15-10482411
�} PERMIT SF MF CO ME PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION ReCEIVEo
253-835-2607.FAX 253-835-2609
r rU S'r;il l:ei iAr,a:u.a:i.crrr
SEP 222015
SITE ADDRESS / CITY OF FEDE SUITE/UNIT#
U �- 1 / cps�� war
PROJECT VALUATI J ZONING ASSESSO 'S TAX/PARCEL#
$ Si 500,� h�.s, N ; c d
fir
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ NGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION 1
/)/(4'ffl _Detailed description of work to J/ i% (
V
be included on this permit only t U C4 �..-
t k k 'Y' 4- (,r?W�w room r vvwvd 4 -to (r'1 C
lAaMEp\
4�_c , 1 �k.hS (I) 54�-,,;�.„rz. (y)5,t•1KS C5) -,t,b, (i) lhkt ,n,� z / fPRIMARY PHONE One C.J ..M�PROPERTY OWNER
�^ ING ADJQ
ES44 /03 G / E-MAIL
TATE ZIP
e !L4LVV . :• ,
FAME _
.,,/lJ'' ,��//%\,�” ye �_ Inc
(c) c",
MAILIAGADRESS r
CONTRACTOR CITY / 6,3 -5 (1) T 1 /2 c
cim
h,, WA STATE CONT CTOR'S LICENSE# _ IRAT O DA FEDE WAY BUSINESS LICENSE
NAME I,� ," I P Nom. _ _ -..
CG-'0 '?///$3
APPLICANT '""'"'D SS •
iA E-MAIL
3) l r c )N/ STA I�i5 \ � \- p 4 ri 1 .. ^ "r / 1
17 77 - oq
PROJECT CONTACT NAME . p.. 4
(The individual to receive and 1)<flA ,% y ~ , v V�
respond to all correspondenceMAILINGddbbdd" ! �
concerning this application) p j
3 , _- Q id .� w Qt-SL-)- f C
CITY 1 �� r STATE,. ZIP L F V /J�(,v�
ALTERNATE CONTACT NAME: lY�,�// PHONE E-MAIL
`� V
C
PROJECT FINANCING NAmE
/� 114 21 / ] ..OWNER-FINANCED
Required value of$5,000 or more ` �� � �/�/ J� ��4 t!r n
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE, P 6f,/ PHONE C
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.
-.M\
SIGNATURE: _ .J A hA1 �J DATE �� �
PRINT NAME: _ t ,I \// 5'
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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(Commorciel),
BOILERS FURNACES HOT WATER TANKS(Gee)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
........................ .........................n........ .. .: :.::::::::::::::::::::::::.�:::::::::::::::::::::iii4i:�'i:-:fiii}iiiii:i:'•:•F.4:?i:�iii:•i:•: ....:•:�.
•:::::::::::::::.ii:^:4:•i}iiiiiiii:•..n................r ../...................:...::::.�:.Yi::::::.::::.::::::. ii::.: �. .... •::. ..:.;..
........... .......................................................................:.::::::::.::.::.:. ., .: .:.. .. :.:...:.:...:...::i::::vi::.iii:!i:•:{Si:^:�i:i:.4iiiiiii:4i}i:?i:�isiii:4i:•i:•:'r::•.{•'t::L:::iv::/..r. �. :.
g$� :� � 4�:•ii::is iiiii:�:::•::.�.:::�:::::::::::::::::::::::::::::::.>+i�.x.::.i�.i•:.::•::::::.:.�::::::::...
»;>::»:�::»iiii:.:;i:;;i:;�ii::;.:;�;;;;:�i:.i:.:.;:�:•;:.;:•;;::;:;:iii:.i;:.:�is:;.::.>;:;:� :�:: : :.> :::.� : :: �::: : :: ::..:...............:.......................:....
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 mb/shower combo) 3 LAVS(Head sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS J URINALS OTHER(Describe)
DRAINS , SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Isitrhen/Uehty) WATER HEATERS(nertrir)
WASHING MACHINES ???Yix`F`11t?LP iiilItE ?'
