02-100692 Services
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City of Ftderal Way . Plumbing Permit #:02 - 100692 - 00 - PL
Community Development
33530 Ist_Way S_ __ _____ , -__,_i_— __ _
Ph:253.661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: PUGET SOUND PLASTIC SURGERY
Project Address: 918 S 348TH Suite2 Parcel Number: 114040 0010
Project Description: PLUMB-Install plumbing work for new tenant.
Owner
Applicant Contractor
MONA C/LAURENCE A LUX ENVIROMECH
909 S 336TH ST ENVIROMECH
ENVIROMECH
KIRKLAND WA 98083
4735 EAST MARGINAL WAY S
BLDG 1202,SPACE B-2 ENVIROMECH
4735 EAST MARGINAL WAY S
(206)762-1960
CO ED y
Plumbing Fixtures
Description : 4:-;431'-1.11L*. tw: ' ' kerafo: ,,z,,,' "Miitify Q7.00,00(14.,;,,: ':"':-1Ciliai*
1 Other Plumbing Fixtures I 1 I Drains I I Fnks—
Water I:I-eaters --1----, 7 Water Closets 2
/
PERMIT EXPIRES August 13,2002,IF NO WORK IS STARTED.
Permit issued on February 14,2002/
I hereby certify that the above information is correct and that the construction onfire43ove described property and
the occupancy and tii-::use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. ---.
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--
Owner or agent: _.. ..,-- Date:
.7-..
CuRpbe 041), 1/b102- s*
VotAs i-tN e 14.,..4.)4,5 0 ie... 4 —3
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City of Federal Way Community Development Services Plumbing Permit #:02 - 100692
33530 1st Way S
Federal way,.WA-9E003 6710
Ph:253.661.4000 Fax:253.661.4129 Inspection request Line: 253.8.
Project Name: PUGET SOUND PLASTIC SURGERY
Project Address: 918 S 348TH Suite2 Parcel Number: 114040 0010
Project Description: PLUMB-Install plumbing work for new tenant.
Owner Applicant Contractor
MONA C/LAURENCE A LUX ENVIROMECH ENVIROMECH
909 S 336TH ST 4735 EAST MARGINAL WAY S 4735 EAST MARGINAL WAY S
KIRKLAND WA 98083 SEATTLE WA 98134 SEATTLE WA 98134
(206)762-1960
Plumbing Fixtures
s.:; asVe 1140uantt � pes pt ,,, , rin!'""' + '„.. 0 eS�'CIiPt10 " � 1a
E..o
Other Plumbing Fixtures I 1 Drains I l Sinks 10
Water Heaters I 1 Water Closets I 2
PERMIT EXPIRES August 13,2002,IF NO WORK IS STARTED.
Permit issued on February 14,2002
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: J�JC�':�12 _ Date: .2— I 44-
vv\ a. Wyk . 1� ! 4.4 w,(hh , o /4 Z - -i.i- oz. cc�
aTvoc G RmakElVED CONSTRUL I J ON PERMIT APPLICATION
IEJo �
r•- APPLICATION NUMBER: O Z - LQ Q4,q_ 40• f
_- -----FEB 1-3-Ma
IAPP CA�ipN NUMBER: -
—
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CITY OF FEDERAL WAY APPLICATION NUMBER: - -
**The folgi4d informatiod—Please print(tn ink)or type** •
Please note: Electrical,Fire Prevention S stems and Engineering permits may require a separate application.
- W PROPERTY INFORMATION
SITE ADDRESS: �`g• S. 34g .S7: —521/7E 2 ASSESSOR'S TAX/PARCEL#: 1 j 4 .0 4 0 - O Q L L
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. '! PRO]ECT INFORMATION -
TYPE OF PROJECT(This application): 0 BUILDING IZIPLUMBING 0 MECHANICAL 0 DEMOLITION
❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): �i<.eA/ISAI r..LST7p.L/(, 2 AjiEQ C:LOSETs
/
2. 2 9 v s,/.v.(Cs/ 8 C°e u Ai 7 ' 73,a ti�xs, / .8.9c..e-•�o fryJRE ILEA/7�
/ 'Leo e O. _n_ai / / So 6ei4, G.gc �r rc 9 7 i/_
PROJECT NAME: -agar j r♦ Tie. 7.04.
• !1 PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
M.o-tl o- c- I L/-Li rt-c-co— L.v>C ( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 1
CONTRACTOR: NAME: DAYTIME PHONE: 1
Gi-itiiROMEc.6/ (Z06 )761 - /96o
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 4:12,606 6. /24.Z. EVENING PHONE: I
4'13 5 E.. /149 e6//11091- 144Q y S. SPAc,E 8-x (.to6 ) 76 Z - in 0
CITY Of FEDERAL WAY BUSINESSIJCENSE NUMBER: FAX NUMBER:
SE,arrc.E 1i4 . or - - (4 ) 71 Z - /f34
CONTRACTOR'S REGISTRATION NUM h S•. P.1 M p4►� EXPIRATION DATE:
(copy of card required) FOAM, zfl 11ez 400 V .ei"e-.60-0)_ / /
APPLICANT: NAME: DAYTIME PHONE:
/tlE,L g. .5?.4 LA-Ai ( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT OTHER(DESCRIBE): ei"N raIL ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT ,'CONTRACTOR
X DETAILED BUILDING INFORMATION
EXISTING SE: EXISTING BUILDING ASSESSED/APPRAISED V, •N $
PROPOSED USE: P• . • e SED VAL 6 •TION FOR IM. •OVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ = FIRE SUPPR»- I SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: LAKE EN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION( k*
NUMBER OF BEDROOMS: ESTI "ED SELLING PRICE: $
•
■ PRO3ECT FLOOR AREAS
FLOOR • EXISTING SQ.FT. • PROPOSED SQ.FT. TOTAL _
BASEMENT . .
•
FIRST •
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
4101:11°
• BATHTUB(S) LAVATORY(S) URINAL(S) o60c WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC I'GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) /D SINK(S) 2. WATER CLOSET(S) � MISC.( '-' P EEu'FiI7WR
INTERCEPTORS) SUMP(S) I Pi oak D.P�/Iv
- • DISCLAIMER/SIGNATURE BLOCK .
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I i
further agree to hold harmless the(Sty of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the I
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the clty,induding its officers and employees,upon the accuracy
of the information supplied to the clty as a part of this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
FOR OFFICE USE ONLY ;1
v 0'TEl1ANTi#MPR0VEMENT
�_a�NEVU,_ _ .... AOO�TION .' ❑ ALTERATION
FCENSUS CODE LOT`SIZ .
t i..
ONING DES 3 ATION: BUILDING S"t`IE,L .ONLY? ❑ b.NO
M F
COt4P P DESIGNATION BASIC PLAN? ❑ YES ❑NO
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SEC ION. , TOWNSHIP. RANGE,. NEW ADDRESS REQUY O? ❑.YES NO
PATTED LOT? = ❑ YES ❑ NO CHANGE OF USE?. ❑YES ❑ NO .
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.dtvofrederalway.com