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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