13-101873 •
Plumbing
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-101873-00-PL
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: DAVIS
Project Address: 2010 S 301ST PL Parcel Number: 798290 0290
Project Description: Replacement of all existing water piping throughout residence
Owner Applicant Contractor
DEBORA A DAVIS AMERICAN RESIDENTIAL SERVICES LLC AMERICAN RESIDENTIAL SERVICES LLC
2010 S 301ST ST 175-A ROY RD SW RESCUR*007Q7(1/1/14)
FEDERAL WAY WA 98003-4262 PACIFIC WA 98047 175-A ROY RD SW
PACIFIC WA 98047
Plumbing Fixtures
Other Plumbing Fixtures 1
PERMIT EXPIRES Wednesday, October 23, 2013
Permit Issued on Friday, April 26, 2013
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
nIh and the City of Federal Way.
Owner or agent: i Date: 3
et,
4 /30/13
Aim, ,A4s..,. • M
THIS CARD IS TO AIN ON-SITE •
CITY OF Construction Inslrection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 13-101873-00-PL Address: 2010 S 301ST PL
Project: DEBORA A DAVIS FEDERAL WAY, WA 98003-4262
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) ElGas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
/ Approved
By DatC `� �;
Rough Electrical III Final Electrical111 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF PERMIT ItPPLifcCx ON
Federal Way tAT
II Z� (� APR 2 6 2013 � 4�'7
PERMIT NUMBER l ✓ `JI
(5 7 -_ 00
_ TARGET DATE r TTY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT 4
) b <5 30ii p?
o
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 4
$ 71511 ' 71
9 3 °I °_ 02 C o
TYPE OF PERMIT ❑ BUILDING A PLUMBING D MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT %:L ��
PROJECT DESCRIPTION R.te LI-t i� c.I) e ti I3 t i o, (5h Li,.r t e tl t-'r r- )1 C 5 [,tin }1,)
Detailed description of work to +1 e.uJ ti (j( ,A1 r,,}t r' Lei n G i I n 6l t�t * )l /101111 ,
be included on this permit only Y
NAME P IMARY PHONE
PROPERTY OWNER Debbie- Davi." 253 .9L1 - cl.7'8"L(
MAILING ADDRESS MAIL
.Oft) 5 301(i.t Pl
CITY_ STATE ZIP �(/}
l C f r. Ws-� VV"\ .(f X'3 �/
NAME R(L,)t:JC_ P-00 ><C r PHOab3) Sly _6 ye-pa
MAILING ADDRESS E-
CONTRACTOR t?5 A 1z''Y Wil. �J J I k 10)
CITY STATE ZIP 4,_ FAX
P�.�,r-i 4_ .,IL,, 09:.i. 9 .F
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I�,eJC v i 4, 00;Q. Z
rT / /
NAME P IMARY PHONE
Abrt,\-1 12vt_let- F.-`&20(40 6-5-
APPLICANT MAILING ADDRESSL
a 3 3 E (p5.i. )-)
CITY STATE ZIP FAX
j C•,/,a r,n ti✓h 96110 Y
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING El OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 1927.095)
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/ laim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises D of the reliance o the city, including its officers and employees, upon the accuracy of the
information supplie o the city as/a art of this ap 'cation.
f
SIGNATURE: ' V v DATE y 2._.& / /3
PRINT NAME: /96„`♦ L, •v\,
Bulletin#100—January 1,2013 Page 1 of 3 k:AHandouts\Permit Application
1111 •
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.
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
BAAAASEl l ,t�
FIRST FLOOR(or Mobile Home)
SECONI FLOOR• , p — –
COVERED ENTRY
Nmow -te
GARAGE ❑ CARPORT ❑
OTHER ® a ' .",
mow
EXISTRIG PROPOSED TOTAL
Area Totals
;, x*1W;HOMES ONLY**',
ESTIMATED SELLING PRICE$ ` #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
AreaConstructionGroup(s) Construction #of Additional Information
in Square Feet Type Stories
:- u DINE#- �` F a y' '�'ars:.°. � x- e 's",° 's• x"s ,� £
TENANT AREA ONLY
Bulletin#100–January 1,2013 Page 2 of 3 k:\Handouts\Permit Application