23-100998City or Federal Way
Community Development DepL
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835,-2607 Fax: (253) 835-2609
Project Name: GLEN PARK APARTMENTS BUILDING 19
Project Address: 952 SW CAMPUS DR
Plumbing
Permit #:23-100998-00-PL
Inspection Request Line: (253) 835-3050
Parcel Number: 192104 9005
Project Description: Replace existing polybutylene piping with PEX in (15) units. Start point is at main at HWT;
end point is at, but does not include, each fixture.
Owner
Applicant
Contractor
PRIME WOODLEY CAMPUS DRIVE LLC
LEWIS ROSSSAGEWATER
SAGEWATER (PLUMBING)
600 MONTGOMERY ST SUITE 1700
1319 POWHATAN ST
SAGEW**79601 (8/31/23)
SAN FRANCISCO CA 94111
ALEXANDRIA VA 22314
1319 POWHATAN ST
ALEXANDRIA VA 22314
Other Plumbing Fixtures
Plumbing Fixtures
PERMIT EXPIRES Tuesday, 22 August, 2023
Permit Issued on Thursday, February 23, 2023
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
Wa hingti?n and the ity of Federal Way.
Owner or agent Date:
cffy or
Federal Way
THIS CARD IS TO REAL -IN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 335-3050
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. Fork must not be covered until it is approved. Check ur7th 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.
ELECTRICAL
❑
LFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
❑
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑ Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By
Date
MECHANICAL
Q Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final -'Mechanical (4065)
Approved Approved to release test Approved
By Date By Date B, Date
Q Plumbing Groundwork (4190)
Approved to cover
LBO• Date j
PLUMBING
❑ Rough Plumbing (4230)Fr
.^ Approved
By 1. _� Date
❑ Final - Plumbing (4075)
Approved
By Date j� I
RECEIVED
A;k PERMIT APPLICA'T'ION
CITY OF % - _ FEB 13 2023
PERMIT CENTER + 33325 80' Avenue South +Federal Way, WA 98003-6325
Federal Way
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-26p9 + permitcenter@cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ b 9L _ L
CCC��� TARGET DATE
SITE ADDRESS
PROJECT VALUATION
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
CONTRACTOR
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
When value is $5, 000 or more
(RCW 19.27.095)
y / 13
1 SUITE/UNIT #
ZONING ASSESSOR'S TAX/PARCEL-4
_LI - 49 0
❑ BUILDING & PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
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NAME PRIMARY PHONE
MAIL G ADDRESS E-MAIL
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A E ZIP
NAME
A)co�
PHONE
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MAILING P.WdREW
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51
E-MAIL
CIT
STA E
V
ZIP
121
FAX
WA CONTRACT?; LICSN' #
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0 EXPIRATION1DATE,
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NAME
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PRIMARYIJ PHONE
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MAILING ADDRESS
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E-MAIL
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ZIP
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FAX
FAX
NAME
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PRIMARY PHONE
MAILING ADDRESS
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E-MAIL
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FAX
NAME
OWNER -FINANCED
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 Crest
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 f led 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 apart of this application.
SIGNAT DATE 6/' 1,,2 _5'?
PRINT NAME:
Bulletin #100 —February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VA
MECHANICAL, PERMIT $ LUE OF MECHANICAL WORK
Indicate how many of each t e offLxture to be installed or relocated as part of this project. Do not include existin ) 2dures 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
$ 3
Indicate how ngan of each type offixture
to be installed or relocated as
Parl of this project. Do not include existingfutures to remain.
i� BATHTUBS (or Tee/sh—rCombo)
LAVS (Ha dSinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (i;icch—/Uciltcy) f WATER HEATERS (Eiecuic
�0
HOSE BIBBS
SUMPS f
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
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
EXISTING
PROPOSED
TOTAL
Area Totals f I
r
"NEW HOMES ONLY"'
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEw/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REmODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL, BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
I
T
-71
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application