14-102628 r • Plumbing
CCommunity&Econ.Deof Federalv.aServices Permit #: 14-102628-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p �
Project Name: SCHWAB
Project Address: 328 S 361ST PL Parcel Number: 113780 0130
Project Description: Replacing water line from meter to house
Owner Applicant Contractor
HENRIE 1'1'h SCHWAB SOUTH WEST PLUMBING SOUTH WEST PLUMBING
328 S 361ST PL 2401 SW ALASKA ST SOUTHWP071C6(4/1/15)
FEDERAL WAY WA 98003-8632 SEATTLE WA 98106-1445 2401 SW ALASKA ST
SEATTLE WA 98106-1445
•
Plumbing Fixtures
Other Plumbing Fixtures. 1
PERMIT EXPIRES Tuesday, December 2, 2014
Permit Issued on Thursday,June 5, 2014
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: 3 C) l l b Co a rc c.4 Date: O 6 -0 S-Py
it
EIC)
THIS CARD IS TO MAIN ON-SITE ,.
CITY OF 44011 .
Federal Way • Construction TREQUE ection Record
QUE TS: (253)835-3050
PERMIT#: 14-102628-00-PL Address: 328 S 361ST PL
Project: HENRIETTE SCHWAB FEDERAL WAY, WA 98003-8632
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) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
. '
El Final-Plumbing(4075) • '
Approved
Date G v/ /2.
J Rough Electrical EI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IP
CITY OF • PERMIT tPPLICIAZION
Federal Way 9.
JUN 0 5 2014 11;v
PERMIT NUMBER (i 10 Z ' 2 _ CITY OF FEDERAL WAY
TARGET DATE CDS
SITE ADDRESS SUITE/UNIT#
. 2 , s .36-; (sl- /1
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 7-- S 0 _
TYPE OF PERMIT 0 BUILDING 14_PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECTr�1-'IVA gj
PROJECT DESCRIPTION ,e t/v/ "I Civ I (r-k-- - 'On i )c +0
Detailed description of work to
be included on this permit only 0,v 2S-e,
NAME PRIMARY PHONE
PROPERTY OWNER eh n y S 4 w(1,
MAILING ADDRESS E-MAIL
3Z5 S 361s1- if/,
CITY a STATE ZIP
ems+.( DiU y ,�J coq Q/f/o�a,3
o,j�-1/_ rest (1 hi"t4(n� ( O t& s. PZo ) c13 2- In 7
MAILING ADDRESS / r E-MAIL
CONTRACTOR 2-A0( s CO A c1 S k g SI
CITY
e .1- Ie SC 9q mA ZIP
x' 06.FAx
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME \ PRIMARY PHONE
3 u\i GarGi4 2�.3) 397 _7? `P13
APPLICANT
MAILING
�7ADDRESS
E-MAIL/- f, (/`�/�/�J/, I
✓97 `J 2__C 4-4 4.4_ S STAT ZIP on 1�1 Cv� _" ho 7 mtv(LAM
CIFAX
Fc 1 ) �`� - k Q1003 �J
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 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I
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 issuanee 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: 3 " ` 0 G (Ivo ✓t' DATE 06" 0 5--/
PRINT NAME: 3 \ici 6 a r C% a
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
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 CI)Q}e c ServLce,
DRINKING FOUNTAINS SINKS(Kitchen/ut ity) 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
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EXISTING PROPOSED TOTAL
Area Totals
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet
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AREA DESCRIPTION
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in Square Feet Type Stories
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Randouts\Permit Application