15-103489A
City of ederai Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MOORE
Project Address: 30102 2ND AVE SW
Project Description: Repipe water lines for (8) new fixtures
Plumbing
Permit #: 15 -103489 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 233730 0330
Owner
ARRI*cant
Contractor
EDWARD C MOORE
RESCUE ROOTER
RESCUE ROOTER
30102 2ND AVE SW
175-A ROY RD SW
RESCUR*007Q7 (1/1/16)
FEDERAL WAY WA 98023-3903
PACIFIC WA 98047
175-A ROY RD SW
PACIFIC WA 98047
Plumbing Fixtures
Other Plumbing Fixtures ............ 1 '
PERMIT EXPIRES Tuesday, Jana, 2016
Permit Issued on Thursday, July , 2095
I 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
a the City of Federal Way. _
Owner or agent: IL A Date: l�
THIS CARD IS TO REMAIN ON-SITE 4
MY or- Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -103489 -00 -PL Address: 30102 2ND AVE SW
Project: EDWARD C MOORE FEDERAL WAY, WA 98023-3903
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.
Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (4190)
Rough Plumbing (423)
Final Electrical
Gas Piping (41 5)
1:1Approved
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF PERMI1 APPLICATION
Federal Way RECEIVED
PERMIT NUMBER _ 1 �0 3;' U _ J UL 16 2015
_ TARGET DATE
i-T-ry rnF FFnFRAL WAY
SITE ADDRESS
SUITE/UN UID S
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING XPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
M 00 P
PROJECT DESCRIPTION
�✓� ��
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
;S (-?2
MAILING ADDRESS
34)10.2 aS�-
E-MAIL
CITYr
�- lx
STATE
ZIP
Y') 2
/eJ
NAME C S G (✓ '� C.% LJ ti
PHONE
MAILING AD RESS
E-MAIL
�i4.c e)
CONTRACTOR
CITY.? -
STATE
ZIP
FAX
W STATE CONTRACTOR'S LICENSE #
�
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
n,
U C v
i iZ 1
.2`o - 4,(, ou
NAME
PRIMARY PHONE
MAILING Al2 D S
h'-
E-MAIL
APPLICANT
7S
CITY •
PO
STATE
ZIP_
FAX
t
PROJECT CONTACT
NAME
� b S4 . - `%/�/i o �-
PRIMARY PHONE
--->
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
El OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
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 off] this
(application.
Ul" �` 1� " IJ
SIGNATURE: �/ ! DATE
PRINT NAME: C(2 Q .L e VL
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing ures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
--.__.. ... _..... __.......................... ___.___._
BASE��, i
$ / r,
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existiri�g fixtures to remain.
BATHTUBS (or Tub/showe,combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Nitaheo/uwity)
WATER HEATERS (Electric)
DECK,'_,
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUEOF EXISTING IMPROVEMENTS
FOR OFFICE USE
--.__.. ... _..... __.......................... ___.___._
BASE��, i
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
--.__.. ... _..... __.......................... ___.___._
BASE��, i
„
FIRST FLOOR (or Mobile Home)
— _ — -- —--.._— ........ ......... ... .......__
Ao
COVERED ENTRY
DECK,'_,
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
MSTING
PROPOSED
TOTAL
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BIJII.DiNG'
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
Tam BuriotN.'
TENANT AREA ONLY
PRQJECT AREA ONLY
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application