12-104781 ` r i • Plumbing
City FederalWay Permit #: 12-104781 -00-P L
Community
&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 p Ins ection Request Line: (253) 835-3050
Project Name: SAYBROOK CONDOMINIUMS,BLDG 5 UNIT 50
Project Address: 2605 S 272ND ST Unit 50 Parcel Number: 757480 0500
Project Description: Install electric water heater
Owner Applicant Contractor
LARRY CUTTING LARRY CUTTING BRIERE&ASSOCIATES INC
16919 150TH AVE NE 16919 150TH AVE NE BRIERI*055PB (11/7/12)
RENTON WA 98058 RENTON WA 98058 1944 DUVALL AVE NE
RENTON WA 98059
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Tuesday, April 16, 2013
Permit Issued on Thursday, October 18, 2012
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
and the City of Federal Way.
Owner or agent: �� � `'� Date: �A\ \\--
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THIS CARD IS TO REMAIN ON-SITE
Construction In ection Record
F
Federal Way ord
INSPECTION RE UESTS: 25
Q ( 3) 835-3050
PERMIT#: 12-104781-00-PL Address: 2605 S 272ND ST Unit 50
Project: LARRY CUTTING 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) 0 Gas Piping(4125)
Approved to cover
Approved Approved to release test
By Date By Date
By Date
0 Final-Plumbing(4075) •
Approved
113 / 5 Date I U— e --(_
❑ Rough Electrical
Approved Final ElectricalApproved I=1 Right of Way
❑
Approved
By Date 1 1 By Date
BY Date
RECEIVEC - t O 4 gJ
CITY Of
PERMIT
Federal Wa SF MF CO ME PL DE EN FP
-uCT 18 2Q12APPLICATION
COMMUNITY DEVELOPMENT SERVICES
253-835-2607*FAX 253-835-2609
www.eiluo((ederalwFp(OF FEDERAL WAY
NI CDS
SITE ADDRESS \ SUITE/UNIT#
.C. 01 --) S 7-1.14 ,��, \ lLk4 6o
PROJECT VALUATION ZONING ASSES---L
SSESS/PARCEL# � -
$ r - 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1%66—
(Tenant Name/Ilomeou ner Last Name) US-Wil Y [ y J _Let\Ws u /r-50
PROJECT DESCRIPTION �\c ,\ _ J� n
Detailed description of work to � �yb'�►L
be included on this permit only
NAME \ PRIMARY PHONE
PROPERTY OWNER 1- j ,� p �C ,9 1 1 _
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CIN \ \ b\ \ _ ^ r. (''� EMAIL
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NAME-3..„5, PHONE
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MAILING ADDRE
� EMAIL
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CONTRACTOR
CITY STATE ZIP FAX Ck 6Gt,\cci" -OA(1
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
-��V�1(0�6 Il / _e / 12-
NAME _--_--- PHONE r
\V.APPLICANT \ R\E((3s \ �- E-MAIL
`\ STATE Z.W
1t� `, AJN\ `1 q 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
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.
SIGNATURE: DATE \c \ \9 1
PRINT NAME: J
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Bulletin#100—January 1,2011 Page 1 of 3 k:Al-Iandouts\Permit Application