19-104314 b
Plumbing
City of Federal Way Permit #:19-104314-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SIMON
Project Address: 29832 8TH AVE S Parcel Number: 515160 0085
Project Description: REP- Partial re-pipe like for like and new water service from meter to house.
Owner Applicant Contractor
JAN SIMON CHASE CARTERGOOD 2 GO PLUMBING GOOD 2 GO PLUMBING LLC
29832 8TH AVE S LLC GOOD22G830BP(1/17/21)
FEDERAL WAY WA 98003 21905 MOUNTAIN HWY E#4746
SPANAWAY WA 98387 21905 MOUNTAIN HWY E#4746
SPANAWAY WA 98387
USA
fsu i; `
PERMIT EXPIRES Saturday,7 March,2020
Permit Issued on Monday,September 9,2019
I hereby certify that '- above information is correct and that the construction on the above described property
and the occu = a - '- use will be in ac ordance with the laws, rules and regulations of the State of
Washin•4 d the City of Federal Way.
Owner or ag: � Date: CA-OA-11
d.
�t'�
THIS CARD IS TO REMAIN ON-SITE •
`""OF 084 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104314 00 Address: 29832 8TH AVE S
Project: JAN SIMON FEDERAL WAY WA 98003-3722
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) D Rough Plumbing(4230) ® Final-Plumbing(4075)
Approved to cover Approved Approved
,B/ii Date 9 3/jp :.By`/a, Date l3 ; ;.By C Date (07:77/9'
#0 Rough Electrical 0 Final Electrical 0Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
,,,,,,,_4..,CITY OF
SEP 0 9 2019 PERMIT APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
COMMUNITY DEVELOPMEP(I
PERMIT NUMBER \ 9 1 o / 3 t Y _ P Wl a- - TARGET DATE /
SITE ADDRESS SUITE/UNIT#
-°1 $-5a- i Avt. s st-aerm . °18003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PAR #
$
TYPE OF PERMIT 0 BUILDING PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION •
?W."M ,/�1" •I �L -co{ 4✓� a
Detailed description of work to Y\ -) WArVr 5 erut(1 .-r oriel IMt.P.er HeiSQ__
be included on this permit only
�/�/���/� PRIMARY PHONE QQ�
NAME) C 1\` `V\ 1 76?-33g- 8 O !per
PROPERTY OWNER MAILING ADDRESS J E-MAIL
D• 61 83D.. S Av s SxA c0 ua,�A mot. .C0'W)
CITY �� •, S`T_A+Tty ZIP
_ ....._ NAM 4 \ N Q� ~ R (i g 003
�ooa co c)1orvobi Li-C PHONE s s�L-?tk3o _
MAILING ADD S MAIL
LOCI $ CZ 6 •-- 5'f- t- COa co ? ' i
R
INA-C
CONTRACTOR /�T
CI it� Pt ZIP ii 38'1 FAR
PZ WA STA E CONTRACTOR'S W S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
�J c=►41 2jZ 63 .3() 6/�P/� i /11 •P r J 1 -i o o i5a
N` � V�5 ClfJ�l feA2 PRIMARY
aSPHONE ''6Q")a
APPLICANT MAILING ADDRESS E-MAIL
23 zg(1 CITY STATE ZIP FAX
♦- PR
NAM Fy� PRIMARY PHONE
PROJECT CONTACT 1/V•• e- /I` ela. �S3- 6cri-100a-. ..
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
. . .. NAME .. . -
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 cl• ), which may be made by any person,including the undersigned, and filed against the city,
but only where such •i . arises of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplie• 'o e c' . •- a part of thilip cation.
SIGNATURE DATE 44- ocl-- I 1
PRINT NAME: A/. _' 4. ,.
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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 Sinks) TOILETS X WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS • OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
a HOSE BIBBS SUMPS 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
•
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
E� Tom.
FIRST FLOOR(or Mobile Home)
���=r:,r" <�_'"�rw >...�,,. .,,.,,..���,,.<,:�v.�.>�>,,��x '�.<,�.r. `k a• -.`:"r�'.-�°,tz: �����u`..�. ..___.............__..........._.__........_.__.........—_—__—.—
COVERED ENTRY
..�.x-,r, yr•. e4 - :;. .�w,�` ,rr �e+'.,,
GARAGE ❑ CARPORT ❑
'q 2'f `�1+.;'F ,'fj o.`'. '., _.%. .,t ^;'t.� < f. ,{ '"f^i ..vstfidF,�r`3`�,'',/` / .�. 9/,`0*,
EXISTING PROPOSED TOTAL
Area Totals
{ s ** HOMES NEY** 7 .i:Mi ;re
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
a u �iJILDING 1 r •
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetTyge Stories
TO4Lir '• ' '"<' 14 * #
TENANT AREA ONLY
POr
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application