11-103252 •
Plumbing
City of Federal Way
Community Development Services Veall'"3111
i' Permit #: 1 '1-103252-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: LE
Project Address: 2617 S 272ND ST Unit 16 Parcel Number: 757480 0160
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
THAO LE THE PLUMBING SHOP THE PLUMBING SHOP
2617 S 272ND ST UNIT 16 PO BOX 389 PLUMBPS914RS(12/10/11)
KENT WA 98032 MILTON WA 98354 PO BOX 389
MILTON WA 98354
a#�s n t€ x a .. y
• umbtng F
Water Heaters 1
PERMIT EXPIRES Tuesday, February 7, 2012
Permit Issued on,Thursday, August 11, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy andthe 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: '1( l(
rim ) co. s/rAh/
THIS CARD IS TO MAIN ON-SITE `
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103252-00-PL Address: 2617 S 272ND ST Unit 16
Project: THAO LE FEDERAL WAY, WA 98003-8265
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.
El 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
El Final-Plumbing(4075)
Approved
By 1.-- Date g-25_//
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
• A / / - / p �s
I CITY OF
Federal Way flERMITCO ME DE EN FP
COMMUNITY DEVELOPMENT SERVICES A P P L I C A T
253-835-2607•FAX 253-835-2609 b
ww,citgoffedemlwait.com AUG 11 2C1'1‘
f1U�a
)54- ,V1
SITE ADDRESS rry OF 'FEDERAL-WAY SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'STAX/PARCEL# (-( i
-
S
TYPE OF PERMIT
0 BUILDING .1 4 UMBING ❑ MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to ✓/ W w(Ark c"' +C y
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ..�.�Ac, .1,e-
MAILING
1,.e-
MAILING ADDRESS lad
'44t4
/6- E-MAIL
9-C.('2 5 /1?1p�l7+t -
CITY d� STATE ZIP
14 Cw-E- A-+./v Cr v3 yZ
NAME c U w► Gj cf t4. s�a� PHONE -35 S�7 7 2
MAILING ADDRESS E-MAIL
CONTRACTOR Pd CR 67 3 Be. 44e.1'/os^.,b 4,ci seer clyl/f�`
e.
CITY STATE ZIP FAX J
Cs
w. A P-A,t w I4- o( g S'l
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PtL 9 Gi111t- 5
NAME PHONE
C Oli6, 41/1.4c 1` C''U
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME o OWNER-FINANCED
Required value of$5,000 or more _
(RCW 19.27.095) 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: /i — 2-- DATE g''if--ge,(I
PRINT NAME:_ Crl 1314 �14.•'4-
C
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
•
lstrYiRiR �. ��titikiltekiat.i fix'
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerriat)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
«• �.: 4 ark.*,.. iry� s?'a �"T„ 2` „�� �'� •�1 e:; }f.17nW ,14
'Z:,,
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 VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Elertrir)
HOSE BIBBS SUMPS WASHING MACHINES f
.°, .sw' x :. .,, .� •' K?:ra i :. •�.�,�;,.. �zvvs�i✓�,w' „' '`Y.., „�a":, `.•,... w.�,ti..«"x,,,
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR y 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
,.k ,w.+u,.. '�,..as.. N , •� w ...� 'a.,.� ,.,-- . _.�.... . �.3. a mak„# sh �,._,. ...,<....a ; �` is>:�.^ ._, .-mom '
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
3 1
FIRST FLOOR(or Mobile Home)
.m
COVERED ENTRY
•
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
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AREA DESCRIPTIONPIM" Occupancy Group(s) Constrution Sct=es Additional Information
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s s e � aha 171- 1:--'` as� � �� �'�;���q� �� �.-"3
ADDITION -_
Area Construction #of
AREA DESCRIPTION in S•uare Feet Occupancy Group(s) e Stories Additional Information
Opp 4,b 1;7:1,1t,-',44,147:4404,4xtigtfia, 11
TENANT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application