11-103536 4.
City of Federal Way , • Plumbing
Community Development Services Permit #: 11 -103536'00-P L
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 F ILEInspection Request Line: (253) 835-3050
Project Name: SAYBROOK CONDOMINIUMS-BLDG 4 UNIT 37
Project Address: 2609 S 272ND ST Unit 37 Parcel Number: 757480 0370
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
M'BALIA TAGOE M'BALIA TAGOE M'BALIA TAGOE
27859 31ST PL S 27859 31ST PL S 27859 31ST PL S
AUBURN WA 98001 AUBURN WA 98001 AUBURN WA 98001
jPtumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Sunday, February 26, 2012
Permit Issued on Tuesday, August 30, 2011
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
r d the City of Federal Way.
Owner or a�c end % Date: y,,,51)- 2.6/i
FIIiML3P gfsc / u
THIS CARD IS TO EMAIN ON-SITE
CITY OF .., I Construction I . ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11-103536-00-PL Address: 2609 S 272ND ST Unit 37
Project: M'BALIA TAGOE 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.
❑ Plumbing Groundwork(4190) 0 Rough Plumbing(4230) fl Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By iff--
Date P-3/._//
❑ Rough Electrical 111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
C3TY OF —`
Federal Way MPERMIT Re,twEFDE EN FP
COMMUNITY DEVELOPMENT SERVICES
APPLICATION
253-835-2607•FAX 253-835-2609
una!w.diyo ffederalwau.com
AU6 3 0 2811
SITE ADDRESS CITY OF FE D E R/ EMAY
171'1Pl l St- 1/, , 1.y, A lg��2 CDS 57-
PROJECT VALUATION ZONING ASSESSS�/PARCE -er g- so, O
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 0- 1 ` S
(Tenant Name/Homeowner Last Name) tl/�' 11/N��'!
PROJECT DESCRIPTION t I Lick c--e rr t t
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER — 2
MAILING ADDRESS E-MAIL
tt1 , Peri
CITY STATE ZIP
-
NAME PHONE
VVI
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
•'-,1 f=
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)
�S I CITY STATE ZIP FAX
1�+ ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
ired 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: DATE ` 2 J L•i I
PRINT NAME: - 7�. r,`c.
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
gv..r..,-47,--,T7'77,171114117151FELTTRNZiT747K741144,4311 laves
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(Electric)
HOSE BIBBS SUMPS WASHING MACHINES S ,,
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 ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
ky
FIRST FLOOR(or Mobile Home) --- — --— —.—. —_
may,
6[ ^3i
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COVERED ENTRY
GARAGE Cl CARPORT ❑ __--- --------.._....._.........................................------
EXISTING PROPOSED
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S uare Feet a Stories
y _
-„ goW4-75211P0
ADDITION
COMMERCIAL-REODEL//TENANT IMPROVEMENTS pie
AREA DESCRIPTION Area Occupancy Group(sl Construction # of Additional Information
in Square Feet •e Stories
r4� : ,y �� �",•3.
xigaz
TENANT AREA ONLY
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application