13-101143City of Federal Way
Community & Eoon. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WESTBORO CONDOMINIUMS UNIT C
Project Address: 142 S 330TH ST UNIT C
Project Description: Install electric water heater
0Plumbing
Permit #: 13 -101143 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number. 928870 0390
Owner
ARlia cant
Contractor
GEOFFREY C KELLY
GEOFFREY C KELLY
OWNER IS CONTRACTOR
312 SW 325TH PL
312 SW 325TH PL
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Plumbing Fixtures
Water Heaters ................................. 1
PERMIT EXPIRES Sunday, September 8, 2013
Permit Issued on Tuesday, March 12, 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
and the City of Federal Way.
Owner or agent: G�----� Date:
*5*VA//3
THIS CARD IS TO MAIN ON-SITE r
CITY CW Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -101143 -00 -PL Address: 142 S 330TH ST UNIT C
Project: GEOFFREY C KELLY 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.
-Final - Plumbing (4075)
Approved
By ~ Date '�; - � ?
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Plumbing Groundwork (4190)
Rough Plumbing (4230)Gas
Final Electrical
Approved
Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
-Final - Plumbing (4075)
Approved
By ~ Date '�; - � ?
k
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
crffO A
Federal Way
PERMIT NUMBER I
� PERMIT %PPLICATI,qSi
RECEI
MAR 12 2013 ie
TARGET DATE NPS dfY OF FEDERAL WAY
CDS
SITE ADDRESS (
12h 2 s --3 J (� � � ° I �
SUITE/UNNIT #
L....
1
PROJECT VALUATION
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ZONING
ASSESSOR'S TAIL/PAR #g- --7—C)
� O � /ti
(/^I-1 C/h/- -�/il -
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
`lel °� Y �� { a7rQ. Vv �C�� CV N 11*>0 P I N
PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
PROPERTY OWNER
NYSE
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PRIMARY PHONE
Z.v (0 2--i 7 % U
MAILING ADDRESS
E-MAIL
1'Y
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STAT
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ZIP
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NYSE
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
C3 w 0 L— --�
\3�r3 J
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
no'j C, J
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAMEjv '
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
1 certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 apart of this application.
SIGNATURE: C j DATE I
PRINT NAME:
Bulletin #100 — January 1, 2013 Page I of 3 k.\Handouts\Permit Application
I
VA
MECHANICAL PERMIT LUE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS )cast
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VA LUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE (In Squaze Feet)
EXISTING PIPE SPRINKLER SYSTEM?
Indicate how many of each type offixture
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS )or Tub/Shower Combo)
LAYS )Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS )Kitchin/uh7ity)
WATER HEATERS (El-ftk)
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 Squaze Feet)
EXISTING PIPE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application