16-100860City 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: YARROLL
Project Address: 31506 53RD AVE SW
Project Description: Replace water line to home.
• r Plumbing
Permit #: 16 -100860 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 321020 0360
Owner
Applicant
Contractor
J D YARROLL
J D YARROLL
OWNER IS CONTRACTOR
31506 53TH SW
31506 53TH SW
FEDERAL WAY WA
FEDERAL WAY WA
98023
98023
Plumbing Fixtures
Other Plumbing Fixtures ............... 1
PERMIT EXPIRES Monday, August 15, 2016
Permit Issued on Wednesday, February 17, 2016
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:
F`�A�F4
Vii.
CITY of
40
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
16 -100860 -00 -PL Address: 31506 53RD AVE SW
J D YARROLL FEDERAL WAY, WA 98023-2012
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 ek¢ Date I L
Rough Electrical
Plumbing Groundwork (4190)
E]
Rough Plumbing (4230)
Approved
Gas Piping (4125)
Approved to cover
Approved
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By ek¢ Date I L
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
REVIVED
CITY OFA PERMIT SPPLICATION
Federal Way FEB 17 2016
CITY///'OF FEDERALLL WAY
CDS
PERMIT NUMBER _Z L & '/ _
/ V
TARGET DATE C `
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING LUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
a �r V
vV
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NA -7
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CI7
7-<2 ate �� ( Lv A c
STATE
4fj 4
ZIP
NAME
PHONE
MAILING AdDAESS
E-MAIL
CONTRACTOR
CITY
STATE
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
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW ]9.27.095)
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 a part of this application. 7
SIGNATURE: DATE /
PRINT NAME:
Bulletin #100 —January 4, 2016 Page 1 of 3 k:AHandouts\Permit Application
•
VA
MECHANICAL PERMIT LVE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res 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
BASEMENT
NEW B DING
EXISTING/ PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existingfixtures to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER
.j(Descibe)
DRAINS
SHOWERS
VACUUM BREAKERS
�./
DRINKING FOUNTAINS
SINKS (Kitchen/Unity)
WATER HEATERS (El—mc)
1`—
HOSE BIBBS
SUMPS
WASHING MACHINES
TOT FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
BASEMENT
NEW B DING
EXISTING/ PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes -4 No
❑ Yes 19 -
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
NEW B DING
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
PROJECT AREA ONLY
Area Totals
EXISTING
PROPOSED
TOTAL
_ __............_.._.-
....... .._ ----- — -
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE
I # OF BEDROOMS
COMMERCIAL — N /ADDITION
AREA DESCRIPTIO
Area In
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW B DING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
S uare Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 -January 4, 2016 Page 2 of 3 k:\Handouts\Permit Application