13-1005504
t i
City of Federal Way
Community & Eoon. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
_ , '0' It r
_ Permit #: 13-100550-00-EL
Inspection Request Line: (253) 835-3050
Project Name: LAKE BY THE GREEN ADULT FAMILY HOME
Project Address: 2927 SW 323RD ST
Parcel Number: 8731901220
Project Description: Install low voltage wiring to hardwire smoke detector throughout home
Owner
A lr�r� icant
Contractor
STEVEN PAUL LEE
STEVEN PAUL LEE
OWNER IS CONTRACTOR
LAKE BY THE GREEN ADULT FAMILY
LAKE BY THE GREEN ADULT FAMILY
HOME
HOME
2927 S 323RD ST
2927 S 323RD ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
-Additional Permit-Inionnation
Is this an Online or O.T.C. application?.................Yes
Electrical Fludures
Low Voltage - Other (Residential). 1
I hereby certify that the
the occupancy and the
Owner or agent:
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Sunday, August 4, 2013
Permit Issued on Tuesday, February 5, 2013
mation is correct and that the construction on the above described properly and
in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. /
Date:
�- -kJ1%-N 0 () /')
z/1 It/13
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
Indicate how many of each type of fixture
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
LAVS )Hand sinks)
DISHWASHERS
RAINWATER SYSTEMS
DRAINS
SHOWERS
DRINKING FOUNTAINS
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
)m( OTHER. (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commercial)
EGECOU-404C
BOILERS
FURNACES
HOT WATER TANKS )Gas)
"L4.) VOt-7 4
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
4V&AK
DUCTING
GAS PIPING
WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
Indicate how many of each type of fixture
to be installed or reloc
BATHTUBS (or7ub/shower Combo)
LAVS )Hand sinks)
DISHWASHERS
RAINWATER SYSTEMS
DRAINS
SHOWERS
DRINKING FOUNTAINS
SINKS (Kitchen/ Utility)
HOSE BIBBS
SUMPS
VALUE OF PLUMBING WORK
Is part of this project. Do not include existing fixtures to remain.
TOILETS WATER PIPING
URINALS OTHER (Describe)
VACUUM BREAKERS
WATER HEATERS (Electric)
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 —January 1, 2013 Page 2 of 3 k:Wandouts\Pennit Application
CITY of
Federal Way
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -100550 -00 -EL
Project: STEVEN PAUL LEE
Address: 2927 SW 323RD ST
FEDERAL WAY, WA 98023-2523
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
LIFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
13
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
13
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By (%)A,,� Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CRY or V&
Federal Way
R*EIVED
FEB 0 5 2013
CITY OF FEDERAL WAY
CDS
PERMIT APPLICATION
PERMIT NUMBER `5—O _ n
- / �//�� L 0-/ -L Q TARGET DATE qtz f g
BITE ADDRESS
SUITEMNIT it
W r 91 WA
PROJECT VALUATION
ZONING
A88ES80R'8 TAR/PARCEL M
Al
95 �
�'- 2 3
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING V MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
TAGS W
Detailed description of u ork to
CoNtiEcrrAto $ M m PeTEengs
be included on this permit only
NAME
PRIMARY PRONE
PROPERTY OWNER
Alt; P,4
-2513 -7 09
MAILING ADDRESS
SW 323.57 -
&MAIL
CITY
FEl �K Gua y
STATE
ZIP
yoaa2u
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
aZS3-7 '%
MAILING ADDRESS
APPLICANT
&MAIL
CITY
STATE
GuA
ZIP
AX
F/ 14
PROJECT CONTACT
NAME
PRIMARY PHONE
MAILING ADDRESS
I
EMAIL
//
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
�Ayl,
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAIIdAO ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorised 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.
l 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 cla es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to he ct a part of this application.
/
SIGNATURE: DATE I'
PRINT NAME•
Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application