12-102483 • Plumbing
City of Federal Way Permit #: 12-102483-00-PL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 '
P 0 [r Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax:(253)835-2609
Project Name: LAURELWOOD GARDENS
Project Address: 29505 21ST AVE SQ _ Parcel Number: 422291 0010
Project Description: REP-Replace waste line pipe with ABS plastic drain,waste and vent piping
Owner Applicant Contractor
LAURELWOOD GARDENS PAASCHE CONSTRUCTION INC PAASCHE CONSTRUCTION INC
30105 14TH AVE S PAASCC1045N9(3/22/14)
2020 S.296TH ST ROY WA 98580 30105 14TH AVE S
FEDERAL WAY WA 98003 ROY WA 98580
•
Plumbing Fixtures
Bathtubs 4 Lavatories 4 Sinks 4
Water Closets 4
PERMIT EXPIRES Wednesday, November 28, 2012
Permit Issued on Friday,June 1, 2012
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 rederal Way.
Owner or agent E. ,g7",&4Date: l l /Z.
F1NAUØ / Ie 12.
THIS CARD IS TO MAIN ON-SITE
CITY Ce) Construction In ection Record .
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102483-00-PL Address: 29505 21ST AVE
Project: LAURELWOOD GARDENS FEDERAL WAY, WA
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) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By / Date By Date By Date
El Final-Plumbing(4075)
Approved
By f Date 7 .14- '(
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• 10 1 o z 4 iQ
—
..
crtr or RECEIVED PERMIT
Federal Way SF MF CO ME 0 DE EN FP
•
COMMUNITY DEVELOPMEAT SEiWJE 01 201 A P P L I C AT I O N
253.835.2607•F45 253-835.2609
u•!evrrirynyh•,ie'r'{hr',
CYtY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT I
29505 21st Ave S Federal Way, WA Tract A
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
$ 7,066.00 RS7.2 4 2 2 2 9 1 - 0 0 1 0
TYPE OF PERMIT 0 BUILDING 1PJ PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT KCHA-Laurelwood Gardens Limited Partnership
(tenant Name!Homeowner Last Name) Laurelwood Gardens Plumbing Waste Line Replacement Contract HW1202030
PROJECT DESCRIPTION
Detailed description of work to Replace waste line pipe with ABS plastic drain, waste and vent piping.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER KCHA-Laurelwood Gardens Limited Partnership 206-574-1232
MAILING ADDRESS E-MAIL
600 Andover Park W saraha@kcha.org
CITY STATE I ZIP
Seattle I WA 98188
NAME PHONE
Paasche Construction Inc 253-843-2999
MAILING ADDRESS E-MAIL projects@
CONTRACTOR 30105 14th Ave S paascheconstruction.com
CITY I STATE ZIP FAX
Roy WA 98580 253-843-4155
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
PAASCCI045N9 03/ 22 / 14 12-102396-00-BL
NAME PHONE
Paasche Construction Inc 253-843-2999
APPLICANT MAILING ADDRESS E-MAIL projects@
30105 14th Ave S paascheconstruction.com
CITY STATE I ZIP FAX
Federal Way I WA 98580 253-843-4155
PROJECT CONTACT NAME PHONE
(The individual to receive and Paasche Construction Inc- Erick W Paasche 253-843-2999
respond to all correspondence MAILING ADDRESS E-MAIL projeets@
concerning this application) 30105 14th Ave S paascheconstruction.com
CITY I STATE ZIP FAX
Roy WA 98580 253-843-4155
ALTERNATE CONTACT NAME: PHONE E-MAIL
Barbara D Paasche 253-843-2999
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
IRCW 19 27095) 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: , - / 4 -;:,..,,„/-----
- DATE 06/01/2012
PRINT NAME: Erick W Paasche ____ _- _-
Bulletin liu)-January 1,2011 Page 1 of 3 k:\Handouls\Permit Application
T 0 • '
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VALUE OFMEcITAMCAL WORK $ NA �, la copy of bid or estimate mast be provided) „.
Indicate how many of(.writ type of/fixture to be installed or relocated a_part of this project Do not artchardr rxi tingJimores 10 remwrr_ jMR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describel 6
MR CONDITIONER FIREPLACE INSERTS HOODSpcoeruncr<i:Nt , , _ _.,,_.�-__
BOILERS , FURNACES HOT WATER TANKS te.,.<t
COMPRESSORS GAS LOG SETS REFRIGERATION SYST i DUCTING GAS PIPING WOODSTOVES
Irtdieate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
__ 4 BATHTUBS tn,Tuh/Sho;vrrcn:nbo) 4 LAVs 04.,d si+ilto) 4 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER Peso Pre)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 4 SINKS rr;;,rneuru eOri WATER HEATERS(},:farar,,t
HOSE BIBBS SUMPS WASHING MACHINES 16 T"C31'ALF'ZKTIIILL,R; •
ct rH g . s"r � z: s-0kes ° - � �w , ; � ,.•�n,
.,r. " . , . •'••,:'':.'•-•-1,',-,-,";:f.,7.•'••,-,5,7-,---112'5,,- 1,, ! <, •,..-4,,,:,-.:ia' 4ti ' ,waw =
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
._._. .,,.W..�. .. .._.„.._.......,.....,......".....
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? m---,
;J Yes Li No i Yes n No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
SE �. !g:409"0:::04*-:a ,�� �x �� * 'F ta� W.XIla
lY/ r
FIRST FLOOR(or Mobile Home)
t SECOND, � a a, 9�.",, v,, ti m --P'� 4,� ,.as^,{ kew�%� 't x,
i if(
s ..
COVERED ENTRY
DECK k ' .eX40, .4 I ,� ;
',,C , 814,0 0-,i.,% 1 a ,
GARAGE Cl CARPORT Cl
� 04. 3 irky ry� ',''',','.,•'=.4",-,)i),',`,0 M- _-` .' * ra
. +ice #
rgs,,,,,......„,,,,,,,:o2;,,,,,,--.::::-,•k,.e.,,,,,:i..4;a-1,
EWSTIAt3 PROM= TCrf'AI.
Area Totals
'. r- ."**NEI+1THOMES O Y`* ' ' 1011 y A €
ESTIMATED SELLING PRICE S It OF BEDROOMS
,.,v,:"``” Awn,'
. ••^; 4:,, a„ r'.?. T<i .._,..t"°'''', • ,.a *19,0414' el lti,0 " :. ' ,1 --.
AREA DESCRIPTION Area Occupancy Groups} Construction #of Additional Information
in Square Feet Type Stories
� /1.9 "° o•o-2 „ ` � : E'
- ipLWGIII I � ; :s ,�% z$ ,fi4r �r At ,,,,,,,,°1f,,,%,;:'�
,�;.. . .... .:. . ,,,f4� �. .P.,,' rte, ,-,..i . ..� ys�,��,��� �ta x . vo:0 � �1,, q li ,g « 1
ADDITION j
AREA DESCRIPTION Area Occupancy Group(sI Construction # of Additional Information
In Square Feet Type Stories
y 46:,41'4? 1 „ it -8 y,kru t : k d t k k € ,x � '
ToTAL BUTYEiipa I ' s"- � 3 �
TENANT AREA.ONLY
,„,,,;:„Into 3�$er 1 REA,lit t F ,: �fi �10 E a� 8 , � :,s��
E ,Ica k �. 3 -s� z 3 h�"�' r'��,>y,1
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Bulletin;?(1)0 -January I,210I Pate 2 of3 k.:4landouts':Perrnil Application