12-105309< i 1
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 Plumbing,
Permit #: 12 -105309 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: JONES
Project Address: 33311 30TH AVE SW Parcel Number: 954280 1070
Project Description: Install plumbing fixtures for new master bathroom to associated addition
Owner
Applicant
Contractor
MARY JONES
LANNING'S PLUMBING INC
LANNING'S PLUMBING INC
BRUCE JONES
21134 SE PETROVITSKY
LANNIP1959NE (11/13/14)
33311 30TH AVE SW
MAPLE VALLEY WA 98038
21134 SE PETROVITSKY
FEDERAL WAY WA 98023-2723
MAPLE VALLEY WA 98038
Plumbing Fixtures
Bathtubs ......................................... 1 Lavatories....................................... 2 Showers.......................................... 1
Water Closets ................................. 1
PERMIT EXPIRES Monday, May 20, 2013
Permit Issued on Wednesday, November 21, 2012
1 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.
Owner or agent: Date: % —Zi- I -Z— —
CITY OF
Federal Way
PERMIT #:
Project:
12 -105309 -00 -PL
MARY JONES
THIS CARD IS TO AIN ON-SITE
Construction In rection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 33311 30TH AVE SW
FEDERAL WAY, WA 98023-2723
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.
F1 Plumbing Groundwork (4190)
❑ Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By Date
S Date 12 - (
By Date
Final - Plumbing (4075)
Approved
By Date
F
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY 1, ' RECEIVED *PERMIT
Federal Waynn11// 9 �%
COMMUNITY DEdELOPMENT sE)QV 2 1 `012APPLICATION
253-835-2607• FAX 253-835-2609
uw.•,,... �;tyaff_�ierulu•n m OF FEDERAL WAY
CDS
-Lo=f
-*SMF CO ME PL DE EN FP
SITE ADDRESS
'333 / l Z o 4 5
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING NPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
n 'nom
be included on this permit only
PROPERTY OWNER
NAME l
PRIMARY PHONE
MAILING ADDRESS
3 C� `�y
E-MAIL
CITY
STATE
:.0 17,
ZIP
3
NAME t
PHONE
MAILING ADDRESS %
2-113Y
E-MAIL
CONTRACTOR
CITY� n r /,/AT
,j//�
YCONTRACTOR'S
u�
'� 0 3 e
FAX
4/1/3 7y0 2 a
WA STATE LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
crj�I/
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL /
respond to all correspondence
concerning this application)
CITY
ZIP
AX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME �'
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 1 9.27.095)
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 city as apart of this application.
SIGNATURE: _ /�-w C- 2, DATE /-! Z -
PRINT NAME: �/ N C SAN N/
Bulletin #100 - January 1, 2011 Page 1 of 3 kAHandouts\Permit Application
OF ANN
VALUE OF MECHANICAL WO
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture t e ins ed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS F
AIR CONDITIONER FIREPLAC NSERTS
GAS PIPE OUTLETS OTHER (Describe)
HOODS (com tai)
BOILERS FURNACES
HOT WATER TANKS (Gaa)
COMPRESSORS GAS LOG SETS
REFRIGERATION SYST
DUCTING GAS PIPING
WOODSTOVES
Indicate how many of each type of fixtuie to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (o T.b/Sh.—, combos LAVS (Naga su,�s) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (wt�bm/utwty) WATER HEATERS (EI«uic)
HOSE BIBBS SUMPS WASHING MACHINES
CRITICAL AREAS ON PROPERTY?
USE
WATER PURVEYOR
LOT SIZE )In Square Feet)
SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application