12-103392 Pi.uming
City of ay
Community&Econ.Federal
Dev.Services Permit #: 12-103392-00-PL
33325 8th Ave S
Federal Wy,ax 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p Q (253)835-3050
Project Name: SAYBROOK CONDOMINIUMS-BLDG 4 UNIT 30
Project Address: 2609 S 272ND ST Unit 30 Parcel Number: 757480 0300
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
SABRINA M L ROBINSON PATTON DEVELOPMENT GROUP LLC PATTON DEVELOPMENT GROUP LLC
2609 S 272ND ST#30 53 28TH AVE PATTODG897CD(2/4/13)
KENT,WA 98032 MILTON WA 98354 53 28TH AVE
MILTON WA 98354
Plumbing Fixtures
Water Heaters •
1
PERMIT EXPIRES Saturday, January 19, 2013
Permit Issued on Monday, July 23, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u will be iniia ordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
7-z-3-4 I2--
Owner or agent: /,"rte Date:
THIS CARD IS TO ..MAIN ON-SITE
CITY OF 0Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-103392-00-PL Address: 2609 S 272ND ST Unit 30
Project: FEDERAL HOME LOAN MORTGAG 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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
o Final-Plumbing(4075)
Approved
, 13' S Date �— 2 r� ,
•
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
t 2- 10 9 Z
CITY OF ;e PERMIT a MF CO ME 1610 DE EN FP
Federa10
l
AX - CEIVED
CO2M8N3T6D0EEFLOPM25N83S5E2R6V0IC9ES APPLICATION PPLICATION
JAM'r.[tygfpllCralwaL L 2 3 2012
SITE ADDRESS CITY FEDERAL WAY
CDS rSC sulTi�Izr#,�+
2 G 09 .5 2..124,\A. -t'-��,-..cx `I C 3 c) -
PROJECT VALUATION ZONING ASSESS TAX/PARCELg
- Q
$
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT .. 1L��:
(Tenant Name/Homeowner Last Name) 4OT uo`�--- a ���� { Pe �, •„, / e/I,:�1-►1�ODs
PROJECT DESCRIPTION T�•r1 lk YeR.es`�. " `LI(,J T�G514w.v.I (1
Detailed description of work to K•
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER SAY, at-
MALING ADDRESS E-MAIL
2
V 7"A50 E "CITY ZIP
or �e 'aro),
003 ,
NAMEPHONE
n' To" VJ' C-0132 14- •?0/ - v3-t)
MAILING ADDRESS _ E-MAIL
CONTRACTOR 53 z.� - dna00.4e.a 46/41w-la0DWONAr
CITY STATE
FAX GAIR.60,4A,
At c.'�n (AAA "8'35`'1 Zsl— 'v7-5or4
WA STA/E CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME . PHONE
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
0 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 such claim), which may be made by arty person, including the undersigned, and filed against the city,
but only where such claim ' es out of t e reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the i as a part • his application.•
41,
SIGNATURE: r fow' DATE 7- 7,3-(2-
PRINT NAME:
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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 fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS'PIPING WOODSTOVES
Indicate how many of each type of fxt'ure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tn/shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS T VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) 1 WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES tQ�`11L I+IZC7IItz
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR 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 0No
FOR OFFICE USE
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FIRST FLOOR(or Mobile Home)
oma:
COVERED ENTRY
. fir.
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
Construction # of
Area Occupancy Group(s) ,e Stories
AREA DESCRIPTION in S uare Feet Additional Information
ADDITION
AREA DESCRIPTIONIIMNI Occupancy Group(s) Construction #of Additional Information
e Stories
�v
Fri
TENANT AREA ONLY
s al?
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application