16-102307 • Plumbing
City of Federal Way
Community&Econ.Dev.Services ET Permit #: 16-102307-00-P L
33325 8th Ave
Federal Way, 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)
(253)835-2809 p q
Project Name: NASH
Project Address: 30623 28TH AVE S Parcel Number: 092104 9195
Project Description: Replumbingexisting home to replace galvanized piping.
Owner Applicant Contractor
MICHAEL&ROBIN NASH . MICHAEL&ROBIN NASH WEAVER CONSTRUCTION
30623 28TH AVE S 30623 28TH AVE S WEAVEC*02007(8/26/19)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 23631 140TH AVE SE
KENT WA 98042
Plumbing Fixtures',.
Dishwashers. 2 Laundry Washer Outlets. 2 Lavatories 2
Showers 2 Sinks 2 Water Closets 2
PERMIT EXPIRES Wednesday, November 9, 2016
Permit Issued on Friday, May 13, 2016
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 S,N - Date: 5//31/4.,
. - • THIS CARD IS TO MAIN ON-SITE
CITY Construction In ection Record ' -
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-102307-00-PL Address: 30623 28TH AVE S
Project: MICHAEL & ROBIN NASH FEDERAL WAY, WA 98003-4803
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 a INJ Date 5/5)1/6 By Date
❑ Final-Plumbing(4075)
Approved
By Date t , 01 - 1 ,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• r
41. • RECEIVE®
PERM APPLICATION
CITY OF MAY 13 2016
Federal Way
CITY OF FEDERAL WAY
PERMIT NUMBER (:::„ _ f 0 (i' CDS 0 7- /9 L
JTARGET DATE 5 / t / I tJ
SITE ADDRESS SUITE/UNIT#
3Ctoa-a zeto Qo . - 9(4C0 3
PR(OnJECT VALUATIONrr�� ZONING ASSESSOR'S TAX/PARCEL# 0 ,11 _
q i . . .._\--
TYPE OF PERMIT ❑ BUILDING 1-PLUMBING //// � (
❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT iv v\ WI1Nz_ V`-e_- e I pun- it, IP1G-Gk_ 0601-\44 i fl 1 2L'O(
PROJECT DESCRIPTION 9-e, _ c) 1 kfPr1 S t 0 <, i V W&T�1 , 1 P4
Detailed description of work to 5VW W-eJ'rC / A1)1,‘f.,
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 2,0b\ Dag: 509' - 97s- P c r7 5
MAILING ADDRESS E-MAIL
D(C2 28,1'` Pro42_ go - Noah rims C. 0ln.ob•:ivLi
CITY STATE ZIP
c ec,e cc--QW U314- 9 aco3
NAME Br 11 W�Q.�..r' PHONE
. 670 ' 'Di55
MAILING ADDRESS E-MAIL
ortCONTRACTOR W CCLU?N�'tTY�S'yY(t C> t9V�� °J I
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
O9WE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME tt `W PRIMARY PHONE
PROJECT CONTACT `1 (CU3-eAr
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME^ �`\n 3 M 't;� Iv"'6 I OWNER-FINANCED
When value is$5,000 or more MAILING{`)�MESS,`CITY,STATE,ZIP" PHONE
(RCW 19.27.095) (�)oU U-e_
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: T .l� DATE 5/1/3//0
PRINT NAME: ROb r1 •(V C-8 I-
Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixfure to be installed or relocated as pert of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) e7 LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS ,,2— SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS ! SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS 6/, 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 ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**1VEW HOMES ONLY`'*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
Area m Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application