13-1000627 i
i Plumbing
City of Federal Way k
Community & Econ. Dev. Services Permit #. 13 -100062 -00 -PL
33325 8th Ave S st
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MCPHERSON
Project Address: 30834 6TH PL SW Parcel Number: 771620 0090
Project Description: Remove/replace plumbing fixtures
Owner
A1212licant
Contractor
NORMA ROBERTA MCPHERSON
CASCADE PLUMBING & DEVELOPMENT
CASCADE PLUMBING & DEVELOPMENT
30834 6TH PL SW
19712 99TH ST E
CASCAPD895QC (11/3/13)
FEDERAL WAY WA 98023-4676
BONNEY LAKE WA 98391
19712 99TH ST E
BONNEY LAKE WA 98391
Plumbing Fixtures
Bathtubs ......................................... 1 Dishwashers................................... 1 Other Plumbing Fixtures................ 1
CONDITIONS:
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PERMIT EXPIRES Wednesday, July 3, 2013
Permit Issued on Friday, January 4, 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. v�
Owner or agent: ter.,, :A-- ����Q� @ Date: 'o`b\
CITY OF liii&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
13 -100062 -00 -PL Address: 30834 6TH PL SW
NORMA ROBERTA MCPHERSON FEDERAL WAY, WA 98023-4676
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.
Plumbing Groundwork (4190)
E Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By Date
By Date �r /S =
By Date
Final - Plumbing (4075)
Approved
By Date
Q�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way ;
Approved
By
Date
By
Date
By
Date
��. PERMIfi*APPLICAfi ION
Federal Way RECEIVER
�q 4
JAN � � 2013 ?'b
PICHUM Nvr+cd$ER l _ �✓ L.� _ `� TARGST DATE
CITY OF FEDERAL WAY
SITE ADDRESS
4 � 4J Cj ��� P 6.- � KJ
sDI #
PROJECT M"UATiON
ZOIRNG
ASSESBOR'S't"1PARC= #
$
7 -7I L– 2— C
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TYPE OF PERMIT
p BUILDING PLUMBING ❑ MEcHANICAL ❑ DEMOLITION 0 ENGINEERING O FIRE PRE"VEN"TION
NAME OF PROJECT
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PROJECT DESCRIPTION
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Detailed description of uoork to
be included on this permit only
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PRIMARY PHONE
PROPERTY OWNER
NAME
MARMG ADOMM
E Nell.
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PHONE
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MAUJXG ADDIUM84LQL
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19'712- %15i--k–
CONTRACTOR
CONTRACTOR
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STATE
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WA STA NTRACTOR'S LICZNS8 #
88PIRATION DATE
FEDERAL WAY BUSIMSSS LIC0188 #
NAME
o & a
PRLMABH PHONE
APPLICANT
UDIAMPASS
8 MA>L ll
CM
LSTATE_
NA$QE
PRIILXW PHONE
PROJECT CONTACT
`
MAHdNGADDRESS
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(The individual to receive and
respond to all correspondence
-
CnTSTATE
ZIP
FAX
concerning this application)
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PROJECT FINANCING
NAM0
OWNER FINANCED
Required value of $5, 000 or more
MAIUNG ADDRESS, CITY, STATE, ZIP
PHON$
(RCw 19.27.0951
1 cert{* under penalty of perjury that Z am the property owner or authorised agent of the property owner: 1 certib that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. 1 cer#fy that 1 will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. 1 understand that the
issuance of this permit dors not remorse the owner's responsibility for compliance with lova; state, or federal laws regulating
construction or environmental tacos.
Z farther agree to hold harmless the Citi/ of Federal Way as to any claim (including cost$, expenses, and attorneys' fees incurred in
the investigation and defense of such claimj, which may be made by any person, including the undersign, and filed against the city,
but only where such claim arises out of the reliance of the city, including its offles s and employees, upon the accuracy of the
ir{formation supplied to the city as apart of this application.
/
SIGNATURE-��� J f;, DATE "
PRINT NAME:=
Bulletin #100 – January 1, 2013 Pagel of 3 k-\HandoutslPennit Application
7�
I
A
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how man 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 )caa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBIT(C C K
PLUMBING PERMIT
$
Indicate how Towy of each type offmture
to be installed or relocated as
part of this ro' ct. Do not include existing res to remain.
BATHTUBS )or14b/Shower Combo)
LAVS )Hand Sink.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS pcitcboe/veuryl
WATER HEATERS (acetic)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF WUSTINO IMPROVEMENTS
EBISTINO/PREVIOUS USE
LOT SIZE (In Square Feet)
EffiBTINO FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL — NEW/ADDITION
Area ruction # of
AREA DESCRIPTION z- M= sem Const
Occupancy Group(s) ,ti,� Additional Information
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION I ArC8 OccupancyGroup(.)Construction # of Additional Information
in Sauare Feet Tvne Stories
TENANT AREA ONLY
Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Iandouts\Permit Application