12-102953I
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SCAN VENTURES #3 (CARSON)
Project Address: 135 SW 304TH ST
Piuil ng
Permit #: 12 -102953 -00 -PL
Inspection Request Line: (253) 835-3050
Project Description: Install plumbing fixtures associated to residential remodel
Parcel Number: 556000 0150
Owne
A121211icant
Contractor
SCOTT CARSON
K D P PLUMBING
K D P PLUMBING
227 BELLEVUE WAY NE
1005 7TH ST SE
KDPPLP*93008 (9/29/13)
BELLEVUE WA 98004
PUYALLUP WA 98372
1005 7TH ST SE
PUYALLUP WA 98372
Plumbing Fixtures
Laundry Washer Outlets ................. 1 Lavatories....................................... 1 Other Plumbing Fixtures............... 1
Showers ......................................... 1 Sinks............................................... 1 Water Closets................................. 1
PERMIT EXPIRES Monday, December 24, 2012
Permit Issued on Wednesday, June 27, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t e use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: Z Z�Q z'
crNktlk'D 10/r5/l2
THIS CARD IS TO MAIN ON-SITE
CMV OF Construction Inection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
12 -102953 -00 -PL
Address: 135 SW 304TH ST
Project: SCOTT CARSON FEDERAL WAY, WA 98023-3938
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.
11 Final - Plumbing (4075)
Approved
By ' Date
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
ApprovedSO- -3-12.
Approved to release test
By
Date
By
Date 6 -av
By
Date
11 Final - Plumbing (4075)
Approved
By ' Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
',00
"'.'WERMIT
f Federal WRECEIVED
COMMUNITY DEVELOPMENT SERVICES AP Jr Id I CAT I O N
253-835-2607 FAX 253-835-2
vvv.r�vl(etiernlvn�i. cor ON 27 2012
C - "V n1= GFnCOAi uIAV
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SIF CO ME PL DE EN FP
SITE ADDRESS � � �
SUITE/UNIT A
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL N
O O O � � O
S S � - C�
❑ BUILDING PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
jfenant Name/Homeowner Last Name)
CAN \ / P��S � � (C4YOSD
\�(
PROJECT DESCRIPTION
�.
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
,. 5
MAILING ADDRESS
Crll�, /.
STATE
ZI /
q
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,cc
NAME
I �✓� t
PHONE7�� _
Lam'
MAILING ADDRESS
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L; L
CONTRACTOR
CITY,'
STATE
ZIP
i
F Ai
V
U✓
j
W,A $T;:nilTE f fONTRACTO 'S LICENSE /
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 0
V 1
NAME I I
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
ATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application]
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
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 the c� apart of this application.
T
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OFMECHAMCAL WORK $ (a copy qf.W4 or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocate s part of this project. Do not include existing factures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INS HOODS )commerciat)
BOILERS FURNACE HOT WATER TANKS )Gas)
COMPRESSORS GAS SETS REFRIGERATION SYST
DUCTING S PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
BATHTUBS (m rub/shower combo)
_ LAVS Mena Shit.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OT�HER� ( escribe�}
DRAINS
SHOWERS
VACUUM BREAKERS
L Ir V , e be)
DRINKING FOUNTAINS
SINKS iKimh—/utwty)
WATER HEATERS (Electric)—
HOSE BIBBS
_- SUMPS
WASHING MACHINES
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application