11-101313City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 r-
i i
Project Name: BOOTH
Project Address: 415 SW 346TH PL
Project Description: Replace custom shower.
Plumbing
Permit #: 11 -161313 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 132170 0110
Owne
Applicant
Contractor
DANIEL L BOOTH
AMERICAN DREAM DESIGN BUILD
AMERICAN DREAM DESIGN BUILD
415 SW 346TH PL
4726 112TH ST E
AMERIDD933DE (3/6/13)
FEDERAL WAY WA 98023-8309
TACOMA WA 98446
4726 112TH ST E
TACOMA WA 98446
iShowers .......................................... 1
PERMIT EXPIRES Tues d er 4, 2011
Permit Issued on Thurs� ril 7, 2011
I hereby certify that the above information. is correct.and th a construction on the above described property and
the occupancy and the use will be in accordance with aws, rule and regulations of the State of Washington
and th ` of Federal W
Owner or agent: .,.
Date:
IL ��
THIS CARD IS TO REMAIN ON-SITE
Or,r°F Construction Inspection Record
FederalWay INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11 -101313 -00 -PL Address: 415 SW 346TH PL
Project: DANIEL L BOOTH FEDERAL WAY, WA 98023-8309
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.
i
Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (41 0)
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
f�"_ Date /s "
By
Date
i
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
I a f --3- 1_3
Federal Way OE FOPERMI C� S MF CO ME EN FP
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COMMUNITY DEVELOPMENT SERVICES A P P L I C A T I O N R o l"
253-835-2607• FAX 253-835-2609
u_u�_v_._rt�gf�eciernlmgg_com_ �� 'i $���
.-tTY OF
SITE ADDRESS �
q'i 5 3 `f (o
SUITE/UNIT #
PROJECT V ATION
ZONING
ASSESSOR'S TAIL/PARCEL #
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMECL)
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAM
'
PHONE
i 3
MAILING ADDRESS w
E-MAIL
CONTRACTOR
CITY TATE P
FAX
WA STATE CONTRACTOR'S LICENbk # EXP DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
21P
FAX
PROJECT CONTACT
(The individual to receive and
nM
�� ��
ONE
Z 5 3 R>(✓ �/ Q
MAILING AD RESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STA
IP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY IP
PHONE
(RCW 19.27.095)
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: l v ,' , .. _ /l T` DATE 7
PRINT NAME:
Bulletin #100— January], 2011 Page] of 3 k:\Handouts\Permit Application
VALUE OF MECHAMCAL WORK $ ( opy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or r ocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE WS TS HOODS(commerniaq
BOILERS FURNACES \ HOT WATER TANKS (cas(
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 (HandSink�
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
�_ SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utiuty)
WATER HEATERS (Electric(
HOSE BIBBS
SUMPS
WASHING MACHINES
t yCI3i Yi ,
Bulletin #100 — January 1, 2011 Page 2 of 3 k_U-landouts\Permit Application
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