14-102334 Piimng
City of Federal W
Community&Econ.Dev Services FILE Permit #: 14-102334+00-P L
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: HULSE
Project Address: 1206 S 293RD PL Parcel Number: 516200 0060
Project Description: Updating bar plumbing,adding water heater,drain,fridge supply and associated plumbing
for bathroom remodel.
Owner Applicant Contractor
GRANT HULSE HALE KOA DESIGN&CONSTRUCTION HALE KOA DESIGN&CONSTRUCTION
JENNIFER HULSE 12815 193RD LN SE HALEKKD901NW(9/3/14)
1206 S 293RD PL RENTON WA 98059 12815 193RD LN SE
FEDERAL WAY,WA 98003 RENTON WA 98059
Plumb ng Fixtures
Bathtubs 1 Drains 1 Lavatories 1
Sinks 1 Water Closets 1
PERMIT EXPIRES Sunday, November 16, 2014
Permit Issued on Tuesday, May 20, 2014
I hereby certify that the ab we information is correct and that the construction on the above described propertyi and
the occupancy and the us: ill be in accordance with the laws, rules and regulations of the State of Washington
and the,City of Federal Way.
Owner or agent: ���� Date: CJ .7-0
• THIS CARD IS TO IN ON-SITE
CITY OF Construction Ins- ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-102334-00-PL Address: 1206 S 293RD PL
Project: GRANT HULSE FEDERAL WAY, WA 98003-3712
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) El Gas Piping(4125)
Approved to cover Approved Approved to release test
.By Date �� Date -2_3.....-4 ,By Date
. . .
0 Final-Plumbing(4075)
Approved
By °' Date \\`�7,„\ 14,
El Rough Electrical El Final Electrical `El
Right of Way
Approved Approved Approved
By Date By Date By Date
�,rnF A.,. I
• PERMITPPLICATION
Federal Way Rin
PERMIT NUMBER
(4 - I 0 2 3 3 .1 MAY 202014
- - - _ TARGET DATE
(p(�
SITE ADDRESS SUITE/UNITE /1S
S
<g -
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL/ #$
00
-
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT \
PROJECT DESCRIPTION V�,' �' ' Mik ♦ '�*s ' --. ' t" .
Detailed description of work to - t l IV 1 Otk.1\3 1 2 tjI i-} 1(LO6-MS I
be included on this permit only A KAV pv11' 1 SU`_
NAME PRIMARY PHONE
PROPERTY OWNER ( ,T 1 , 2-t>6 It 1,lL .1222_,
MAILING ADDRESSE-MAIL
12014 s 2c"9-01(4 '
CITY STATE ZIP
ec e -0,--t- vV %-( INN c % )
NAME
PH_O1E`\-k-k) - C -CA riwf.1 I �Iv\ �, . gl"). 12-12-
MAILING
C -MAILING ADD�RESS E-MAIL
CONTRACTOR \-VC61, 1.°5 ) 1- 4, - sEks-N 0
z t L .
CITY STATE ZIP FAX teZJ'AA
W STATE CONTRACTOR'S LICENSEQ # Y Y i'� EXPIRATION��N��� FEDERAL WAY BUSINESS LICENSE#
NAME �ij 1 WI
e7/7Z
PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT Gieitk 1 1-4-oh�Pis � 5
2 ' L l \ .1212_
(The individual to receive and MAILING DRESS E_ L 4 ,
respond to all correspondence k2-1 F)2)rd LK.) sem @ k`A"�t1.c,ie-..py\0(,_.
concerning this application) CITY � S; pts ME �r� FAxCANA
NAME
PROJECT FINANCING 0 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 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 clatitn arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied tot We city as a part of this application.
4\--
SIGNATURE: .� 1—',� ^ DATE
gt2v.
PRINT NAME: < �) liIv V
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLIJMBING .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.
BATHTUBS(or Tub/Shower Combo) K LAVS(Hand Sinks) TOILETS WATER PIPING
,,// DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
X DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 54.- 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
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FIRST FLOOR(or Mobile Home)
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COVERED
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_........._._.....
ENTRY
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GARAGE 0 CARPORT 0
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EXISTING PROPOSED TOTAL .
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application