4 'eX/ ''•/l,,',F„y,/ %F �,t�/'', '',`r'f - ;:�`i„
FIRST FLOOR(or Mobile Home)
, f/ `w' .r� fi'j �r� tt //Fv' t F ./f r✓// ,✓,:%'i' r
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kl 'A.:',£, ///'',,,:�'////J'' �F '`/ ''✓%`� ffi✓i�r j ��`�%ir'`,//„'i1�,j"?'�;� Jr�,,,.% �. ✓ (/ /
COVERED ENTRY
/®' r✓ �//,.!'� r2/'' '' r 4 / / / // r/''%/ .,r r i/�///� ,,,'i'f`',//fj l lf'�'`,,i, i
GARAGE 0 CARPORT 0
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WO' r /�J ✓ /✓ f /r / %,';'/%;
r/ �./.,/.'/, .,E;, /,,.:rrn/.r.rsc r.< ,/rr/, F,»/,� .irrr t..�` ,:;, „ ,✓r,, i;sr/,
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet 'Type Stories
/ / /s '{p(+,'�F/r✓'„✓ "/ .v” .� / C / {'f..// ''/i'� '/,l '',c,.r 1 ;//,{ r ,,,'a% ' ///:` ,////0'-'1./11;;
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ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
7-7„,,„„
/
TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\I-Iandouts\Permit Application