16-1001731i �- -
City of Federal Way ,
Community & Econ. Dev. Services Permit #: 16 -100173 -00 -PL
33325 8th Ave S F1
Federal Way, WA 98003 LE
Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2809 p Q
A}p
Project Name: GARAGE TOWN USA - UNIT C-91- jOrlo
Project Address: 2010 S 344TH ST Unit C U& 6 tO Parcel Number: 269330 0350
Project Description: Install plumbing toilet flange and sink line to existing sewer main line. Plumbing water
supply to feed (1) toilet and (1) sink and point of use hot water heater. Install (3) angle stops
and insulate all water lines exposed
Owne
Al2RIicant
Contractor
KEITH A MILLS
NORTHWEST CASCADE INC
NORTHWEST CASCADE INC
2010 S 344TH ST UNIT C1
PO BOX 73399
NORTHCI148BG (10/1/17)
FEDERAL WAY WA
PUYALLUP WA 98373
PO BOX 73399
I.
PUYALLUP WA 98373
Plumbing Fixtures
Other Plumbing Fixtures ............... 1 Showers ........................................... 4Sk s............................................... 1
i
PERMIT EXPIRES Monday, , 2016
Permit Issued on Wednesday, J ry 13, 2016
I hereby certify that the above information is correct and construction the above described property and
the occupancy and the use wiII 4e in acgordan ws, rules an r ons of the State, of Washington
// / Federal
Owner or agent:
Date: / — /Y — Z o /&
In or-
Federal
xFeyderal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQU . TS: (253) 835-3050
)} –) 0
16 -100173 -00 -PL Address: 2010 S -344TH ST UnitCr-W
NW RESTAURANTS INC FEDERAL WAY, WA 98003
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
Piping (4125)
Approved to cover
Approved
Approved to release test
By Date ;t
By Date %
By Date
I
Final - Plumbing (4075)
Approved
By Date
L
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way—�
Approved
By
Date
By
Date
By
Date
Ory as
Federal Way
PERMIT APPL&Q&rf4qN
PERMIT NUMBER `(51_ 10 ` 7 3_ PL—
JAN
13 2016
CITY OF FEDERAL WAY
TARGET DATE C-1)5
SITE ADDRESS
SUITE/UNIT M
7J UJ
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL N
$
3�- 0 - u v o
. 5co , co
-q- -22-
TYPE OF PERMIT
❑ BUILDING LUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
1—acu c i11u,,v-1 k" 1 C C i
plunm ioIV-.—'IiLu• avctS1�1 - 5 iLe� m�id line
PROJECT DESCRIPTION
_ <
Detailed description of work to
f S ocirior U%
5 l I -e+ / 5 ► n k
be included on this permit only
+ J
IK — LLL
NAME
PRIMARY PHONE
NW
9 , qs°7
PROPERTY OWNER
MAILING ADDRESS
IMOM ) xS` 101
&MAH. a
CITY
STATE ZIP
NAME
F7IL)hUL.0
3-7/
N U
MAILING ADDRESS
R et
E-MAIL
4- ID PI r, kyuw1w,
CONTRACTOR
CITY
STATE
ZIP
FAX –
WA STATE TRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE S
L4
a i Of i
12-% -I C-•c;t;- 1.
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
til n
EMAIL
CITY
STATE
ZIP
FAX
y� �
lel
NAM (`
PRIMARY PHONE
PROJECT CONTACT
i v , ��
O� . f `
MAILING ADDRESS
EMAIL ,l ^
1)
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
''-13
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MATT-ING ADDRESS, CITY, STATE, ZIP
PHONE
iRCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 clainq, 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.
.l-, CAR- LCL oy) f/ J 1-cclylvt' --- DATE
SIGNATURE: 0 jj Cf
PRINT NAME i
Bulletin #100 — December 29, 2015
Pa 1 of 3
k:\Handouts\Permit Application
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