15-102357Plumbing
City of ay
Community s Econ. Dev. Services Permit #: 15 -102357 -00 -PL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2609 Inspection Request Line: (25
3) 835-3050
Project Name: DAWLEY
Project Address: 31451 40TH AVE SW Parcel Number: 873198 2340
Project Description: Electric water beater replacement
Owner
RICHARD & JEAN DAWLEY
ARRlicant
REYNOLDS CUSTOM PLUMBING LLC
Contractor
REYNOLDS CUSTOM PLUMBING LLC
3145140TH AVE SW
12621 230TH ST E
REYNOCP972B1(2/I2/17)
FEDERAL WAY WA 98023-2111
GRAHAM WA 98338
12621230TH ST E
GRAHAM WA 98338
Plumbing Fixtures
Water Heaters ................................. 1
PERMIT EXPIRES Saturday, November 14, 2015
Permit Issued on Monday, May 18, 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 the City of Federal Way.
Owner or agent Date —18-;2.0/s
fjtAA-Leo
• THIS CARD IS TO MAIN ON-SITE
cr" Construction In ection Record '
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -102357 -00 -PL Address: 31451 40TH AVE SW
Project: RICHARD & JEAN DAWLEY FEDERAL WAY, WA 98023-2111
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.
E]
Plumbing Groundwork (4190)
E]
Rough Plumbing (4230)Gas
Final Electrical
Approved
Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By V^ Date (, I; (IS
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OFA� PPLICATION
Federal Way ���►G
MAY 18 2015
PERMIT NUMBER _ _ crry OF FE;RA L
T WAYS
E
SITE ADDRESS
SUITE/UNIT #
3 14 C) � - .o ,-cl-- e>, I) .
PROJECT VALUATION
ZONING
ASSESS TAIL/PAR # I C? Z 3
TYPE OF PERMIT
❑ BUILDING XPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
-!- h� l % S ID Q �J L C
PROJECT DESCRIPTION
Detailed description of work to
j- R r- [ C=L CC P
I T (, �. , p 2 -
be included on this permit only
PROPERTY OWNER
NAME
NAM
--IDA � L L
PRIMARY PHONE
253 - �•'7 - b� L/3
MAILING ADDRESS
E-MAIL
CITY
L
STATE
ZIP
NAME
PHONE
C `
ru :? �:... V rvN 10
S
MAILING ADDRESS
:Z30t -!�-T
E-MAIL
I"P m rz
CONTRACTOR
CITY
(Z M A
TE
ZIA
ZIP
8338
FAX
WA STATE CONTRACTOR'S LICENSE #
c .,iocP OL -7::?-j31
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
r,-, A S c�rJ
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
A r., ice" S a 4J
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
� Od�i Lf
❑ 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 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.
n
SIGNATURE: �g DATE
PRINT NAIME:
Bulletin # 100 -January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
1 . Coen
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of lixture to be installed or relocated as part of this project. Do not include existing ures to remain.
AIR HANDLING UNITS FANS ,, T GA$ PIPS OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS KObDS (commercial) -i
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING+.,PF{RMITI
FOR OFFICE USE
ice" ,
WIN
pc)o .
Indicate how many o each type offixture
to be installed or relocated as
part o 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
x,_
..
------
DRINKING FOUNTAINS
SINKS (Kitchen/utiiity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
ice" ,
WIN
fi`
r
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
ice" ,
WIN
fi`
r
FIRST FLOOR (or Mobile Home)
v
BECEi
x,_
..
------
COVERED ENTRY
---- --—.._.._.. - - -- --- - -
DECD��
GARAGE ❑ CARPORT 0
�E12 (desrazbe)
y /
EMSTING
PROPOSED
TOTAL
Area Totals
F,STTMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construcetion
Additional Information
in Square Feet
Stories
x,_
..
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
TOTAL
TENANT AREA ONLY
s
PROJECT AREA ONiY
Bulletin # 100 - January 1, 2013 Page 2 of 3 k:\1Iandouts\Permit Application