14-103294 • Plumbing
City of Federal Way
Community&Econ.Dev.Services c ILC Permit #: 14-103294-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253) 835-3050
Project Name: PETERSON
Project Address: 2234 S 292ND ST Parcel Number: 42290 0030
Project Description: Replace water line from meter to house.Repipe interior lines.
•
Owner Applicant Contractor
ERIC M PETERSON ERIC PETERSON OWNER IS CONTRACTOR
2234 S 292ND ST 2234 S 292ND ST
FEj tAL WAY WA 98003-3822 FEDERAL WAY WA 98003
Plumbing Fixtures
0 1 umbing Fixtures. 1 • (g) I
PERMIT EXPIRES Saturn , . , 3, 015
' rmi I e4 op Von• : -duly 7, 2014
V I
her .y certi 1 that the abo - infor •.don c rrect and that the construction on the abo es ibed property and
h= • ,an, and the use . • , n -ccordance with •- laws, rules and regul-tions of the Sta of Washington
,_.'
and the C. of ederal Wa .
0 ner -•ent: gor_ p:t. 17-- `7—1
DATE INSPECTOR. AREA AND TYPE (" INSPECTION
L?J `�-i5 C2_14..„ � 1 fit 3 _ "4-
411‘.
AIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-103294-00-PL Address: 2234 S 292ND ST
Project: ERIC M PETERSON FEDERAL WAY, WA 98003-3822
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) ❑ Rough Plumbing(4230) El Final-Plumbing(4075)
Approved to cover Approved Approved
By `4 Date 1112 4 I l f By c____%451.„( Date /I_. t.i.,t s By Date
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
c,TMOF ! PERMIT APPLICATION
Federal Way RECEIVED
JUL 0 7 2014
PERMIT NUMBER `44- _ 1 0 Zq 4 _
TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
.22
PROJECT ION ZONING ASSESSORS TAX/PARCEL#
/t-7
TYPE OF PERMIT ❑ BUILDING-- PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT J ��
PROJECT DESCRIPTION ,� . r "' � ?`���"�'J G�!�
Detailed description of work to )-?f i �ij7 `tel c71/"-i.e.--
be
-be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Cc,'- & ` -3((`I_ -7g�
MAILING ADDRESS / E-MAIL� L
, 3 g S > 9� S+ ef-e
� �
rs Mor•'l
aE Ca STATE C 1--,�4f 1 9'e�� 3
PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
SJR) ►e g 5 a !AZ--
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
;r4 PRIMARY PHONE
PROJECT CONTACT sO71't1- QI s A l
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING D 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 Iocal, 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.
�O/V 7
SIGNATURE: —/�` DATE `
i
PRINT NAME:Cr 14- Q/ � 17✓1
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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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
PLUMBING 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.
lt.1 BATHTUBS(or Tub/Shower combo) ` LAVS(Hand Sinks) TOILETS L WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS / SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) ^7
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 ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLI"t*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application