16-101852 _:mmUCnitilt);°&f
P >r> hinFederalWayPermit #; 16-101$52 00-PL
Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MINTZER
Project Address: 927 S 296TH PL Parcel Number: 515160 0305
Project Description: Replace existing cold&hot water pipe.
owner Applicant Contractor
THOMAS&TINA MINTZER BILL SINGH GLOBAL PLUMBING
927 S 296TH ST GLOBAL PLUMBING GLOBAP*880MS(7/10/16)
FEDERAL WAY WA 98003 PO BOX 58322 PO BOX 58322
RENTON WA 98058 RENTON WA 98058
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Wednesday,October 12, 2016
Permit Issued on Friday,April 15, 2016
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 � Date: 5;7/ .
6
THIS CARD IS TO R&M ON-SITE .. -
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-101852-00-PL Address: 927 S 296TH PL
Project: THOMAS & TINA MINTZER FEDERAL WAY, WA 98003-3729
Scheduled inspections maybe 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) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
. . .
o Final-Plumbing(4075)
Approved
By 0._ Date u s I Q '.1 k'
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I
.. 0, RECEIVED
'\.. RIAPPLICATtO.N
CITY OF APR 15 2016
Federal Way
n CITY OF FEDERAL WAY
rV 4//
PERMIT NUMBER y _ I D I Cgs�" — TARGET DATE /� ��
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL
$ 5 _ .5 1 5 i Co 6 _ 0 3 U
TYPE OF PERMIT ❑ BUILDING yi PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
•
PROJECT DESCRIPTIONPC 1 V (/) I 6( p o r c e iv C�
Detailed description of work to
be included on this permit only
NAME
-�^ f '7 (71
PRIMARY PHONE ) C�
PROPERTY OWNER ( //\-)i+ l 0 .11/o FL -/2 75 7" -23 � '7 1
MAILING ADDRESS )) �j E-MAIL
CITY i 2R- - $ !y'`- /
STATE ZIP
yl-
NAME PHONE
1 0 . 1 (1/ 'VW SIS 23 --G�'S b /5' t1
MAILING ADDRESS E-MAIL
CONTRACTOR P ` 0 QC) , .5--r3 3 -2- v0bo .-1141,„b;,-,,,,,(2-e c vnc,'/-(arkl
CITY STATE ZIP FAX _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE rl ..,
PROJECT CONTACT (3 j L.L. c i ','f,5 I )6j ' 3 p` `�`>�-
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence Set Y"-
concerning this application) CITY STATE ZIP FAX
.. NAME ._ ..
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 ci as a part of this application.
SIGNATURE: �"___ t///
` s
DATE y //6
PRINT NAME: - ar '
•
Bulletin#100-February 22,2016 Page I of 2 k:\Handouts\Permit Application
' a e .111 •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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 pas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 35-3 r-=21
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 TOTAL FIXTURES
GENERAL INFORMATION
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEU,HOMES o1VLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application