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11-104223City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: BARTH Project Address: 822 S 301ST PL Project Description: Replace electric hot water tank. f• . Plumbing Permit #: 11 -104223 -00 -PL Inspection Request Line: (253) 835-3050 Parcel Number: 515220 0030 Owner Applicant Contractor SCOTT & DOLLAND BARTH SCOTT & DOLLAND BARTH SCOTT & DOLLAND BARTH 822 S 301ST PL 822 S 301ST PL 822 S 301 ST PL FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Water Heaters ................................. 1 PERMIT, rEXPIRES Saturday, April 14, 2012 Permit Issued on Monday, October 17, 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 nd the City of ral Way. Owner or agent Date: 167-14-1.1 CITY OF Federal allay PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 11 -104223 -00 -PL Address: 822 S 301 ST PL SCOTT & DOLLAND BARTH FEDERAL WAY, WA 98003-3752 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. Final - Plumbing (4075) Approved By Date ❑ Plumbing Groundwork (4190)1:1Rough Plumbing (4230) Final Electrical Approved Gas Piping (4125) Approved to cover By Approved Approved to release test By Date By Date By Date Final - Plumbing (4075) Approved By Date ❑ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date City of Federal Way Community Development Services 00 P.O. Box 9718_ Federal Way, WA 98063-9718:_"" Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: BARTH Project Address: 822 S 301ST PL Project Description: Replace electric hot water tank. •. Plumbing Permit #: 11 -104223 -00 -PL Inspection Request Line: (253) 835-3050 Parcel Number: 515220 0030 Owner Applicant Contractor SCOTT & SUSAN BARTH SCOTT & SUSAN BARTH SCOTT & SUSAN BARTH 822 S 301ST PL 822 S 301 ST PL 822 S 301 ST PL FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Water Heaters ................................. 1 PERMIT EXPIRES Saturday, April 14, 2012 Permit Issued on Monday, October 17, 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 and the City of Federal Way. Owner or agent: ■ ) M ■ ■ R1 F Date: aur 100/1) CITY OF r Federal y PERMIT # 11 -104223 -00 -PL THIS CARD IS TOEMAIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 Address: 822 S 301 ST PL Project: SCOTT & SUSAN BARTH FEDERAL WAY, WA 98003-3752 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)Gas Final Electrical Approved Piping (4125) Approved to cover By Approved Approved to release test By Date By Date By Date Final - Plumbing (4075) Approved By / Date 19—Z�l--� FILE Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CiTYOF v Federal VVa *PERMIT COMMUNITY DEVELOPMENA P P LI C A T I O N 253-835-2607• FAX 211 -IRP unl.�ip. riho ederq{u zLgn� O�'C , ,APPLICATION J- )_ - _/_ 1.1 -q— v? MF CO ME PL 'DE EN FP SITE ADDRESS %SUITE/UNIT # 62-2 �� � 15 G e he &.Nal W ' t" A c ©G3 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # TYPE OF PERMIT ❑ BUILDING PLUMBING El MECHANICAL El DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) ��- PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME J :1cY1 PRIMARY PHONE MAILING ADDRESS O22 5//��� . ?QUI 1�t4 E-MAIL 5✓r�d�I1.a� to ( C6410_0_4 /�j ypo STATE ib LII NAME 7u PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME �. PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME PHONE (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence 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 MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that 1 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 aart oft ' s application. SIGNATURE: DATE PRINT NAME: -Do � (" _k Bulletin#100—January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application V1A VALUE OF MECHANICAL WbRx $ (a copy of bid-or—estimate must be provided) Indicate how many of each type of fix_Itme,Jq be installed or relocated -as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FAN - GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREP INSE '----.._. HOODS (commercial) BOILERS RNACES HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING = GAS PIPING WOODSTOVES ���G FLvT 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) _� WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TUTA%FIICQ 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 SUPP ION SYSTEM? ❑ Yes [I No ❑ Ye ❑ No AREA DESCRIPTION in Square Feet j Occupancy Group(s) ea Construction Stories Additional Information r y ¢ zo 9 v ADDITION Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information r. in Square Feet a Stories i �� r 4. TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100—January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application