12-102484 • • Plumbing
City of Federal,mmunity&Econ.Dev.Services Permit #: 12-102484-00-P L
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
•h:(253)835-2607 Fax:(253)835-2609 &� ltird
Project Name: LAURELWOOD GARDENS
Project Address: 29435 21ST AVE S Parcel Number: 422291 0020
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
an he City of Federal Way. /
Owner or agent: Z°,y2,K,I,t/ %V lam[-��-� Date: 6/1 1 /1 2-
` THIS CARD IS TO MAIN ON-SITE
CITY OF ' " F
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102484-00-PL Address: 29435 21ST AVE S
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) El Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By ie Date i, (`° (Ty
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED I l - 1 0 z4 gf
CITT Or •+~" PL PERMIT SF MF CO ME DE EN FP
Federal Way JUN 0120
CO!NAM/7YDEPELOPMESTSERVICES ,PPLICATION ars
253.835-2607•FAX253-835-2609
,•_.;_,,.>y,.,;,,,,,,,,:,,gym OF FEDERAL WAY a,
CDS
SITE ADDRESS SUITE/UNIT I
29435 21st Ave S Federal Way, WA Tract B
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
$ 7,066.00 RS7.2 4 2 2 2 9 1 - 0 0 2 0
TYPE OF PERMIT O BUILDING RI PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT KCHA-Laurelwood Gardens Limited Partnership
(Tenant Name/Homeowner Last Na,ne) Laurelwood Gardens Plumbing Waste Line Replacement Contract HW1202030
PROJECT DESCRIPTION
Detailed description of work to Replace waste linepipe 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 ZIP
Seattle - WA 98188
NAME PHONE
Paasche Construction Inc 253-843-2999
MAILING ADDRESS E-MAIL projects@
CONTRACTOR 30105 14th Ave S paascheconstruction.com
CITY STATE ZIP FAX
Roy WA 98580 253-843-4155
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y
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 ZIP FAX
Roy WA 98580 253-843-4155
PROJECT CONTACTNAME PHONE
(The individual to receive and Paasche Construction Inc- Erick W Paasche 253-843-2999
respond to all correspondence MAILING ADDRESS E-MAIL projects@
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 1 NAME
OWNER-FINANCED
Required value of$5,000 or more
IRCW 79.27095) 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.
'/�
4, l
SIGNATURE: ' DATE 06/01/2012
PRINT NAME: Erick W Paasche ___
Bulletin::i Oq-January 1.2011 Page I of 3 k:\Handouts\Permit Application
S
VALUE OF MECHANICAL.WORK $ NA (a copy bid or OStirnlelte must be provided)
bulicale how many of each type of fixture to ire installed d or relocated as part of ihisyroleet. Do not include existing factures to remain.
'MR HANDLING UNITS
FANS GAS PIP
AIR
OTHER(Describe)
Alk CONDITIONER
FIREPLACE INSERTS HOCII95ieo o:�aai
BOILERS FURNACES HOT WATER TANKS hast ___._
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
.,:.A 9 ,wAapi+,ks7(/'.s ,mak.%✓„v: `.'r '., _ �” _ 'ts.
Indicate how many of each t e of fixture to be installed or relocated as4arta thisproject. Do not include existingfixtures
res to remain.
4 HATHTUBSrr„a/s}osrx 4 LAYS si„ka TOILETS WATER
PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
• DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 4 SINKS iK0.-i,cnictaa}i WATER HEATERS
HOSE HIBBS SUMPS ^M._. WASHING MACHINES 16 TOTAL"FFlLTUFiIhr:
5
'5�,w ,�
CRITICAL.AREAS ON PROPERTY? WATER PURVEYOR SEWER.PURVEYOR VALUE OFEXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE lIn Squaw Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes t::l No ?::`,Yes 0 No
>�E p � r
"""$raw.,>„, 'It` E
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
GO£+III FLooR
COVERED ENTRY
�� .
I. z
. 1. a x.,,ns
GARAGE 0 CARPORT 0
%.Wri3iO PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE . ,.. .r It OF BEDROOMS ,
Construction # of
+t
AREA DESCRIPTIO Area Occupancy Group(s) Additional Information
in Square Feetpe Stories
a t :
ADDITION
u -
Area Construction #of
AREA DESCRIPTION Occupancy Group(
in Square Feet p pI 1 Type Stories Additional Information
TOTr'E BLiILDIalti # #p:� 4
TENANT AREA ONLY ,.
PROJECT AREA ONLY ' t x
Hultetan tC3t7--January I,2011 Pa Ile 2 of 3 k::.1°InnduutsTerinit Application