16-104958City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 8352609
Project Name: CAMPUS GREEN CONDOMINIUMS BLDG 7 UNIT A
Project Address: 518 S 321ST ST
Plumbing
Permit #:16 -104958 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 132150 0250
Project Description: Remove existing bathtub and install new fiberglass shower in place
Owner
Applicant
Contractor
ANTHONY J MACIEL
BATH PLUS INC
BATH PLUS INC
518 S 321ST ST UNIT 7-A
1427 130TH AVE NE
BATHPPI908Q4 (11/24/16)
FEDERAL WAY WA 98003
BELLEVUE WA 98005
1427 130TH AVE NE
BELLEVUE WA 98005
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/-
Showers
PERMIT EXPIRES Sunday, 9 April, 2017
Permit Issued on Tuesday, October 11, 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: to � �
Wry CW 41A
Federal Way
PERMIT #:
Project:
! x . . 0
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16 104958 00 Address: 518 S 321ST ST Unit 7A
ANTHONY J MACIEL 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.
Q
Plumbing Groundwork (4190)
Rough Plumbing (4230)
0
Final - Plumbing (4075)
Approved to cover
Approved
I
Approved
By
Date 10 I LU
By
M16 Date 1010711A,
By
Date
Rough Electrical
El
Final Electrical
Right of Way
Approved
I
Approved
Approved
By
Date
By
Date
By
Date
CITY OF A�
Federal Way
PERMIT NUMBER I& _
PERMIT APPLICATION
RECEIVED
OCT 112016
TARGET DATE CITY OF FEL
UtRAL may
SITE ADDRESS
W� Wan 7A
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SUIT T M
--7A�
PROJECT VALUATION
ZONING Ij
ASSESSOR'S PARCEL /
TYPE OF PERMIT
❑ BUILDING 9PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
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iAl V
be included on this permit only
NAMT
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PRIMARY PHONE
3-L32-�Co9
PROPERTY OWNER
MAIL NG ADDRESS ^
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E-MAIL
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NAMEPHONE
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MAILING ADDRESS�.�,,, �w �
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E-MAIL C_
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CONTRACTOR
CITY
STATE
ZIPA1W
FAX
WA STATE CONTRAC R'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
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NAME
Nit'L
PRIMARY PHONE
4 2 5 -1 le,- Z
APPLICANT
MAILING ADDRESS AA
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E-MAIL
CI �
STATE
V140-
ZI� V
goS
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
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 authorised 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 authorised 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 offlcers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 4, 2016 Page 1 of 3 k:\Handouts\Permit Application
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