11-103313 •
City of Federal Way 411 Plumbing+ {.�
Community Development Services Permit #: 11-103313-00-PL
P.O.Box 9718 b •:
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: STEWART
Project Address: 2609 S 272ND ST Unit 31 Parcel Number: 757480 0310
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
DWAYNE C STEWART THE PLUMBING SHOP THE PLUMBING SHOP
4600 DAVIS AVE S#C103 PO BOX 389 PLUMBPS914RS(12/10/11)
RENTON,WA 98058 MILTON WA 98354 PO BOX 389
MILTON WA 98354
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PERMIT EXPIRES Sunday, February 12, 2012
Permit Issued on Tuesday, August 16, 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
ey and the City of Federal Way.
Owner or agent: Date: `/
P(uogjg
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THIS CARD IS T MAIN ON-SITE ; . -
le
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103313-00-PL Address: 2609 S 272ND ST Unit 31
Project: DWAYNE C STEWART 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) El Rough Plumbing(4230) El 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. r7- /1
E Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
7 _IL - b 0 3_‘. 3
Federal Way *PERMIT 0MF CO ME 0•E EN FP
COMMUNYDEVE P �1C PLICATION
253-835IT-2607• �5 1�!
www.citgr egera waLcone
AUG 16 2fll
SITE ADDRESS SUITE/UNIT#
CATUOP(FE�R . Aii/ w 4'R6._-- 3
PROJECT VALUATION CICS ZONING ASSESSOR'S TAX/PARCEL# •
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
Ayr)
PROJECT DESCRIPTION
Detailed description of work to dlJ(4-\--. ../' 1 14.4e•r- - .k.I..)1.L..-t- . e 7
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER �� pw " 9,�,C�fr
MAILING ADDRESS� 5 ,2 114• / 3 E-MAIL
CITY/ / SP
114- c . ZIq 3
NAME / / h S A PHONE
- //O n�
MAILING ADDRESS �//^ E-MAIL
CONTRACTOR PC/ a bX / M
CITYSTATE ZIP FAX
i/f°1 � 9' 'c)54/
WA STATE C NTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
91%i,tin IRSC),i2114S _i . //0 c,
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY J 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.
.--s /
SIGNATURE: 7L1 T i� DATESr" ' T`,
PRINT NAME: / I r i S %4 L.
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
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Indicatehow 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)
a
HOSE BIBBS SUMPS WASHING MACHINES ,,,.
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:i F � 3�;�i�� ( a„ , '.y..� �. - ��� .,. �, s4���.� „ ',
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 0 No
,r ,,;�tv,.,�,.«� "aw,.+�.,., ,. ..' "..,r, 'e ? .....M""a.,r., e.,,}'�,,.....;.„-..i� �+." �.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT 0
. ,. . .. "" �< �� � TOTAEXISTING
._...
L
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
x �s....?e_ZPs_..; ,i ., a:,• ',..raa; '4�.i. „' :., ";,....�,.... .m... :: -;- .<.._r... a.s..u...,. s':t • .. F.�. 2d...;
Construction #of
AREA DESCRIPTIONINENII Occupancy Group(s) . .e Stories Additional Information
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ud af.r.�u: f' 'vim LCDi 4' 12 '. , Xw" z/s,.T
ADDITION
x a4
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x 5 ;(cse �� W 4i &• r 9 "` '� q �'�> "a s
AREA DESCRIPTION
in S.uare Feet Area Occupancy Group(sl Construction #of Additional Information
•e Stories
4'I: s ,. „
TENANT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application