HOSE BIBBS SUMPS / �'"i `•'
: :;r;rt;:�:�y::is�:� :•`.:�:;: ;;;i::::s:�;:::::::::::::::::�:::-i:;:::::;::;:::::::;?`:::; ;;i ?iii?>�: � ti2iE >�3?: 22ii�EE =�?
:::;::>:::;;:::;:::::::::<:i:::?:::;:::::;r`i:»:::i::i:::c:::ic:;�:2:::Xi::::i::>::i:i;:::::>:;:i::::::i`:;::;::;.;;::>:.::.:�:.:_:.i:. '��p,EE•�'� .. .: ��
iMliii
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
+� ::::.::.:os?ii.:, ' :: ii
:.:..::�J':.'.:v. .:�:.�' �. �::::{::.':.::.:j;:`,v}�::v ::;(:: ::i:t:::+::iiii:.i :v4:isisiiiiiiii`:Si:<:v::?:::::::i:: :::Si::<:::�
is?iiiiii i?::::::i4:•iiiiiiiiiii:4:4:6'viii:.i:::4'•isi:•:hiii:•i:4i:•ii:•i:::::::::::::::::::::.. .: :. '.��{{;: ..:::�: Yq'}�� �yrJgr, {p��p�y[yp,� pp(�[
::::{:i<L;•ii::;•i::.:::::::::::::.::.:: ::.::::::::::.::...::::.':::..i:.i:tii•:+•:ii" •. ...I{,�JL^.�:..:.�:�•J". .tr: .:::.: .....%.Y... }:Y.. h.'.SY.�:!�.:�. ..:.:.:.:...... .............................................................
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
:::::::::::::.::::::::::.:.............:::::::<:>::>::i:<:>;;::z:::«<>::i::i::::................;:.is.>:.i:.;;;:-: ....... :. ...::::.':.::. ... ''�'.:::.:::<::::::>::>::>:>.>:;;•::;.�.::::»»:;:
FIRST FLOOR(or Mobile Home)
A.',? ' - >i'i`'%>Ug i i i>iiii g `z<i gi i3 >'iii'ii> > i iiiiii ii:>'.gMngaaNWMEMNWWg
COVERED ENTRY
ani'v S: mmgmam agimmommfR `' ? E um ummu d }mmgmmm
:::::::::Mii:::::::::iii:;:•iio;i:;;:f :g»>isisii:MO:-i:•::;::•i:-::Ui:•;:•::•;:•:i>ili;gi:•:;•i:•i:•iii:-MOM:,:::»*K*a>'x>:4»:sMW>:K»:;:»:>M>>:::;.>:: __._._._
GARAGE 0 CARPORT 0
( t1```+•'Ji>iiiii>=i i''? >`is nUmg iiiii>iii iiiii' i isi>isi '<z> > :3s' >isisisi> isisi»isisr'i3% ><iii>ii i i
mi.. m:::::m**m*mmaaugamm.:imamammuminugiiffigma aaEUMMKnii0M*M*:.*WiM -- --
EXISTING PROPOSED TOTAL
Area Totals .14 , C
gomonsmommenio <>:;::>:::x
ESTIMATED SELLING PRICE$---7'4e .
# OF BEDROOMS
fqY: : :;::;y;;::::;:t:::��:::><?::j: .{•':i$:2;:::zr 'E;; ::i:::::r::�;:>;s:3:::`st�`�'?:rfE� ?:' `''£Ets `EIc22zEYY <iiE?E
:::::::::::::::::::::::i4:C:•isvi4i}iiiiiii:.i.i::4i:4:4:•istrh:•i:•iv4i:4i:vi:4:•i:4:•i:iiiii: �[ g }.j�'�...h ...:....:. d. ... .: .. .
.....�.rr.� .. ..� ....:::•i>iiv4i:v}:i:::v::Y>i:i:ii:ii::i:vvv::i::i:ii iiii:::vi':v::iv::::yS::::i:ivv:j;:::j::::Y::::::i::i:i�ii:4i
::::isi::i.'vi:'i':::ii::i::ii:<ii vii::i::::v:ii::i:<i'v::S:::ii i::i::F:i1<:vvii:'iiiii'1.i%'v:i'v:i:5::{:i::v:i:::: ::i.'i'i:i�. :''.:'�J'i.•'i>•: I.'Qp. ........v..y�}....... � yg �y' +yy� ........... .
