12-103420C 1
ARRIlcan
City of Federal Way
Community & Econ. Dev. Services
F¢�
33325 8th Ave S
;
Federal Way, WA 98003
34127 183RD AVE SE
Ph: (253) 835-2607 Fax: (253) 835-2609
FEDERAL WAY WA
Project Name: SCHIEMER
Project Address: 32914 39TH AVE SW
Project Description: Install sink for garage
Plumbing
Permit #: 12 -103420 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 873213 0890
Owner
ARRIlcan
Contractor
CHARLES W SCHIEMER
J & K PLUMBING INC
J & K PLUMBING INC
32914 39TH AVE SW
34127 183RD AVE SE
JKPLUI* 159RD (3/24/13)
FEDERAL WAY WA
AUBURN WA 98092
34127 183RD AVE SE
98023-2620
AUBURN WA 98092
Plumbing Fixtures
Sinks............................................... 1
PERMIT EXPIRES Sunday, January 20, 2013
Permit Issued on Tuesday, July 24, 2012
1 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 the C of Federal Way.
Owner or agent: Date: -,7/z 7
F/NhUkb l0/4��2
'40':&
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ction Record
INSPECTION REQUE TS: (253) 835-3050
12 -103420 -00 -PL Address: 32914 39TH AVE SW
CHARLES W SCHIEMER FEDERAL WAY, WA 98023-2620
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)
Final Electrical
Approved
Gas Piping (4125)
1:1Approved
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date rl _ ' _
By
Date
Final - Plumbing (4075)
Approved
By Date 125-41-14
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
% f l
#
0" OF RECEIVE PERMIT • MF
Federal Way
COMMUNITY DEVELOPMENT SERVIC
253-835-2607• E 2 4 2 o& P P L I C A T I O N
FAX 253-835-2609
mwa. rity�er3rraluxzl. rom
CITY OF FEDERAL WAY
CO ME PL DE EN FP
SITE ADDRESS
3 z -f 14 vet 3 - u1_
SUITE/UNIT#
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
11
27-1
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)I
Al
PROJECT DESCRIPTION
Detailed description of work to
' ,:;z ri n
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNERMAILING
t.
I$ T / 7 V if'
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EMAIL
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
>
J Y �-•s
PHONE
MAILING ADDRESS r7 7
E-MAIL
APPLICANT
CI - /•--/
STATE
ZIP
FAX
— �J qg
PROJECT CONTACTNAME
P ONE
_ _
6 36
(The individual to receive and
MAILING ADDRESS
E MAH.
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 to the city as apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 1, 2011 Page] of 3 k:\Handouts\Permit Application
VALUE OF MECRAMCAL WORK $
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture
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 (commercial)
BOILERS
FURNACES
HOT WATER TANKS (cas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application