15-1009740 Numbing
Community Federal Permit #: 15-100974-00—PL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835.2807 Fax: (253) 835-2809 (� �i
Project Name: BORRELLI
Project Address: 4326 SW 307M ST Parcel Number: 112103 9059
Project Description: Connecting from septic to public sewer. Replacing all quarter turn shutoff valves.
Installing new toilets, sinks, faucets, ect...
No Fixtures Associated With This Permit It
PERMIT EXPIRES Saturday, August 29, 2015
Permit Issued on Monday, March 2, 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: /a1�J� -s--- Date:
�`NP�EO
Owner
JOE BORRELLI
BORRELLI REAL ESTATE INVESTMENT
ARILS
JOE BORRELLI
BORRELLI REAL ESTATE INVESTMENT
Contractor
OWNER IS CONTRACTOR
No Fixtures Associated With This Permit It
PERMIT EXPIRES Saturday, August 29, 2015
Permit Issued on Monday, March 2, 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: /a1�J� -s--- Date:
�`NP�EO
CITY OP O& I
Federal Way
PERMIT #:
15 -100974 -00 -PL
THIS CARD IS TO REMAIN ON-SITE
Construction Ins tion RecordINSPECTION RE UESTS: 253 835-3050
Q O
Address: 4326 SW 307TH ST
Project: JOE BORRELLI FEDERAL WAY, WA 98023-2127
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.
0
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By M Date -4 kA t b
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
' a"+
so
CITY or PERMIT PPLICATION
Federal Way
Aga$
PERMIT NUMBER15-- _ TARGET Df
AA AD (1.2
SITE ADDRESS
3 2, 4, ,� Z 7 T * 5 TY OF FED
SUITE/UNIT #
RAL WAY
PROJECT VALUATT•I�O.,N
ZONING
C S.
ASSESSOR'SASSESSOR'S TAX/PARCEL # - d ��
/_/_ -- 21 -
TYPE OF PERMIT
❑ BUILDING a,.VLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
ON
be included on this permit only
PROPERTY OWNER
NAME
`I+ G L`
PRIMARY PHONE
A r, - G 3368 Z
*NLML RE
ADDSS �Z6 30
QFC
(/�J\
STAVE _
ZIP ��
NAME
PHONE
Iw�
MAILING ADDRESS
E-MAIL
CONTRACTOR
L�
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
PROJECT CONTACT
NAME
��/ v �Y�
PRIMARY PHONE
MAILING ADDRESS
F -MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
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.
SIGNATURE: DATE
PRINT NA* E
-- I
Bulletin #100 -January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
TrA10.