:::::.:.................................................::::::::v::::::::::::::::::::v........,. ,.&��k� J.C'mr. f-J��iG.�::::. i'F}: � ,........R-.�... F.:r,..............:.:::::::.:�::::::::v.:.:.:............................:.......................
w::::.:.:.:.:.....:............:.:::::.�::::::::i^:•:?iiiii:4'^i:iiiii:ii:::i-iiiiii}ii:i.:}:4}:}i:::::::::::'.::•i:iii`iiii:i �:•i:}:i:::::::;:::::::::::::-_:v:•.:'::.�::::::::v:'v:•..�:::::.�.�::;v::..........
Construction #of
AREA DESCRIPTION Area Occu anc Group(
s Additional Information
in Square Feet Type Stories
P y P
j (# } 'iiiiiiiiii?i' isiisisisiisisi%isc isisisi iiiiii' ii'``iiiii ilii i' `i `iiiii>i'' i 'iiiii `<i'iiiiii` `••'•'•iisisisisii#i'`•` iiii ``iii
ADDITION
i::�:::iii:::isisis�:::r:�r::i;i:iiS:::i:::i:�i:i:::::fr::;i::�::�i:�i::;::i;::::::'.;:i:;:�;::::;::.:;:. ':::S:is�:::>:ii::::.:;.:�::>:>:.>:.:i::2:i:•�i:�:;�i:t:i:::isi.:;'::,;::>:.»:;::isi::<2:::::�::::4::::;i:i:�::.::;:::
•:::::::::::::::.::::::::.�:::.�::::::::::::::::.::.:.:.:................ .... ,:::: ..:�.�a:. ��. ..... .:: :.'g.1.'p�..�,�. ..:. .:: .. :.,'.':+:g:.:k � �f�•��..i' ::.:.:•.i:.>i:.::::::>i:»»i:.:::::i»>:»>::�:;.i:::..:::::.�:::.::i i::
.............................................
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
-�-������1(fx���``�%� �����'`2�''�•� < s����� _ � �� � ?i ;�issisi�� 'iis ?%� �t<?":�":E%:� >� ��'i'c� s� �E��'� �''"'?<�i�i�i��� '�'''.`•�>�����#E?ia� �#���< :?'>'�`2:r� �< i%:i� ���� 2�%%���i`
TENANT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application
Plumbing
City &Federal Way Permit #: 15-104824-00-Pt
CommunityEcon.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 FILE
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: JOHNSON
Project Address: 1036 S 286TH PL Parcel Number: 515296 0270
Project Description: Upper and Lower bathroom remodel to include replacing(2)bathtubs,(1)shower,(3)
sinks, (3)toilets and(1)washing machine.
•
Owner Applicant Contractor
ERIK D JOHNSON CARL HAYES CNC PLUMBING
JENNIFER T JOHNSON CNC PLUMBING CNCPL**982PZ (10/09/16)
1036 S 286TH PL 33320 E LAKE HOLM DR SE 33324 E LAKE HOLM DR SE
FEDERAL WAY,WA 98003 AUBURN WA 98092 AUBURN WA 98092
Plumbing Fixtures
Bathtubs 2 Lavatories 3 Showers 1
Water Closets . 3
PERMIT EXPIRES Sunday, March 20, 2016
Permit Issued on Tuesday, September 22, 2015
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 Taws, rules and regulations of the State of Washington
and the Ci eral Way.
Owner or agent: ONL1 Date:
FINALE()
}
Tr AD IS TO IN ON-SITE ,'
CITY OF - • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-104824-00-PL Address: 1036 S 286TH PL
Project: ERIK D JOHNSON FEDERAL WAY, WA 98003-3173
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.
El Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By : °`s Date B Date By Date
0..- , . — to , .
.El Final-Plumbing(4075)
Approved
B e_<..„ Date I\ \b
❑ Rough Electrical '- Final Electrical rEl
Right of Way - �
Approved Approved Approved
By Date By Date By Date
ti