13-103483'City of Federal Way
community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: DENSON
Project Address: 32204 16TH AVE SW
Project Description: Replace electric hot water tank,
f 0.
Plumbing
Permit #: 13 -103483 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 010450 0920
Owner
ARRlican
Contractor
DONIELLE DENSON
RESCUE ROOTER
RESCUE ROOTER
3220416TH AVE SW
175 A ROY RD SW SUITE 101
RESCUR*007Q7 (1/1/14)
FEDERAL WAY WA 98023
PACIFIC WA 98047
175 A ROY RD SW SUITE 101
PACIFIC WA 98047
Plumbing Fixtures
Water Heaters .................................. 1
PERMIT EXPIRES Sunday, February 2, 2014
Permit Issued on Tuesday, August 6, 2013
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington
and the of der ..f --
Owner or agent ' — Date. 1
SIP
C" OR
Federal Way
PERMIT #:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -103483 -00 -PL Address: 32204 16TH AVE SW
Project: DONIELLE DENSON FEDERAL WAY, WA 98023-6402
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)
❑
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
0 Final - Plumbing (4075)
Approved
By,4�5 Date 4'?,za
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Federal way
RE * ®E®
AUG U ® 202
CITY OF FEDERAL WAY
CDS Q
PERMIT NUMBER '� _ ® 3—Y C1 -
PERMI'WPPLICA'T'ION
LTARGET DATE V - O b
SITE ADDRESS / L
SUITEMNIT #
PROJECT VALUATION
$ 1C2®D �
ZONING
ASSESSOR'S TAX/PARCEL #
6 / -1 5' ® - ®� .
TYPE OF PERMIT
❑ BUILDING XPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
C.5)
PROJECT DESCRIPTION
Detailed description of work to
C� L Z• ,97� Z L
Za
be included on this permit only
PROPERTY OWNER
NAME
��p1�� ��� �zd/ � D�
PRIDtARY PHONE
NAILING ADD-RESS O 14 • ��
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E-MAM
CITY
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Zip
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NAM JgES
Z
PHONE
NAMING ADDRESS
I S jefj
EMAIL
CONTRACTOR
FAX
WA A CONTRACTOR'S LICENSE #
r-J/CC,a
EXPIRATION DATE(
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PRONE
APPLICANT
NAILING ADD
EMAM
CITY
STATE
ZIP
FAX
NAME
PRIMARY PRONE
PROJECT CONTACT
DIMING ADDRESS
E-MAM
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAM
❑ OWNER-FnWANCED
Required value of $5,000 or more
(RCW 19.27.095)
NAILING 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 certV9 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 taws.
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 apart of this application.
3IGNA Y� �c� ��- DATE
PRINT NAME: V17 Vi) > �/Isa%�,
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
dip
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how manny of each type offixture to be installed or relocated as part of this project, Do not include wdsdngfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (cummecci4
BOILERS FURNACES HOT WATER TANKS pao
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PDRVEYOR
VALUE OFPLUM,BINO WORK
PLUMBING PERMIT
$
Indicate how many of each type offixtum
to be installed or relocated as
part o this project, Dc not include wdsti res to remain.
BATHTUBS (or Tub/sho caxwm)
LAVS (Hm d std
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS patches/veflt
WATER HEATERS (wecuW
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PDRVEYOR
SEWER PIIRVEYOR
VA= OF ESIS=G 01PROVEM&NTS
xUS=G/PRzMouS uss
LOT SIZE (In S"_ Feat)
MSMG FIRE SPRUMER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes o No
o Yes o No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetDom 777
Stories
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Sauare Feet Tvve Stories
TENANT AREA ONLY
Bulletin # 100 —January 1, 2013 Page 2 of 3 UllandoutsTermit Application