06-103970 •
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City of Federal Way Plumbing Permit #: 06-103970-00-PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PAULL
Project Address: 915 SW DASH POINT RD Parcel Number: 515320 0560
Project Description: ALT- installation of a new electric hot
Owner Applicant Contractor
ADAM J PAULL ADAM J PAULL ADAM J PAULL
ANNE M PAULL 915 SW DASH POINT RD 915 SW DASH POINT RD
915 SW DASH POINT RD FEDERAL WAY WA FEDERAL WAY WA
FEDERAL WAY WA 98023-8241 98023-8241
98023-8241
Plumbing Fixtures
Water Heaters 1.00
PERMIT EXPIRES Friday, August 8, 2008
Permit Issued on Wednesday, August 9, 2006
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: r _ Date: _ `
58o /33
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ' '"•• Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-103970-00-PL
Owner: ADAM J PAULL
Address: 915 SW DASH POINT RD
FEDERAL WAY, WA 98023-8241
This card is part of your required inspection documents. 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) 0 Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
�❑ Final-Plumbing (4075)
Approved
By Date 91C/j/C
c�TY of RECEIVEI• '
Federal Way .A� - ( v 3 cr 7 0
PERMIT
COMMUM7YDEVELOPMENT SERVICESI iG 0 9 2Or' SF MF CO ME EL ODE EN FP
33325 8TM AVENUE SOUTH•PO BOX 9718 p L I C AT I O N
FEDERAL WAY,WA 98063-9718 TD / /
253-835-2607•FAX 253-835-2609 F FEDERAL
www.citiloffederalwoy.cllm -,UiLDING DEPT,
The following is required information—an incomplete application will not be accepted. Please print legibly in ink)or type.
■ .PROPERTY INFORMATION
SITE ADDRESS q,5- ke Ai... - SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# S ( r 3 Z c) - 0 (j0
— —. LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
)Attach separate page for lengthy legal description)
.;. ■'PROJECT INFORMATION ;.:...•.
TYPE OF PERMIT 0 BUILDING ,PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onit!)
Zul 11( AIV 1A 7 Lc-,\--- t7..c_ t!
PROJECT NAME(Name of Business or Owner Last Name) ` M• L1
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 0-A 111 "^"L_ (tapLP-to -i..5
MAILING DR + 1 CITY,STATE,ZIP
j
9 CONTRACTOR7<-COMPANY NAME \\ 1�.
APPLICANT NAME / OFFICE PHONE
0k'd ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ /
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/
APPLICANT COMPANY NAME I APPLICANT NAME OFFICE PHONE
MAILIN ,cADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT . FAX NUMBER
o Architect ❑ Tenant o Agent ❑ Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE - E-MAIL ADDRESS
LENDER z abil:0 t j ;;3jk a - NAME
r- tn xAf 0 . 3.1 Q 81 II
MAILING ADDRESS CITY,STATE,ZIP PHONE
II DETAILED BUILDING INFORMATION t
•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
liffIRZ
III i
PROJECT FLOOR'AREAS.... _ ____ __ _ _ .- , __ _ ......
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
mist IMO PROPOSED TOTAL V ; 7uJf4..7-1:4-124:-Ii.' a � a � tfr;!,i 4' .•,:o.:-‘:•!,',,:ft-:::,T
NUMBER OF FLOORS , ' � , r y1 "Sr: , i ,y
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
. M : _ . .
:.. FIXTURES.... ,
.....c
Indicate number type
.._ .
of each typoffixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe)
BATHTUBS(or Tub/shower combo) SHOWERS WATER CLOSETS mules)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
- • DISCLAIMER/SIGNATURE BLOCK •~ '
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
IPP
. .2 _ � . - l 4),.. --- DATE , « Q&
NAME/TITLE (Title)
•nature)
RELATIONSHIP TO PROJECT ❑ Owner o Agent ❑ Contractor ❑ Architect 0 Other
•
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Bulletin#100—January 1.2006 Page 2 of 4 k\Handouts\Permit Application