15-102891City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809
Project Name: KA R A
Plum ILEng
Permit #: 15 -1.02891 -00 -PL
Inspection Request Line: (253) 835-3050
Project Address: 32624 39TH PL SW
Project Description: Remove existing kit n k 41
rep it
Number''18731951670 .
r
E p
S S
ARCH PLUMBING & HEATING
60A
P
arch Bing
MONARP•062D8 (3/23/17)
4 39TH PL S
241 AVE
2415 INTER AVE
WAY WA 9802
PUY LUP 98372
PUYALLUP WA 98372
11'41PE I EPI IES Saturday, December 12, 2015
Permit Issued on Monday, June 15, 15
I he y certi th the a information is correct and that the const i n t v described property and
the occupan a _ the will in ccordance with the I les d r ns of the State of Washington
an ty f de I Wa
Owner or agent: Date: 6 /� �!—
Ai�CITY OF` o
-Federal Way
THIS CARD IS T*MAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -102891 -00 -PL Address: 32624 39TH PL SW
Project: DOUGLAS E KAMLA FEDERAL WAY, WA 98023-2648
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)
Approved to cover
Rough Plumbing (4230)11
Approved
Final Electrical
Approved
as Piping (4125)
Approved to release test
By
Date
By
Date tS $
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
I N
CITY OFr
Federal
PERMIT SF MF CO ME PL DE EN FP
al Way RECMM
COMMUNITY3-835-2607- FIX
253-8 SERVICES APPLICATION �y
253-835-2607•FNC 253$35-2609
www.ch'uoffecteralwo.u.coni JUN 15 2015
SITE ADDRESSI F FEDERAL
S 4_6ZN Slin P) SL CDs
/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
qo?o.crD
6 -J_ -3-L-15--670
TYPE OF PERMIT
❑ BUILDING XPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
r�V /cam YT
PROJECT DESCRIPTION
Detailed description of work to
y
be included on this permit only
PROPERTY OWNER
N
O 44 _ -
PRIMARY PHONE
3aMAILING ADDRESS I _ � �
.i
E-MAIL
CITY f
�i✓C& SOT 0az
/g{�
NAMEr4(d14_9&( ��
PHON'S3^7W—Zg6L)
MAIMNG ADDRESS
L
E -
CONTRACTOR
CITY �I lu ST TE
W
ZDj�yq g^�
�/EXPIRATION
FAX
WA STATE ONTRA R'S LICENSE #
v X06 2�
DATE
i i
FEDERAL WAY BUSINESS LICENSE #
NAME /
PHONE
APPLICANT
MAILING �ADDRESS
EMAIL
CITY
9TAT ZIP
/
FAX
PROJECT CONTACTNnME
PHONE
(77-te individual to receive and
respond to all correspondence
concerning this application)
I
MAILING ADDRESS f , �i,��_
�" ' "
E -MAD -
i1QM4W, - k t
CITY
STAT
I✓
ZIPyf�?�
FA%
ALTERNATE CONTACT NAME:
PHONE
ZS�-77a-ZY�o
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 qf such claim), which may be made by any person, including the undersigned, andfiled against the city,
its officers and employees, upon the accuracy of the
igformation supplied to a city part of th
but only where such cla' out heff�=,
M
SIGNATURE: DATE
PRINT NAME: I %
Bulletin #100 —January 1, 2011 Page 1 of 3 k:U3andouts\Permit Application
! N
VALUE OF MECHANICAL WORK $
(a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Couunercto )
BOILERS
FURNACES
HOT WATER TANKS (cas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type offwture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Aub/Shower Co nbo) LAVS (band Sins) TOILETS WATER PIPING
_L DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS Zi SINKS (lcttchen/Unity) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USEI LOT SIZE (In Square Feet) I EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application