12-104596• Pluntbing
City of Federal Way n
Community &Econ. Dev. Services Permit #: 12 -104596 -00 -PL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: MEHEULA
Project Address: 124 SW 313TH ST Parcel Number: 555780 0110
Project Description: Install (1) shower to existing 1/2 bath
Owner
Ag lire cant
Contractor
LYNDA MEHEULA
SUNRISE PLUMBING LLC
SUNRISE PLUMBING LLC
LEE K MEHEULA
1415 22ND ST NW
SUNRIPL924M8 (7/28/14)
124 SW 313TH ST
AUBURN WA 98001
1415 22ND ST NW
FEDERAL WAY WA 98023
AUBURN WA 98001
Plumbing Fixtures
Showers. ......................................... 1
PERMIT EXPIRES Sunday, April 7, 2013
Permit Issued on Tuesday, October 9, 2012
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
jand the City of Federal Way.
Owner or agent: Date:
441Zd l
4
CITY of
Federal Way
PERMIT #:
Project:
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
12 -104596 -00 -PL Address: 124 SW 313TH ST
LYNDA MEHEULA FEDERAL WAY, WA 98023-4628
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)
E] Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By Date /,0
By Date
By Date
Final - Plumbing (4075)
Approved
;_�� Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
PERMIT
Federal VRECEIVED
COMMUNITY
JllA.'Lt'. fD(EVE_LLf%OP.P)YM]llE:!NQTIl'SERVICES
607•FAX253-835-2t
APPLICATION
0A 2012
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MF CO ME PL DE EN FP
SITE ADDRESS CDS
SUITE/UNIT M
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL N
$ r*0040-0
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TYPE OF PERMIT
❑ BUILDING ['PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
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MA
be included on this permit only
PROPERTY OWNER
NAME ■� ,( //
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PRIMARY PHONE
MAILING ADDRESS
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NAME
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PHONE
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CONTRACTOR
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STATE
ZIP
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FAX L
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WA STATE CONTRACTOR'S LICENSE M
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EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE S
NAME
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PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACTNAME
(The individual to receive and
respond to all correspondence
concerning this application)
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PHONE
2Y747-4f—rag
MAILING ADDRES
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ALTERNATE CONTACT NAME: PHONE
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E-MAIL
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.
Of
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SIGNATURE: DATE /2—
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PRINT NAME: Q S v
PRINT
Bulletin #100 — January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
61
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y
VALUE OFMECHAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial(
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fbaures 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 (Kitchin/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
d� r
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100— January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application