18-104010City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax (253) 836.2609
Project Name: WELLS
Project Address: 3911 S 328TH ST
Project Description: Re -plumbing kitchen and laundry drains.
Plumbing
Permit #:18 -104010 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 614360 0578
Owner
Applicant
Contractor
MARIE WELLS
RESCUE ROOTER
RESCUE ROOTER
3911 S 328TH ST
175-A ROY RD SW
RESCUR*007Q7 (1/1/20)
FEDERAL WAY WA 98001-9654
PACIFIC WA 98047
175-A ROY RD SW
PACIFIC WA 98047
Drains
PERMIT EXPIRES Monday, 25 February, 2019
Permit Issued on Wednesday, August 29, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and a will be in accordance with the laws, rules and regulations of the State of
as ' and the City of Federal Way.
Owner or agent: Date: 9 Zq
e ffiTS CARD IS TO REMAIN ON-SITE
Federal Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18104010 00 Address: 3911 S 328TH ST
Project: MARIE LOUISE WELLS FEDERAL WAY WA 98001-9654
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.
Q
Plumbing Groundwork (4190)
Rough Plumbing (4230)3❑
Final Electrical
Final - Plumbing (4075
Approved to cover
Approved
Approved
By
Date
By
Date
By
(� Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
40k
CITY OF
Federal Wa
RECEIVED
2 J K;
PERMIT APPLICATION
YPERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
OOMMUNITY DEVELOPMENT
PERMIT NUMBER 1(3 I (D4 0 10
TARGET DATE 712-q 12
SITE ADDRESS
SUITE/UNIT @
PROJECT � VALUATION
$
3
ZONING
A33E330IZ'S TAT/PARCH. �
TYPE OF PERMIT
❑ BUILDING I PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
W
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMEPRIMARY
PHONE
5 z
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STA E
ZIP
NAME
PHONE
CONTRACTOR
MAILDIG ADDRE88 I �� '
r^ 9 �
b s (A� I pi
E-MAa.
CITY
A
ZIP
FAX
WA STATE CONTRACTOR'S LI ENSE #
i
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
MAILING ADD S
E-MAIL
APPLICANT-
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
l�1 VI
PRIMARY PHONE P
Z � - 60
MAILING ADDR#38
(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 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 a part of this application
SIGNATURE: DATE Z
3
(��,,, \
PRINT NAME. I (-A
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how nmW of each type o re to be installed or relocated as o this ct. Do ,not include axis ' res to remain.
AIR DANDLING 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
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE oFPwmBnvO WORK
PLUMBING PERMIT
Construction
Type
# of
Stories
Additional Information
Now DUMDUM
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRnMXR SYSTEM?
$
Indicate how Many oeach e o
re to be installed or relocated as
part of this project. Do not include wdsting
fixtures to remain.
BATHTUBS (m, Tub/sbov ar combo)
LAVS (Head sink.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Ritcbea/utlity)
WATER HEATERS (electr )
TENANT AREA ONLY
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTU
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING DIPROMIEPTS
Construction
Type
# of
Stories
Additional Information
Now DUMDUM
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRnMXR SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEK?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) WASTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT �
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
GARAGE ❑ CARPORT ❑
OTHER (describe)
.Area Totals EXISMG >m>o TwIn
�►r�a� sores oxt�
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
Now DUMDUM
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
TOTAL BUSDINci
TENANT AREA ONLY
,..' PRO+IC�'A1144fNLY
'`
Bulletin #100 — January 29, 2016 Page 2 of 2 kAHandouts\Pernlit Application