15-103753., dumbing
Community & Eoon. �WaServices Permit #: 15 -103753 -00 -PL
33325 8th Ave S ILE
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2809 � Q
Project Name: SNIITH
Project Address: 28113 20TH AVE S Parcel Number: 422231 0550
Project Description: Remove existing galvanized water piping and replace with PEX throughout entire home
Owner
ARRlicant
Contractor
WESLEY R SMITH
MATT GROESSE
MATT THE PLUMBER
PORTIA M SMITH
MATT THE PLUMBER
MATTPP'894DD (3/11/17)
28113 20TH AVE S
814 S 308TH ST
814 S 308TH ST
FEDERAL WAY WA 98003-9200
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Plumbing Fixtures
Other Plumbing Fixtures ............... 1
PERMIT EXPIRES Monday, January 25, 2016
Permit Issued on Wednesday, July 29, 2015
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
and t eral Way.
Owner or agent: Date: 9. '15
THIS CARD IS TO REMAIN ON-SITE `
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #:
15 -103753 -00 -PL Address: 28113 20TH AVE S
Project: WESLEY R SMITH FEDERAL WAY, WA 98003-9200
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.
❑
Plumbing Groundwork (4190)
Rough Plumbing (4230)Gas
Final Electrical
Approved
Piping (4125)
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
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
`CITY of
Federal Way
CONSTRUCTION ALERT
Building Division
33325 Eighth Avenue South
PO Box 9718
Federal Way, WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
ADDRESS: `.8113 20 72! kv<. S . #: 15'— 1113-153- 0 -pt—
For Your Information
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IF YOU HAVE ANY QUESTIONS CALL VA wtr 253-835- "Z �-
This Construction Alert is intended as a proactive measure to provide early notification of code issues.
Items listed above have been noted on this alert as a courtesy and should not be viewed as a
comprehensive list of code violations for the job or any portion thereof. Necessary corrections will be
noted during formal inspections. This is not an Inspection Notice.
-& - is-
DATE
SDATE
INSPECTOR Page of
C1W OF
1Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 20 TM' A Vf-• s . PERMIT#: 119 -to -3 _? S'3 - oo - p
I 1 I>%.L f^so2. . 1 — 1Ao1is SkX4I1 I -lo i SL goy'cA W i+L.�V1 2`' p-_
'Tkt T � 0 r (3 enw� Of l Dov , o i c c �y� q i v�-c-�v of F: To
be pv-ov; � 4 .
IF YOU HAVE QUESTIONS CALL
vw^4jr
(253) 835- 2lo z3,
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
ATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
Er
V
CITY OF44� PERM I'TOAPPLICA'TION
Federal way RECEIVED
0
0 JUL 30 2015
PERMIT NUMBER EDER�AI= W'4'V
TARGET DATE CITY OFF
t nS
SITE ADDRESS
SUITE/UNIT #
2-3 l l 3 20 � llw--S, 9*�0
PROJECT VALUATION
$oC
ZONING
ASSESSOR'S TAR/PARCEL #
2 Z Z33, L _ U 5-a
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
re
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
We S T }•
PRIMARY PHONE
2-ap- CAD 6-325
MAILING ADDRESS A
E-MAIL
CITY
S`T/ATE
�',1
ZIP
^ V 3
i
NAME
l,^
PHONE F
2c,(0 5
/A�V ( kc
7 J
MAILING
a ADDRESS q S'� 's �
E-MAIL
CONTRACTOR
CITY1
'reTJ1��
STATE
�!!
ZII'Q
i03
FAX
WA STATE CONTRACTOR'S LICENSE #
JA
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME � tem
i/
PRIMARY PHONE
Zo(. CP S- 32
MAILING AODS
Sar Pr
E-MAIL
APPLICANT
CITY
F�I"-�I,
STATE
h
ZIP
�83
FAX
NAME
4 �e-s5'P
PRIMARYPH NE
2G" "
A� 2
3PROJECT
CONTACT
V
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ 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 of this application.
SIGNATURE: DATE
G I' 1`'✓ �U�c�►���
PRINT NAME: i l' 1
Bulletin 4 100 — January 1, 2013
Page I 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 existingfixtures to remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commerciai)
BOILERS FURNACES HOT WATER TANKS (cas)
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
BASEMNT'
$
Indicate how many o each type offixture
to be installed or relocated as, o this project. Do not include existin res to remain.
�_ BATHTUBS (or Tub/shower combo)
�art
`� LAVS (Hand Sinks) _!PC
TOILETS
40V WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
COVERED ENTRY
DRINKING FOUNTAINS
SINKS (Kitchin/Utility)
WATER HEATERS (Electric)
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
BASEMNT'
f<
in Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
NEW SDILImt(I
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMNT'
f<
in Square Feet
Type
FIRST FLOOR (or Mobile Home)
NEW SDILImt(I
SECt ND;FLOOR
,.
41
ADDITION
-- _
COVERED ENTRY
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
:DECKl
Area
Occupancy Group(s)
Construction
# of
GARAGE ❑ CARPORT ❑
in Square Feet
Type
OTHER (describe)
%f
Area Totals
EMSTWO
PROPOSED
TOTAL
s*Ai Hamm
ONLY"
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Type
Stories
NEW SDILImt(I
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Type
Stories
TENANT AREA ONLY
PROJECT AREA ONLY
`
`F
Bulletin #100 — January 1, 2013 Page 2 of 3 UHandouts\Pellnit Application