11-100020 • S x
' • • Plumbing
City of Federal Way
Community Development Services Permit #: 11 -100020-00-P L
P 0 Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax (253)835-2609 p Q
Project Name: HAAS
Project Address: 1906 SW 318TH PL Unit 17A Parcel Number: 856110 0720
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
KAREN HAAS KAREN HAAS KAREN HAAS
1906 SW 318TH PL UNIT A 1906 SW 318TH PL UNIT A 1906 SW 318TH PL UNIT A
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
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Water Heaters 1
PERMIT EXPIRES Monday, July 4, 2011
Permit Issued on Wednesday, January 5, 2011
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: 4 Date: 110120 /
(iiNc,Lto I 0/I(
THIS CARD IS TO REAW�N ON-SITE
CITY
of Construction InspeLnon Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-100020-00-PL Address: 1906 SW 318TH PL Unit 17A
Project: KAREN HAAS FEDERAL WAY, WA 98023-5157
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) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075) '
Approved
By L4.st, ,) Date t` tv_t t
-El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I L - l 0 0 020
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/
FPERMIT mg& EN
Federal Way * ct
FP
row,
A/TY EVEL7. EN SERVICES APPLICATION
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JAN 0 5 Z(Jil Zgog
SITE ADDRESS C r ESSCITY OF FED: ' t /uWAY
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ F" .s9 ( / 0 - 0F' ZO
TYPE OF PERMIT 0 BUILDING X PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) a 4 4 ,
PROJECT DESCRIPTION reea Ke ��4`�r e"�' cr
Detailed description of work to
be included on this permit only
NAME 62 rein l c a PRIMARY PHONE
PROPERTY OWNER 1; 0(.0-24 D -2_)07
MAILING
DC) / Si10 313171-1 // - 19 E-MAILcas 6 u. 14.x411)1/10/).• .
STA u aj(
4deral tipeig023
NAME PHONE
J
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE► EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE is
I
PHONE
0 rr r) Haas c:;210-240-7o-2'-i-0- 2)57
APPLICANT D SS
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red Prig I t�Q o' r-{ r � Z wj' 23 ►FAX J lit
PROJECT CONTACTPHONE
(The individual to receive and rA re in H "2-40-2)6-)
respond to all correspondence MAILING rr�^ SS 11
concerning this application) �I-� -1 F�DJ�) & I�� .E-MAIL
ci. /101.ed/A
STAI`J C CleYa( ' GV I T Z4g°Z- FAX J
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 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 a part of this application.
SIGNATURE: / /I ere& DATE / /51311 )
�
PRINT NAME: 22're v) )--tares
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
40 •
VALUE OF MECHANICAL 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(commermal)
BOILERS FURNACES HOT WATER TANKS(Gas) - --__-
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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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.
BATHTUBS(or Tub/shower Combo) LAVS(Hand Salim) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(IGtchen/utibty) I WATER HEATERS(Electric)
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EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑Yes 0 No
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Area Totals
ESTIMATED SELLING PRICE$ 1 #OF BEDROOMS
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Group(s) ERNI St les Additional Information
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Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application