18-104258City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: FELLOWS
Project Address: 30652 3RD PL S
Project Description: Replace kitchen and laundry drains due to leaking.
Plumbing
Permit #:18 -104258 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 232970 0280
Owner
Applicant
Contractor
DANIELLE M FELLOWS
RESCUE ROOTER
RESCUE ROOTER
30652 3RD PL S
175-A ROY RD SW
RESCUR*007Q7 (11Y20)
FEDERAL WAY WA 98003
PACIFIC WA 98047
175-A ROY RD SW
PACIFIC WA 98047
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Drains 2
PERMIT EXPIRES Monday, 11 March, 2019
Permit Issued on Wednesday, September 12, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the LIS& 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:
THIS CARD IS TO REMAIN ON-SITE
`m0, Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18104258 00 Address: 30652 3RD PL S
Project: DANIELLE M FELLOWS FEDERAL WAY WA 980034007
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 loeeed on the hat -.Ir of A;. -.m
®
Plumbing Groundwork (4190)
®
Rough Plumbing (4230)
®
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Afsj Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date
By Date
RECEIVED
CITY OF SLAP 12 2OZ PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way cay OF RJX MAL WAIF 253-835-2607 + FAX 253-835-2609 + permitcenteracityoffederalway.com
COMMUNITY OMLOPMENT
PERMIT NUMBER
Is 0 +2 �P1
Q
TARGET DATE i r I1
SITE ADDRESS
X 65 3" PL S
SUITE/UNIT I#
PROJECT VALUATION
$3K
ZONING
ASSESSOR'S TAX/PARCEL # � � � - ® r� (�-�
2 2/ JVD'
TYPE OF PERMIT
[--]BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
'EL'is
PROJECT DESCRIPTION
i
Detailed description of work to
be included on this permit only
i
Le-NAMEHt6d �
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS ,,,n/
3C&52- tp X11 J
E-MAIL� E -MA
CITY
ST E
ZIP �/'pp �,
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NAME
PHONE
n '7Z^MAILING
Z53 -1'7Z -
MAILING ADDRESS _ ,j
E-MAIL
CONTRACTOR
CITY
ST E
ZII'�
FAX
WA STA E CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE R
NAffiE
kj2��
^ P
PRIMARY PHONE6qtj
MAILING ADD
E-MAIL
APPLICANT
CITY
TilATE]
ZIP
FAX
NAME
PRIIf7ARY PHONE
PROJECT CONTACT
MAILING ADD
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
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 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 cl , hich may be made by any person, including the undersigned, and filed against the city,
but only where such claim aris t o reliance of the city, including its officers and employees, upon the accuracy of the
ir4 formation supplied to the ci as a of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
I
PN
�VALUE OF MECHANICAL WORK
MECICAL PERMIT
Indicate how many o each type offixture to be installed or relocated as b ibis rS` 1-"t 66 hot include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commerew)
BOILERS FURNACES HOT WATER TANKS (Cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAE ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASEMENT
NEW BUILDING -
ESISTn6G/PRE14IOUS USE
LOT SIZE (In Square Feet)
EBISTING FIRE SPRINKLER SYSTEM?
Indicate how MaM o each type orfixture
to be installed or relocated as
part o this pMject. Do not include existingfixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DECK
DRINKING FOUNTAINS
SINKS (Kitchen/utnity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAE ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF FMSTING IMPROVEMENTS
FOR OFFICE USE
BASEMENT
NEW BUILDING -
ESISTn6G/PRE14IOUS USE
LOT SIZE (In Square Feet)
EBISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
NEW BUILDING -
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
oNLY
PRo,Iz m AREA177T
Area Totals
TOTAL
**=w sojM OIYLT**
ESTIMATED SELLING PRICE
1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING -
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Hare Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BMDnrG
TENANT AREA ONLY
oNLY
PRo,Iz m AREA177T
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application