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11-103231 City of Federal Way • Plumbing Community ,►►,yy Community Development Services Permit #: 11 -103231 -00-PL P.O. Box 9718 FILE Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: SAYBROOK CONDOMINIUMS-BLDG 1 UNIT 4 Project Address: 2621 S 272ND ST Unit 4 Parcel Number: 757480 0040 Project Description: Remove/replace water heater Owner Applicant Contractor JACOB D&SANDRA HARDER A-LIST PLUMBING&HEATING LLC A-LIST PLUMBING&HEATING LLC 2621 S 272ND ST UNIT 4 21133 22ND AVE SW LISTPPH893CM(2/14/13) FEDERAL WAY WA 98003 LYNNWOOD WA 98036 21133 22ND AVE SW LYNNWOOD WA 98036 41, grt- Pluinbui " ,; Water Heaters 1 PERMIT EXPIRES Monday, February 6, 2012 Permit Issued on Wednesday, August 10, 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 willbein a gordan p�wiitthh the laws, rules and regulationsofthe State ,/Washingtonr See /'1pp�ioat 'w of Federal Way. See the Owner or agent: Date: AUG 10 2011 AUG 10 2011 F/NfJ4 &/gg/*/ City of Federal Way III III PlMlmbing Community Development Services Permit #: 11-103231 -00-PL P O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 FILE p q Project Name: SAYBROOK CONDOMINIUMS-BLDG 1 UNIT 4 Project Address: 2621 S 272ND ST Unit 4 Parcel Number: 757480 0040 Project Description: Remove/replace water heater Owner Applicant Contractor PACIFICA A-LIST PLUMBING&HEATING LLC A-LIST PLUMBING&HEATING LLC 2621 272ND ST S UNIT 7 21133 22ND AVE SW LISTPPH893CM(2/14/13) KENT WA 98032 LYNNWOOD WA 98036 21133 22ND AVE SW LYNNWOOD WA 98036 Plumbing F skt Water Heaters 1 PERMIT EXPIRES Monday, February 6, 2012 Permit Issued on Wednesday, August 10, 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 F and the City of Federal Way. .,,1 ii Owner or agent: 'I i 'C / (c ' Date: i THIS CARD IS T MAIN ON-SITE CITY°F N._:_ Construction Ii ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 11-103231-00-PL Address: 2621 S 272ND ST Unit 4 Project: JACOB D & SANDRA HARDER 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) ElGas Piping(4125) Approved to cover Approved Approved to release test By Date By Date By Date •0 Final-Plumbing(4075) .. Approved By r'� Date y /s '/J ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date EcEiv 0 • _ [ 0 zi A CITY OF PERMIT eral Way J G 1 0 2011 SF MF CO ME PL E EN FP 7 COMMUNITY DE PMENT SERVICES AULI CAT I O N 253-835-260AY2 35-2609 ??1'� www.cte �VFEDER �CDS SITE ADDRESS SUITE/UNIT# _... CoL 1 $ / 2_72-10/54--#`--1' #aot uj� q ro3Z PROJECT VALUATION ZONING ASSESSOAX/PARC�4 g- O - • S TYPE OF PERMIT ❑ BUILDING C9lPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/ omeowner Last NairieA e,,c,c,inC w7 hc2 PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME R SS 1-&0(12.7. ------- C�i Vim`' PRIMARY Wa 2-9Ca�—V 5 70 mr r/ I L7 Lai t# q E-MAIL CITY�CIW ___ ST T7 ZI4 0:2)2._ ' A I LACTOR i `_.✓1 ` " L NAME dr ^^ r11' IPHONE 7 7- ' ' , l4rVV1AE-MAIL i ) 35 /��J 1 1--)ea-ler CI STATE �^y FAX 1 - 1 10A/ °_�'(.G`� WA STAT CONT CTOR'S LIWISS XEXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# \\..,__________. NAME c V vi{L.4, 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 El OWNER-FINANCED Required value of$5,000 or more IRCW 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 d V 1'1 1 \ DATE ��/CIt"---'1 I PRINT NAME: `T fk Sw ? Bulletin#100—January 1,2011 Page 1 of 3 k:AHandouts\Permit Application • • a � � e 'v:r,' + �". .�. ,. C�a�ti W-'. CAL:FIXT I I P VALUE OF MECHANICAL Wow $ (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 OUTLISIS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES e a<":= ..-..'.: f.....'. o r ',', ,�,, i I Y .. . .....? ..• '"iia?� , r �r..., Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or'1176/Shower Combo) LAVS(xand sinks) TOILi!:15 WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(wtchrn/Ututty) _� WATER HEATERS(Flee ric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION, 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 0 No ❑Yes ❑ No i RESIDENTIAL N g OR ADDITION -'liti::;!"-'''''' AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY i,% -0 GARAGE ❑ CARPORT ❑ %1,4 4,� OTHER(describe) %; t7;$1•''',,, EXISTING PROPOSED TOTAL Area Totals P, "*NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEw/ADDITION ' AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Ty• Stories NEW BUILDING' ADDITION may <h t i ,:.. /./ - ,,,/''. .., . MMERCIAL-REMODELf 1ANT 1VIPRO ENI NTS 11 . AREA DESCRIPTION `mea Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TOTAL BUILDING r . ,. TENANT AREA ONLY '%'0 ii ';.%'.' .7%/7',,,'r PROJECT AREA ONLY %r a ..,e ` ,4//o Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application