15-1016361' ;
Plumbing
City
Community & Econ. DW Sim-i Permit #: 15-101636-00-PL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
ILE
Ph: (253) 835-2607 Fax: (253) 835-2609 p �
Project Name: DAWLEY
Project Address: 31451 40TH AVE SW Parcel Number: 873198 2340
Project Description: Replace water line from meter to house.
Owner
ARRIlicant
Contractor
RICHARD & JEAN DAWLEY
ROTO ROOTER SERVICES COMPANY
ROTO ROOTER SERVICES COMPANY
3145140TH AVE SW
4630 16TH ST E
ROTORSCI22BR (4/3/16)
FEDERAL WAY WA 98023-2111
FIFE WA 98424
463016TH ST E
FIFE WA 98424
No Fixtures Associated With This. Permit Il
PERMIT EXPIRES Saturday, October 3, 2015
Permit Issued on Monday, April 6, 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:_ V —11e �J�
THIS CARD IS TO MAIN ON-SITE
Fof Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -101636 -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.
Final - Plumbing (4075)
Approved
By Date
El
Plumbing Groundwork (41")
Rough Plumbing (4230)
El
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF `
Federal Way
!' PERMIT91PPLICATION
APR 06 2015 n y
CITY OF FEDDcEPAL WAY
PERMIT NUMBER —Z 5 T�
_ yo
/ S 6 _ P'��
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
jZq'v Wyk A/
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$ 07 Vo C)
3__:?�: 1 � 'g3Y�
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
I) QAJ� tf.�:j
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
'Ale
E-MAIL
CITY
$T TE
`/�1 J�YL
I d
ZIP.
S
NAMEL
_
PHONE
i7 1�
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MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY YTATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
p /
PRIMARY PHONE
SZ - Q s — % SV/
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
E] 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 art of this application.
�
15
SIGNATURE: DATE
Q
PRINT NAME -
6%"r
Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part o this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
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 PERMIT
FOR OFFICE USE
--
/ /J
in S re Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many of each ttjpe offixture
to be installed or relocated as
part o this project. Do not include existingftxtures 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
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
--
/ /J
in S re Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
NEW BUILDINd
;
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
--
/ /J
in S re Feet
a
Stories
NEW BUILDINd
;
FIRST FLOOR (or Mobile Home)
11�77
/
ADDITION
COVERED ENTRY
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
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stories
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GARAGE ❑ CARPORT ❑
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Area Totals
EXISTING
PROPOSED
TOTAL
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in S re Feet
a
Stories
NEW BUILDINd
;
11�77
/
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Type
torie
stories
q
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TENANT AREA ONLY
,PIj AIRF ONLY
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Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application