12-102485 • • Plumbing
Community&Econ.Dev..Services Permit #: 12-102485-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 r - p Quesn (253)8 35-3050
vim
Project Name: LAURELWOOD GAR1
Project Address: 29407 21ST AVE S Parcel Number: 422791 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 PAASCC 1045N9(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 the City of Federal Way.
Owner or agent:. JY �'i-v 4,(4..r'-/--
-- Date: 6 /` / 1 2---
PItiagla> '/i /iv
0 THIS CARD IS TO T ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-102485-00-PL Address: 29407 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) ❑ Rough Plumbing(4230) CI Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
. . .
o Final-Plumbing(4075)
Approved
By Date 7./(,,. ( 2--
❑ Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF ARECEIVED PERMIT
Federal Way SF MF CO ME DE EN FP
, • ,. 411 ,( • _ 1 o zzi- .26-
C131A2CNFIYDEYELOPMEATSERI f'II` N 01 22PPLI CATI O N
259.835-2607•FAX 253-835.2609 '),
,,'''.,n",'16'h.'"1".f01--eI l T OF FEDERAL WAY a'i
CDS
SITE ADDRESS SUITE/UNIT
29407 21st Ave S Federal Way, WA Tract C
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
$ 7,066.00 RS7.2 42 2 2 9 1 - 0 0 3 0
TYPE OF PERMIT ❑BUILDING CiiJ 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 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 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 ZIP FAX
Roy 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 EMAIL projects@
concerning this application) 30105 14th Ave S paascheconstruction.com
CITY 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
(RCW 19 27.0951 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.
SIGNATURE: C.-- l., �L`e-{_ Z-
,„/ ----- DATE 06/01/2012
PRINT NAME: Erick W Paasche ________ __
Bulletin 4100-January 1.201 1 Parc 1 of 3 k:\Handouts\Permit Application
• •
k
_
VALUEoF.i1.ECJIANICAL WORK NA _ ...m._..,is copy of bid or estintaie must be pror tded) _____< -._.-
__Intimate how many of each type of fixture to be installed or relocated as part of this project. Do not tnrludle existing fixtures to remain.
AIR HANDLING UNITS FA VS GAS PIPE OUTLETS OTHER(Deselitrtrl
AIR CONDITIONER FIREPLACE INSERTS HOODStC:nmcr wti _ _ _. .. _„_______
BOILERS FURNACES HOT WATER TANKS Ie.F,at
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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.
---4 4 BATHTUBS
(nr YtithlS}aaarr i:amlresy 4 'LAVs t}tnsa�3 sirdarl 4 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 4 SINKS or.;.rfltiersis,}"I WATER HEATERS i rriirs
HOSE HIBBS SUMPS WASHING MACHINES 16 TtYPAL FIXT't7R' 'sI
'zayf "o _ .,• # „ g fr.
u # '''..f.,"4.4":1-14'
1, j �a, s ir
YRS . -r. ,„,Sf-,4 ,f07,, X ,,,,.nz /n g, '' .Y 3r3 .5; " z t /s�. ,i „;, , t
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE IIn Square Feet) t EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
t''Yes I:.I No 0 Yes ,r_: No
,--, -4 a -,� .-i a _ 47,..,;•4,,,,
AREA DESCRIPTION(in square feet) aE PROPOSED TOTAL FOR OFFICE USE
...
r +e� ma s� yr y ✓ piny ' id,„,.,„;4:;*''r,r,.4.4'-',
< ....... . ......... _. -.... _...".....<, -.-�.
:co
FIRST FLOOR(or Mobile Home)
rY
COVERED ENTRY
1. r�: ,,, - _ ,,:,,,,,,;,,,,;,,,,,i,'+ .mak'§ ,,.:..5,; :;�. ,
a����l ;�
GARAGE LI CARPORT C:3
' � s*�* 4 P Av g �.�
a
a
Area Totals OFOSI
TOTAL
n, -oy',; /F3 <, ;girt, WH S ORL :>< �v”'#.,,,a ,• ;0;N'O%/
ESTIMATED SELLING PRICE S., #OF BEDROOMS_„ ,,,
4 � ' ' � y r`Sf � y E, s: , � n afe fit k i t,r °
Area Construction # of
AREA DESCRIPTION in S oars FeetOccupancy Group(s) a Stories Additional Information
ADDITION IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Area Construction # of
AREA DESCRIPTIONOccupancy Groups) Additional Information
in S.uare'Feet °•e Stories
TOTAL BtIiLDIN G , = c V�� ,T e r t N lx4 IW
TENANT AREA ONLY IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
PRCIJ `T AREA.ONNLY s°'.,,,,,I $- /r s : ,. ��,ar r,``”' may ,
Bulletin:4100 January I,2011 Pace 2 of3 k'`,,l°Tandoutst3Perntlt Application