17-104230Plumbing
City of Fe&nd Development
Permit #:17 -104230 -00 -PL
Community Development Dept.
33325 8th Ave S
Fedeml Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835.2607 Fax: (253) 835-2609
Project Name: BAROUMES
Project Address: 409 SW 352ND ST Parcel Num . 066231 0520
Project Description: Replace pressure reducing valve at main water supply
I hereby certify that the above information is correct an at the co r on on the above described property
and the occupancy and the use will be in accorda wi th es and regulations of the State of
Was " gton and City o de ay.
Owner or agent: Date: u l A0
N
.c
THIS RD CAIS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERAHT #: 17104230 00
Address: 409 SW 352ND ST
Projects DARLA RO . FEDERAL WAY WA 98023-8129
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)❑
Rough Plumbing (4230)
0
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
40k
CITY OF
Federal Way
PERMIT NUMBER l
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + pe -f t l e2EfVEtalway.com
AUG. 31 2017
TARGET DATE
SITE ADDRESSTr
NO
PROJECT VALUATIQ
ZONING
ASSESSGt�'S TAR/PA(R� #�%' O
TYPE OF PERMIT
❑ BUILDING LUMBING ❑ MECHANIC�ALEl DEMOLITION El ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
9
j.2 1 Z'Ce ' � V M
re s sur e d CA1C_A' vt
PROJECT DESCRIPTION
Detailed description of work to
lm �I St]
be included on this permit only
N E
M
PRIMARY PHONE
25.3873
PROPERTY OWNER
MAJILIN'ADD
S .--- ��'<
EL `
<a i _r
CITY
STATEZ
/7
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # r
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
/ /
NAME
PRIMARY PHONE
APPLICANT,
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 000 or more
, E, ZIP
PHONE
(RCW 19.27095)
I certify under penalty f 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 ci mart oft ication.
SIGNATURE: -- DATE 31 C V('
PRINT NAME: 7 ` O N
Bulletin #100 —January 29, 2016 Page 1 of 2 k:\Handouts\Pelmit Application
M
VA
MECHANICAL PERMIT $ LUE OF MECHANICAL WORK
Indicate how Tway of each type orfLxture to be installed or relocated as part of this project. Do not include existing fuctures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (c.�,,iai)
BOILERS FURNACES HOT WATER TANKS (Ges)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Ail, OBOE 7.7
Occupancy Group(s)
Construction
# 0
E113STING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many of each type offtxture
to be installed or relocated as
part of this project. Do not include existi" fLxtures to remain.
BATHTUBS (or Tub/Sho Combo)
- LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
- RAINWATER SYSTEMS
URINALS
OTH ribe)
DRAINS
SHOWERS
VACUUM BREAKERS
wz
DRINKING FOUNTAINS
- SINKS (Kitchen/UtilitA
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Ail, OBOE 7.7
Occupancy Group(s)
Construction
# 0
E113STING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Stories
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING PROPOSED
TOTAL
FOR OFFICE USE
Ail, OBOE 7.7
Occupancy Group(s)
Construction
# 0
FIRST FLOOR (or Mobile Home)
Quare Feet
Upe
Stories
COVERED ENTRY
GARAGE 0 CARPORT 0
Area Totals
EMSTING PROPOSM
TOTAL
AREA DESCRIPTION Area in
ESTIMATED SELLING PRICE $
Construction
Bulletin #lO0-Junuug'29,2Ol0 Page 2of2 Application
AREA DESCRIPTION Area in
Occupancy Group(s)
Construction
# 0
Additional Information
Quare Feet
Upe
Stories
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in
Occupancy Group(s)
Construction
# of
Additional Information
Ssuare Feet
14
'Stories
TENANT AREA ONLY
41
Nil
Bulletin #lO0-Junuug'29,2Ol0 Page 2of2 Application