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22-100915City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: LAKEHAVEN PUMP STATION Plumbing Permit #:22-100915-00-PL Inspection Request Line: (253) 835-3050 Project Address: 200 S 359TH ST Parcel Number: 292104 9157 Project Description: Installation of (1) toilet, (1) lav, (1) HWT and (2) floor drains. Owner Applicant Contractor LAKEHAVEN WATER & SEWER DISTRICT KENNEDY WILLIAMSHERMANSON HERMANSON COMPANY LLP 31627 1ST AVE S COMPANY (PLUMBING) FEDERAL WAY WA 98003 1221 2ND AVE N HERMACL9/10/23) KENT WA 98032 12212 AVE N K E Ti 98032 PiliIkkl)kll "kxt L'5' kv� Drains 2 Lavatories 1 Wat Clc s s i Water Heaters 1 PERMIT Ex IRES Sates ay, 3 Septemb 22 Permit Iss d�nAnday, Mar , 20 2 I hereby certify that the above information is correct and that the cos uction on the above described property and the occupancy and Ike use will be in accordance with Alaws, rules and regulations of the State of on and the Cit eral Way, 4 J Owner or agent: NO! , s Date: NIA V <V AN� THIS CARD IS TO REMAIN ON -SITE C$TY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 22 100915 00 Address: 200 S 359TH ST Project: LAKEHAVEN WATER & SEWER D] 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) 2❑ Rough Plumbing (4230) 3❑ Final - Plumbing (4075) P A Approved to cover rw , Approved Approved By Date 1. By Date By Date ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ritUtIVED FEB 2 8 2022 CITY OF ,�� CfTY OF FEDERAL WAY Federal Way COMMUNITY DEVELOPMENT PERMIT APPLICATION PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com PERMIT NUMBER Rdlfl _ 2[d21E2[0 _ VIP TARGET DATE SITE ADDRESS /� 4 V� / 54 SUITE/UNIT # PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 24,000.00 M ® LIE] ® ® ®_ ® ® ® M TYPE OF PERMIT ❑ BUILDING IN PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 11-21-20590 Lakehaven Pump Station Installation of (1) toilet, (1) hand sink, (1) instantaneous water heater, and (2) floor drains. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE Lakehaven Water and Sewer District 253-946-5415 PROPERTY OWNER MAILING ADDRESS E-MAIL 31627 1 st Ave S CITY STATE ZIP Federal Way WA 98032 NAME PHONE Hermanson Company 206-638-6961 MAILING ADDRESS E-MAIL 1221 2nd Ave n kwilliams@hermanson.com CONTRACTOR CITY STATE ZIP FAX Kent WA 98032 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UBI # HERMACL792NW 9 10 23 602-004-844 NAME PRIMARY PHONE Kennedy Williams 2066386961 APPLICANT MAILING ADDRESS 1221 2nd Ave N E-MAIL kwilliams@hermanson.com CITY STATE ZIP FAX Kent WA 98032 NAME PRIMARY PHONE PROJECT CONTACT Kennedy Williams 206-638-6961 MAILING ADDRESS 1221 2nd Ave N E-MAIL kwilliams@hermanson.com (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) Kent I WA 98032 PROJECT FINANCING NAME Kennedy Williams ❑ OWNER -FINANCED When value is $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) 1221 2nd AVe N 2066386961 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 apart of this application. -u�cayw�brx�r� SIGNATURE: Kennedy Williams"`��4VQou=oa,anma�euwAc�o�,is. oc.ne,masa,oci DATE 2/18/2022 PRINT NAME: Kennedy Williams Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each ttlp AIR HANDLING UNITS AIR CONDITIONER BOILERS COMPRESSORS DUCTING PLUMBING ' PERMIT Indicate how maRM of each typ BATHTUBS (or Tub/Shower Combo) DISHWASHERS 2 DRAINS DRINKING FOUNTAINS HOSE BIBBS `o be installed or rei FANS FIREPLACE INSERTS FURNACES GAS LOG SETS GAS PIPING GAS PIPE OUTLETS HOODS (Commercial) HOT WATER TANKS pas) REFRIGERATION SYST WOODSTOVES OTHER (Describe) VALUE OF PLUMBING WORK $ 24, 000 Pfixture to be installed or relocated as part of this protect. Do not include existina fLxtures to remain. LAVS (Nana Sinks) TOILETS RAINWATER SYSTEMS URINALS SHOWERS VACUUM BREAKERS SINKS (Kitchen/Utility) WATER HEATERS (Fiectriq SUMPS WASHING MACHINES WATER PIPING OTHER (Describe) instantaneous WH 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} Area Totals EXISTING PROPOSED TOTAL .............................•........... "NEW HOMIrS ONL.Y— ESTIMATED SELLING PRICE $ I # OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction a # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction a # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\PerTnit Application