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12-100328 Plumbing City of Federal Way Community&Econ.Dev.Services Per it #: 12-100328-00-PL 33325 8th Ave S ti / L ?ce Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: DB SQUARED Project Address: 33320 9TH AVE S Suite 200 Parcel Number: 926501 0045 Project Description: Install rough-in and trim out for(1) kitchen sink and (1)dishwasher in breakroom Owner Applicant Contractor HAZELETT FAMILY LLC III LOYAL MECHANICAL INC LOYAL MECHANICAL INC 14258 SE 270TH PL 2400 NW 80TH ST PMB 286 LOYALMI141OK(1/7/13) KENT,WA 98042-8001 SEATTLE WA 98040 2400 NW 80TH ST PMB 286 SEATTLE WA 98040 ` Ptu obi Fixture , r -r��, Dishwashers 1 Sinks 1 PERMIT EXPIRES Monday, July 23, 2012 Permit Issued on Wednesday, January 25, 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 -- Ai and the City of Federal Way. Owner or agent: • Date: �._ .(S f Z' r(t4AL•Lci) 5/Z(t Z� i- 4.4.4‘, THIS CARD IS TO REMAIN ON-SITE 0 Construction I ection Record Federal WayINSPECTION RE UE TS: (253) 835-3050 PERMIT #: 12-100328-00-PL Address: 33320 9TH AVE S Suite 200 Project: HAZELETT FAMILY LLC III FEDERAL WAY, WA 98003-6391 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) El Gas Piping(4125) Approved to cover Approved Approved to release test By Date By Date By Date Final-Plumbing(4075) Approved By i, C Date 5.:e.../Z Ll Rough Electrical Final Electrical111 Right of Way Approved Approved Approved By Date By Date By Date ±Ii -Z- CITY OF ERMIT S 1 F CO ME PL .IE EN FP Zg Federal Way O inn:35 TY 061 DEVELOPMENT ICES APPLICATION D 253-835-2-2h07-FAX 253-88;35-2609 :vxU.rcr.- JAN 26 SITE ADDRESS 0 F F$jJy�FE NNNIT# j��'//,.�� 3 3.J ZO >S-�Ave, �—z- CITYCIL+DVIs ��/ Y PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# TYPE OF PERMIT ❑ BUILDING LIPLUMBING ElMECHANICAL ❑ DEMOLITION LI ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT ' .6 (Tenant Name/Homeowner Last Name) j Lit,,......,--- PROJECT DESCRIPTION "`C L— I `1 '"`4` C'' `A- -roc- J Q-�- K lfc _ S C i/L K= Detailed description of work to j� 1 e4 b t.s k.�6-..{ _" y be included on this permit only NAME // PRIMARY PHONE PROPERTY OWNER l// J ' C-Z� �. '�.wl t/ 1. 1 C 1 MAILING ADDRESS 7 E-MAIL i lz 61 se 7,76 ti.*-- pt_ CITY I/ STATE ZIP 04_ <Me V-- '00I NAME PHONE ' MAILING AD ESS fj� J f� �� ,/.� / E-MAIL ` ONTRACTOR 2 qoo AAA) So � / /Z-S N\* O- 7(O11Qe-Ciiw t �I�/ CITY � I STATE ZIP (�Vf L FAX r.. / / — c / S- 1(�Z WA STATE CONTRACTOR'S LICENSE# 11 ('A•+14„k XPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Lot 1 t_ y/a / 7 // v -dB-Icy' y -• _.L NAME 6 jf ryxi PHONE APPLICANT MAILING ADDRESS J� E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME' PHONE (The individual to receive and 6,-,60, �' -� respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL Fr/04-14A.. 206 s/a Zgg7 PROJECT FINANCING NAMEEl OWNER-FINANCED Required value of$5,000 or more (RCW 1927095) 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. fz <ge -- �'I,� SIGNATURE>--,. 1 1v-L— DATE �`C� ©1 PRINT NAME: E 1, Jc� o v� 1 6 _ -tic. — Bulletin 0100--January 1.2011 Page 1 of 3 k:AHandouts\Permit Application S ECI1 'OTIC, L F.1XTUJ.RES 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(commereial) BOILERS FURNACES HOT WATER TANKS(Ga:) 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 fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING I DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS —� SINKS(I6tcheu/utaiy) WATER HEATERS(Eiertr) HOSE BIBBS SUMPS WASHING MACHINES G FF..It�I. 1 t)Rl'if�TTCI ' x„ 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 AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY ., F GARAGE ❑ CARPORT Il OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ # OF BEDROOMS A:4E'4�� . . .. � . . .. . <�s AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories # t2! FTILS�IRCI r- � g ADDITION O<411 tE12CI i; RFMQQpEL/TEN'N SIIPROVEM 1'I"S R , AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Tyke Stories TOTAL BUILDING TENANT Ahi:-A ONLY PROJECT AREA ONLY Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\.Permit Application