18-104169City of Federal Way
Applicant
Contractor
Community Development Dept.
BRYON ICKESD C I PLUMBING INC
D C I PLUMBING INC
33325 Sth Ave S
22202 SE 304TH ST
DCIPLPI958NR (8/19/19)
Federal Way, WA 98003
BLACK DIAMOND WA 98010
22202 SE 304TH ST
Ph: (253) 8352607 Fax (253) 8352609
BLACK DIAMOND WA 98010
Project Name: BURBIDGE
Project Address: 2824 SW 300TH PL
Plumbing
Permit #:18 -104169 -00 -PL
Inspection Request Line: (253) 835-3050
Project Description: Plumbing work to include bar sink, kitchen sink and ice maker.
Parcel Number: 416660 0145
Owner
Applicant
Contractor
JAMES D BURBIDGE
BRYON ICKESD C I PLUMBING INC
D C I PLUMBING INC
2824 SW 300TH PL
22202 SE 304TH ST
DCIPLPI958NR (8/19/19)
FEDERAL WAY WA 98023
BLACK DIAMOND WA 98010
22202 SE 304TH ST
BLACK DIAMOND WA 98010
Other Plumbing Fixtures 1 Sinks 2
PERMIT EXPIRES Wednesday, 6 March, 2019
Permit Issued on Friday, September 7, 2018
I hereby certify that the above informa . i orrect and that the construction on the above described property
and the occupanc nd the us II In accordance with the laws, rules and regulations of the State of
hington and the City of Federal Way. /1
Owner or ag ntl:r Date:
THIS CARD IS TO REMAIN ON-SITE
"r"°r Construction Inspection Record
F hil way INSPECTION REQUESTS: (253) 835-3050
PERNM #: 1810416900 Address: 2824 SW 300TH PL
Project: JAMES D BURBIDGE FEDERAL WAY WA 98023-2325
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)
0
Rough Plumbing (4230)
El
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date — 1 py
By
Date .. jr -15
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
41k
CITY OF
Federal Way
PERMIT NUMBER 12 _
RECEIVED
SEP 0 7 20%
PERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterc)cityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
I () 4 1 (0 q
- f — TARGET DATE N
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
$
300"'D
ZONING
ASSESSOR'S TAS/PARCEL #
(v& 0 - O
[ 1 --- - -
TYPE OF PERMIT
❑ BUILDING Qi$UMBING ❑ MECHANICAL ❑ DEMOLITION []ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
' r14,v. - 1
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
C •�
MAILING ADDRESS
E-MAIL
CITY
�<«
STATE
ZIP
yYoZ3
NAME f
PHONE
si e- CAL r r
MAILING ADDRESS
E-MAIL
CONTRACTOR
'o
CITY
'
STATE
WC,.
ZIP
So
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
aa3��
NAME
L 1.1
PRIMARY PHO�NENE
Zo i
MAILING ADDRESS
E-MAIL
APPLICANT•
n I C �I
-2 J `
CITY
V -
STATE
ZI
FAX
PROJECT CONTACT
NAME
vol E
PRIMARY PHONE c
S- (0 7 L. /
MAILING ADDRESS
• 3 • l7
E-MAIL
l .- I #Ie b I
(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
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
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 lWa as to any claim (including costs, expenses, and attorneys'fees incurred in
Fedeie
the investigation and defense of such tial h e made by any person, including the undersigned, andfiled against the city,
but only where such cl arises ou thel of the city, including its officers and employees, upon the accuracy of the
information supplied t city as part t application.
SIGNATURE DATE
PRINT N��5
Bulletin #100 – January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR -
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
# of
—--- .................. . _... _— _... ....... _..... _—..__._......._.._.....--- --
AREA DESCRIPTION
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
$
Indicate how many of each type offixture
to be installed or relocated as .6
art 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
# of
—--- .................. . _... _— _... ....... _..... _—..__._......._.._.....--- --
AREA DESCRIPTION
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS (or Tub/showercombo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
rLC E A14yj- y -
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
# of
—--- .................. . _... _— _... ....... _..... _—..__._......._.._.....--- --
AREA DESCRIPTION
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
WWI
Square Feet
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED
TOTAL
FOR OFFICE USE
r
i3A9EMISE
# of
—--- .................. . _... _— _... ....... _..... _—..__._......._.._.....--- --
AREA DESCRIPTION
Occupancy Group(s)
FIRST FLOOR (or Mobile Home)
Additional Information
WWI
Square Feet
-..— —.... .............................. _.......................... .... _....... _........ _......... _...........................................................
a
ybMn >;6.
COVERED ENTRY
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ku F s rt , �' .;,7 A .,S✓'+ r ""''/ ,..
f
_ _....... .._---.__..................... ............................... _........... _...... __............. _..._._....... .............
GARAGE ❑ CARPORT ❑
'J?.� 4�:a, ' 1'A•°3+'`F
l
Asde$i�Yif
*
J
.......... __.__�_—
....__.................................. _........... _------ — -------
K w Gl
Area Totals EXISTING PROPOSED
TOTAL,
Law
AREA DESCRIPTION
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL —NEW/ADDITION
Area in
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
Square Feet
a
Stories
�}''
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area in
Construction # of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
S uare Feet
ZrpeS�t�ories
".+*'* ;, `
,1,
ON
'/+�/
TENANT AREA ONLY
OJECT
f
i
WIN
j
'f+r'`�f:£
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Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application