11-101773 •
City of Federal Way Plumbing
Permit #: 11-101773-00-P L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-935 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-26092609 i
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Project Name: FRASER
Project Address: 150 S 330TH ST Unit 10-D Parcel Number: 928870 0120
Project Description: Replace one pressure balance shower valve.
Owner Applicant Contractor
LISA A FRASER U S REMODELERS U S REMODELERS
150 S 330TH ST UNIT 10-D 405 405 STATE HWY 121 BYPASS USREMI*969BL (4/5/12)
FEDERAL WAY WA 98003 LEWISVILLE TX 75067 405 405 STATE HWY 121 BYPASS
LEWISVILLE TX 75067
•
Plumbing Fixtures
Other Plumbing Fixtures 1
PERMIT EXPIRES Saturday, November 5, 2011
Permit Issued on Monday, May 9, 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
t City of Federal Way.
Owner or agent: Date: 5-1
- 51 / /1
PENA4Ø . f1/1!
' -4441:44.,1)....„ • THIS CARD IS TO MAIN ON-SITE k '
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-101773-00-PL Address: 150 S 330TH ST Unit 10-D
Project: LISA A FRASER FEDERAL WAY, WA 98003-6317
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) ❑ 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 f �f ' Date (�1///t ,
El Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• R
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51
COMMUNITY DEVELOPMENT SERVICES ECEIERMIT SF MF CO ME E PL) DE EN FP 33325 8m AVENUE SOUTH•PO BOX 9718 M��. ,(� APPLICATION t U
FEDERAL WAY,WA 98063-9718 V
253-835-2607•FAX 253-835-2609
www.cityoffederalwau.com R `�'/�
L
The following is, 1red i or n-anincvoompplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 150 S 330th St#D SUITE/UNIT#
ASSESSOR'S TAX/PARCEL—#4
AX/PARCEL# 9288700120 _ _` LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING d PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
REPLACE 1 PRESSURE BALANCE SHOWER VALVE
PROJECT NAME(Name of Business or Owner Last Name) CASTLE / �R V.,r
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Lisa Fraser (253 ) 315 -2595
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
150 S 330th St#D Federal Way, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
US REMODELERS ( 888 ) 595 -3223
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
405 STATE HWY 121 BYPASS LEWISVILLE TX 75067 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
USREMI`969BL 4/3/2012
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc. Naida Khan ( 360 ) 945-278-7
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1345 Gulf Road Point Roberts, WA ( ) _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant to Agent ❑ Other (360 ) 945-2091
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Naida Khan/Northwest Permit (360 ) 945-2787 naida@nwpermit.com
LENDER NAME I Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
Ill DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 500.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? u YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• •
MI PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL=STING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
EVAPORATIVE COOLERS
FANS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS
HOODS(Commercial)
MISC(Describe)
BOILERS FIREPLACE INSERTS
•
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS or Tib/Shower Combo LAYS)setnroom sink.) URINALS 1 misc.(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS pressure balance shower valve
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toroti
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
I HOSE BIBBS SUMPS
SIGNATURE
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 • 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 citk including its officers and employees,upon the accuracy of the information supplied to
the city as a part of this applicatio
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SIGNATURE: \ DATE5-71'' I i i
yWand/or Authorized Agent
FOR OFFICE USE ONLY
n NEW ❑ADDITION o ALTERATION ❑REPAIR i TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
7RTNTNr nrcrnNAN "I
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NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YES El NO
PLATTED LOT? ❑YES NO DEMO PERMIT REQUIRED? n YES ❑NO
Bulletin„si on ._nary 1,"Doe
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