09-104897 Plumbing
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City of Federal Way
Community Development Services Permit #:
THIS CARD IST' ' ' IN ON-SITE
CITY OF' IrrMl '.
Construction I 1 •ction Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 09-104897-00-PL Address: 138 S 332ND PL APT 807
Owner: KING COUNTY HOUSING FEDERAL WAY, WA 98003
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.
El Plumbing Groundwork(4190) El Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By c.to) Date 23,01
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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FederalE R M I Z' Sr MF CO ME EL
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COMMUM7YDEVELOPMENT SERVICES APPLICATION / /
253-8352607•FAX 253-835-2609
www.cityoffedernhvau.com
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SITE ADDRESS
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
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NAME OF PROJECT
(Tenant or Homeowner Name)
❑ BUILDING X PLUMBING 0 MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION �y
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PR TY OWNER JC/n/6 Ga £ Ty HO frt.-J./N 6- 4 Pt 7-HeI2/ V ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
✓//� / $— `,tS 6Ill/Oft YE. .S. sE#rTCE/u/g. 9g/eg
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
/N Hok.3e H.¢/.'T.G '4 ' --C (23 ) )zb - 7.3' y
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
3303. /sr-.¢✓E.J. F4F / & why/ 1,0,9- 98ao' (2S) ) ?is —66..s--
WA STATE CONTRACTOR'S LICENSEI# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
( )
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME — 0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of ray knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: ....,2e&,:::; ---- DATE /2' /( -- 0 9
PRINT NAME: .779 fr7 a-5 /' - )9 7-k-).✓fa Al
Bulletin 4100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
41111)
MECHANICAL FIXTURE
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(commurial)
BOILERS FURNACES HOT WATER TANKS(Gaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number 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(Handska) TOILETS
inWATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kimbon/utility) X WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES / TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION 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 eJNo ❑Yes 'No
M►t♦T� fl�.MI.y NOK54&6-
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT" __�..__...---.....__..._._....
FIRST FLOOR(or Mobile Home)
SECONDFLOOR _.._.__.....__ _...__... ___.___.._......__..__..____._.._...---_...._.__._
COVERED ENTRY _...._ ..... - .._._._. .._.
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL ___...._._._-.._-.._.......__....._...__.__.._.___..._._.___.__.
Area Totals
**NEW HOMES offer*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application