11-103162 all • Plumbing
City of Federal Way r
Community Development Services Permit #: 11 -103162-00-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: SAYBROOK CONDOMINIUMS-BLDG 4 UNIT 33
Project Address: 2609 S 272ND ST Unit 33 Parcel Number: 757480 0330
Project Description: Remove/replace water heater
Owner Applicant Contractor
JEFF DAVIDSON A-LIST PLUMBING&HEATING LLC A-LIST PLUMBING&HEATING LLC
2609 S 272ND ST UNIT 33 21133 22ND AVE SW LISTPPH893CM(2/14/13)
KENT WA 98032 LYNNWOOD WA 98036 21 133 22ND AVE SW
1 YNNWOOD WA 98036
" FiirDing Fixtures
Water Heaters 1
PERMIT EXPIRES Saturday, February 4, 2012
Permit Issued on Monday, August 8, 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 ill be in accordance with the laws, rules and regulations of the State of Washington
an e City of Federal Way.
Owner or agent: Date: Se-5-1
F(UiUb 3//& I)
THIS CARD IS T MAIN ON-SITE ,
CITY OF . ' I Construction Ipection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11-103162-00-PL Address: 2609 S 272ND ST Unit 33
Project: JEFF DAVIDSON 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) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By r Date er-/.1-/l
El Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT - a U —
or Federal' ,1 • MF CO ME PL DE EN FP
TYDV
COMMUNITY DEV .. APPLICATION
253-835-2607• , - 35-2609 ,..,f\V.
wwW.ci ypjftrie_ruhvau.corn y� a
�uG U �����(�I P
SITE ADDRESS e� SUITE/UNIT#
4 09 O 7—"-co ,0�-t- 33 KK,vP'f c/ici- 910'32_ 33
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING f "PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) �/ d ,S (5)'''
PROJECT DESCRIPTION Re,l4 •e 11-4., 4.4'w AD Coat
Detailed description of work to
be included on this permit only
NAME r-- A PRIMARY PHONE
PROPERTY OWNER --b?"- 1r 9 a--
MAILING ADDR ,S •! E-MAIL
6.4,,.. 5-z) A7
CITY STATE ZIP
NAME -^ "5/ ? /n4/ /� C�%/T/!7� c GPH ITT-^b( Z--J / 7Q
MAILINONE
G/ADDRESSE-MAIL
CONTRACTOR -/13 3 2'1'1)/ e_ G✓ /-Gff/_Imola .fi)ucel 010-'7.ea-
CITY STATE ZIP FAX
1-'10 ii We'd-7G° 4/1 - 9190 3 to
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
15f00PN 8y3en'l / / / / /i
NAME 'w^ PHONE
6" yr `
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME LC-
fT/J, PHONE
(The individual to receive and Ci��'l r(.'
I respond to all correspondence MAILING ADDRESS E-MAIL
*� concerning this application)
,�" CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
it Required value of$5,000 or more
�\y (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 c aim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to he city as a pa f this application.
SIGNATURE: J DATE " V
PRINT NAME: 1q-V 0 4 e- M 1-)s,ie 3
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 offixture 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 future 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 TOTAL`FIXTURES
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 POS
PROED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
-47.417
GARAGE ❑ CARPORT ❑
Pia164.4.14151144#4e, Eta-
EXISTING PROPOSED TOTAL
---- — ---...--------------
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
Construction #of
AREA DESCRIPTIONENE! Occupancy Group(s) ,e Stories Additional Information
ADDITION
a
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet .e Stories
.
TENANT AREA ONLY
Bulletin#100–January 1,2011 Page 2 of 3 k:\Handouts\Permit Application