11-102202 - • • Plumbing
City of Federal Way
Community Development Services Permit #: 11 -10220 -00-PL
P.O.Box 9718
Federal Way,WA 98063-9718FILE Inspection Request Line: 25
Ph:(253)835-2607 Fax:(253)835-2609 p q ( 3) 35-3050
Project Name: MOSKVICH
Project Address: 2613 S 272ND ST t t .%{ 2A Parcel Number: 757480 0240
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
SVETLANA MOSKVICH SVETLANA MOSKVICH SVETLANA MOSKVICH
2613 S 272ND ST APT 24 2613 S 272ND ST APT 24 2613 S 272ND ST APT 24
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Plumbing Flxtu ` 4')11�r -
Water Heaters 1
PERMIT EPIRES Wednesday, November 30, 2011
Pe mit Issued on Friday, June 3, 2011
I hereby certify that the above information is correct and that the construction on the above described prope and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washin ton
an: - C. y of Federal Way.
Owner or agent: "" ii ii �— Date:h 4y 2_r'it
• 1g g'fi
. _
r • THIS CARD IS T EMAIN ON-SITE .. i
CITY OF Construction Il ection Record.
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102202-00-PL Address: 2613 S 272ND ST
Project: SVETLANA MOSKVICH FEDERAL WAY, WA 98003
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) fl Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
•El Final-Plumbing(4075) '
Approved
By Date L, IT 4
0 Rough Electrical ® Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
C19O� -, _ EiNki E•DOPERM IT MF CO ME 0 D 3N FP
Fede
COMMUNITY DEVELOPMENT SERVICES n i,'.,;1 APPLICATION L
253-835-2607•FAX 253-835 (Q�1' O [.L %
rwi'rucrtRnlf_deralway ATI``II �� ,.
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��tt OF 'cosDER1\LV�
SITE ADDHESON TE/UNIT#
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�..i` A 9-72- .,J , r.c) . LA-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ -7 5 -7 g7 O - O Z `{ 0
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
O DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 7 ' NI !t
(Tenant Name/Homeowner Last Name) ver �C 1�i'J v
t s
—PROJECT DESCRIPTION %.. .-- `:AMC - t ' �� _ -.,.7 S --
Detailed description of work to
be included on this permit only
NAME ,Ly, ® PRIMARY PHONE
PROPERTY OWNER �1 -1-L—PG4BC' til� -C Y t7 a� . �1"Q
MAILING ADDRESS2._.4,1 , 2-77 i, b . E-MAI
,. ,..,
MC y
CITY STA E ZIP
NAME / PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PHONE
0 VN1
MAILING ADDRESS E-MAIL
APPLICANT
+ J 9-72_ p. "C 2-k-
CITY STATE ZIP FAX
PROJECT CONTACT NAME I 414-\i';A tPHONE ya,_e-66, 44-2. .
(The individual to receive and 0`i.1'. - Cfr:/ -A-A---#.4tc-
L...-2e...l''' 7- k -&--0' 'pi'17 t u--2-7 7
respond to all correspondence MAILING ADDRESS E-MAIL 1
concerning this application) 2_,/-(7 • 2--7 2._.V . TA-
CIT STATE '` ZIP FAX
esi-r \4\115( O 2_
ALTERNATE CONTACT NAME: PHONE E-MAIL
��v� k��tr% 2-9-- ,W. hs;
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 ' ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci y as a part of this •• . •---
1 t
SIGNATURE: / DATE V' ✓( Q___.e7(1
,-- N.,)PRINT NAME: tj VL,' "" -r1_,. .
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
VALUE OFMECHAMCAL 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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing futures 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
GENERAR IATI01 ;f
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 7. No ❑Yes ❑ No
RESIDENTIAL !NEW OR kI)DITIO .=
a°fl AP-
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
)
COVERED ENTRY
DECK � .�� -----------_
GARAGE ❑ CARPORT L
` OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
*NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NENV/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
NEW BUILDING ✓
ADDITION
COMMERCIAL,-REMIODEI./TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
To -y a tzl G
m
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January I,2011 Page 2 of 3 k:\Handouts\Permit Application