13-105113 P1hmbhing
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-105113-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: KUTSCHA
Project Address: 33021 38TH AVE S Parcel Number: 614360 0120
Project Description: Replace electric water heater
Owner Applicant Contractor
LOIS KUTSCHA RESCUE ROOTER DBA AMERICAN RESCUE ROOTER DBA AMERICAN
33021 38TH AVE S RESIDENTIAL SERVICES LLC RESIDENTIAL SERVICES LLC
FEDERAL WAY WA 175 A ROY RD SW SUITE 101 RESCUR*007Q7(1/1/14)
98001 PACIFIC WA 98047 175 A ROY RD SW SUITE 101
PACIFIC WA 98047
•
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Tuesday, May 13, 2014
Permit Issued on Thursday, November 14, 2013
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 wit the laws, rules and regulations of the State of Washington
and the Federal Way.
Owner or agent: Date: 7/-
g � "y 3
• THIS CARD IS TO EMAIN ON-SITE
, 41,1*.
CITY of
^1`' Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-105113-00-PL Address: 33021 38TH AVE S
Project: LOIS KUTSCHA FEDERAL WAY, WA 98001-9666
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.
o 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 e Date vi‘_\q—'V,-))
0 Rough Electrical CI Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF 0PERMITeiPPLICATION
Federal Way RECEIVED
6
1llI!-rPERMITNUMBER 1 _ 1 0 5 1I _ P L N 0 V 14 2013 ,(17'
_ TARGET DATE
CITY OF FEDERALCC�� WAY
SITE ADDRESS SUITE/UNIT#
_.oma/ 3 .7 -e' 5
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ � � Y. 3 6 6 — a / 02
2vda. v�
TYPE OF PERMIT ❑ BUILDINGPLUMBING ❑ MECHANICAL D DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT UTSCFV
g-LPROJECT DESCRIPTION 512L eC A! ,. L [ 1./c-.4 i* `-L [l 2c/,(Jr ,
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L 0(,/r K l✓/- SG 4. -2 c 3 )2 j - 77 �/
MAILING ADDRESS / E-MAIL
3Tvo2/ 3x S
CITY v k (.f 0---- STAT ZIP ��
NAME E
e.S L t e /6e) P I ��`. yIO Z
MA/LING.f /ADDRESS/4 ,....s??.....) E-MAIL
CONTRACTOR �,/��-�J+,r
CITY STATE ZIP FAX
FAX
Pa GL c.c C_ Ltv (?8,0v 7L
WA STATE CONTRACTOR'S LICEDM
E# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY L S�TATBA ZIP9- (V 4 / FAX
NAME (� .- PRIMARY PHONE
PROJECT CONTACT K-R a t/' iV 11A-6( G CF/1-a,�(Xc2,- V05- .74/-S //
{T-he-individual to receive-and -- MAILING ADD :s E-MAIL
respond to all correspondence 3 5"
concerning this application) CI Y < <c. STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 relianceof the city, including its officers and employees, upon the accuracy of the
infe .
.. ation.supplied to 0- city as a part of thin.applic Nen.
SIGNATURE: \\\! "�'l�_ DATE
PRINT NAME: .-c__,���-c-v\. (.,r \-lc ve,
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
S •
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(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORI ,
PLUMBING PERMIT $ 2 0 0 0 C�
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.
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) I WATER HEATERS(Electric)
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 ❑ No ❑Yes D 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)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application