16-102741 Plumbing
Permit
Permit #: 16-102741-00-P L
City of Federal Way
Community 8 Econ.Dev.Services
33325 8th Ave S "`'•
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
:
Project Name: TERRY
Project Address: 1918 S 297TH PL Parcel Number: 367440 0207
Project Description: Repiping kitchen&bathroom.
Owner Applicant Contractor
STEPHEN TERRY RESCUE ROOTER RESCUE ROOTER
AUDREY TERRY 175-A ROY RD SW RESCUR*007Q7(1/1/18)
1918 S 297TH PL PACIFIC WA 98047 175-A ROY RD SW
FEDERAL WAY WA 98003-4214 PACIFIC WA 98047
Plumbing Fixtures
Lavatories 1 Showers 1 Sinks 1
Water Closets 1
PERMIT EXPIRES Saturday, December 3, 2016
Permit Issued on Monday, June 6, 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: /(
0 THIS CARD IS TOON-SITE
Construction Ins�on Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-102741-00-PL Address: 1918 S 297TH PL
Project: STEPHEN TERRY FEDERAL WAY, WA 98003-4214
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) " "0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
El Final-Plumbing(4075)
Approved
By C►—�z Date L or_ t L
•
D Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4 )114
RIVES}
\.. PERMI' PPLICATION
CITY OF
Federal Way juN °V 2016
CITY OF FEDERAL WAY
PERMIT NUMBER / / _ / 0 4DS? C(( L=• TARGET DATE
SITE ADDRESS SUITE/UNIT#
/Vg s -Ir. p1 �� w A-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDINGLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT r- )p
PROJECT DESCRIPTION e�)r)~ �� rl P n rye
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
&I` rC
29 l7,4-}J.- 225-3
PROPERTY OWNER E-MML
MAILING#D;rs
CITY eci etc,( STAT ZIP^��
NAME / PHONE
kw_r_ke_ Xco-Ver-
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STA'S ZIP FAX
WA STATE CONTRACTOR'S LICENSE# \\Y/AA�V►�� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME/91 k W re frki - PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME / /1 ar igyetAiet7 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 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 city as a part of this application.
SIGNATURE: /t//lI DATE
PRINT NAME: M6,14 r eWe,‘(
Bulletin#100—February 22,2016 Page 1 of 2 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(Commerc(al)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
��ILndicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
�y BATHTUBS(or Tub/Shower Combo) I LAVS(Hin
and Sinks) / TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS I SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS ' SINKS(Kitche(vutility) 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 ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area rea In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application