10-102438Plumbing
City of Federal Way, � � �/ Q t
Community Development Services Permit #; A 10-102438-00—PL
P.O. Box 9718 FILE
Federal Way, WA 98063-9718 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: JACKSONS #636
Project Address: 1520 S 348TH ST Parcel Number: 889700 0115
Project Description: Install (1) 3 -compartment sink
Owner
A lican
Contractor
PACWEST ENERGY LLC
PACIFIC ENVIRONMENTAL SERVICE CO.
PACIFIC ENVIRONMENTAL SERVICE CO.
1520 S 348TH ST
P O BOX 2049
PACIFESI03BR (9/16/11)
FEDERAL WAY WA 98003
PORT TOWNSEND WA 98368
P O BOX 2049
PORT TOWNSEND WA 98368
Sinks............................................... 1
I hereby certit
the occupani
Owner or aC1E
PERMIT EXPIRES Tuesday, December 7, 2010
Permit Issued on Thursday, June 10, 2010
/ that the above information is correct and that the construction on the above described property and
iy and the use will a in accordance with the laws, rules and regulations of the State of Washington
and the QUAL.Of Federal Way.
nt: Date: _& G
r --ice o/zr J/o
� r
. THIS CARD IS TO AIN ON-SITE
CITY OF Construction In ction Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 10 -102438 -00 -PL Address: 1520 S 348TH ST
Owner: PACWEST ENERGY LLC FEDERAL WAY, WA 98003-6844
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)
0 Rough Plumbing (4230)
0 Gas Piping (4125)
Approved to cover
A proved
Approved to release test
By Date
By Date J
By Date
Final - Plumbing (4075)
Approved
By Date Date
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
42L
Federal Way
C0WHVITY DEVELOPMENT SERVICES
253-835-2607* FAX 253-835-2609
HERMIT
APPLICATION
ld - / 0 0 q -3E -1 -
CO ME /V—L)DE EN FR
RECEIVED
JUN 10 nlio,
SITE A.DDRESS CITY OF FE131MAr WAY
1,5 10 CDS
PROJECT VALUATION
+ -zq'D 0 O
ZONING
ASSESSOR'S TAX/PARCEL #
G 8 (9 CD I
TYPE OF PERMIT
0 BUILDING XPLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
65��
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
ez) its) (L
be included on this permit only
PROPERTY OWNER�11
NAME PRIMARY PHONE
MAULMC
CITY STAIW ZIP
CONTRACTOR
MAILING ApDpzss
Po (14 (3 X
CITY
STAT4
wA
yoo 471 -CJ .5 -
VA STATE BE # EXPIRATION DATE
ii- la C- IE ES
FEDERAL WAY BUSINESS LICENSE #
ItAP4E
PAL1*1 jffT�\; Pat,
PHONE
APPLICANT
MAILING ADDRESS
E-AL41L
CITY STATE ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME
PHONE
-Z
MAILING ADDRE
b* 9 0 -
CITY
STATE
ZIP
FA2
IGO 11 nil
ALTERNATE CONTACT NAME- PHONE
E-MAIL
PROJECT FINANCING
Required value of $5, 000 or more
(RCW19.27095).
I
NAME
[3 OWNER -FINANCED
PHONE
I
MAILING ADDRESS, CITY, STATE, ZIP
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. T 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.
rfurther 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,
ft
but only where such claim rise t Of the reliance of the city, including its officers and employees, upon the accuracy of the
j
to the 71.
information tied to the city a art o is application
SIGNATURE: DATE
PRIM NAME:
Bulletin #100 — April 14, 2010 Page 1 of 3 k:\Handouts\Pemiit Application
°Wa
0
VALUE OF MECHANICAL WORK $
BATHTUBS (or Tub/shower Combo)
(a copy of bid or estimate must be provided)
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
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
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 (H—dSinla)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
_-- SINKS (Kitchen/vtAMj
WATER HEATERS (mectric)
HOSE BIBBS
SUMPS
WASHING MACHINES
:_?`>., : ,, •:::<•>:»>:%:
.....�h:,,.,��..,.,.,.�.�..�,�,.5.•.::::::::::::
CRITICAL AREAS ON PROPERTY? WATER URVEYOR SEWERPURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTIONI in Bourne Feet I Ara Occupancy Groups)
ADDITION
ConstructionI # of I Additional Information
Tvne Stories
Area Construction # of
AREA DESCRIPTION in Square Feet Occupancy GroupType Stories s) Additional Information
TENANT AREA ONLY
Bulletin #100 - April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application