22-104808City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WELLSPRING PHYSICAL THERAPY
Project Address: 33650 6TH AVE S
Project Description: Add sink and washing machine.
Plumbing
Permit #:22-104808-00-PL
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0210
Owner
Applicant
Contractor
RIDGWOOD CENTER C/O CALISTA REAL
KEVIN SAASENRADIANT PLUMBING &
RADIANT PLUMBING & HEATING INC
ESTATE LLC
HEATING
(PLUMBING)
PO BOX 240329
4516 S 8TH ST
RADIAPH79INR (8/17/23)
ANCHORAGE AK 99524
TACOMA WA 98405
4516 S 8TH ST
TACOMA WA 98405
Plumbing Fixtures
Laundry Washer Outlets 1 Sinks
1
PERMIT EXPIRES Sunday, 23 April, 2023
Permit Issued on Tuesday, October 25, 2022
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: Nil Date:
■l��
�' Aa 1
i
r
THIS CARD IS TO REMAIN ON -SITE
CITY or- THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 104808 00 Address: 33650 6TH AVE S Unit 114
Project: RIDGWOOD CENTER c/o CALISTA FEDERAL WAY WA 98003
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) El Rough Plumbing (4230) Q Final - Plumbing (4075)
Approved to cover Approved Approved
By Date By Date By Ace' Date 1 Z1/51,,4
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CSTY OF _ PERMdTi PLI CATION
- PERMIT CENTER + 33325 Bch Avenue South + Federal Way, WA 98003-6325
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_ CITY OF FEDERAL WAY
PERMIT NUMBER _ COMMUNITY DEVELOPMENT
TARGET DATE
SITE ADDRESS SUITE/UNIT M
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 4
'17,1000 9 z, y F c) - a z i c
TYPE OF PERMIT ❑ BUILDING Ir PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to /�d�sjr,f' c�srp/ f [�✓rf� c,�
be included on this permit only
NAME
/mew Cyr -le,- c/, G, /,S/,, /e
PRIMARY PHONE
PROPERTY OWNER
KAILIWQ ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
-6 723
MAILING ADDRESS
E-MAIL
CONTRACTOR
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CITY
STATE
ZIP
FAX
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
UBI M
Q1r4 F 7 Or I ` =
( 03-3.2 /-a c1 j
I NAME /
S�GISG�,�I
PRIMARY PHONE
/�Yrr
ZS3-sy8'��,Z3
MAILING ADDRF.98
4
E-MAIL
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APPLICANT i
CITY STATE ZIP
FAX
^-C D/r10. w�I p8yos
-
'
PROJECT CONTACT
NAME
PRIMARY PHONE
Zs3--f�/8 -/.7Z 3 ]
(The individual to receive and
MAILING ADDRESS
�S
F-MAIL
respond to all correspondence
5T(5 s
r r5 asys e-I B? fwTm'L r I G oH,
concerning this application)
CITY STATE ZIP
FAX j
TCa-.1a lrl� pBYor
PROJECT FINANCING
NAME
B OWNER -FINANCED
When value is $5,000 or more
(RCIV 19-27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner Dr authorized agent of the property owner. Y 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 c(aim), which may be made by any person, including the undersigned, and flied agairust the city,
but only where such claim arises alit of the reliance of the city, including its offccers and employees, upon the accuracy of the
information supplied to the city as a part of this application,
SIGNATURE: DATE %41r10 2 Z
PRINT NAME: �J evr�l Sa4Se�
Bulletin =100 - February- 19. 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how ma4,y of each type o fixture to be installed or relocated as part of this project. Do not include existingfLxtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS Icomm iail
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
Indicate how many of each type
BATHTUBS (oc Tub/Sh.wer comb.)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
Mixture to be installed or relocated as
LAVS (Hand Sinks) —
RAINWATER SYSTEMS
SHOWERS _
SINKS (ximhen/Uv y) —
SUMPS
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Eieo:.-io)
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
I
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
I
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ii CARPORT _
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
"NEW ao=s oxLY*
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NENVADDITION
AREA DESCRIPTION
Area in
Square FeetTvpe
Occupancy Groups)
Construction
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square FeetType
Occupancy Groups)
Construction
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin =100 - February 19. 2020 Pae 2 of 2
ogk:\Handouts\Permit Application