22-102578r-
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HARBORSTONE CREDIT UNION
Project Address: 1900 S COMMONS
Project Description: Relocate utility sink and add break room sink.
Plumbing
Permit #:22-102578-00-PL
Inspection Request Line: (253) 835-3050
Parcel Number: 762240 0010
Owner
Applicant
Contractor
MGP XI COMMONS FW LLC
PORT ORCHARD PLUMBING & HTG INC
PORT ORCHARD PLUMBING & HTG INC
425 CALIFORNIA ST
(PLUMBING)
(PLUMBING)
SAN FRANCISCO CA 94104
5712 SE BETHEL RD
PORTOOP794MK (11/24/23)
PORT ORCHARD WA 98367
5712 SE BETHEL RD
PORT ORCHARD WA 98367
Plumbing Fixtures
Sinks 2
PERMIT EXPIRES Saturday, 3 December, 2022
Permit Issued on Monday, June 6, 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 agen ❑ats - (.Q OZ-Z
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 102578 00 Address: 1900 S COMMONS Unit A
Project: MGP XI COMMONS FW LLC 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) 0 Rough Plumbing (4230) Q Final - I'Euntbing (4075)
Approved to cover Approved rCl�fSN� 0I`O Approv ed
By Date By AAJ Date �f /Old, By �, 4 p Date 7 . a
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
PERMIT APPLICATION
CITY OF JUN 0 6 2022
PERMIT CENTER + 33325 8� Avenue South +Federal Way, WA 98003-6325
Federal 11Vay
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
LA I Y OF FEDERAL WAY
' )MPAUMTY DEVELOPMENT
PERMIT NUMBER _ -L n 5— g - _e L
SITE ADDRESS
Igod S C
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)
ZONING
ASSESSOR'S TAX/PARCEL #
TARGET DATE
(�����
gggW3 SUITE/UNIT #
kL ►,vW WA A.- 7
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
1 ^r SkTy-- I7r /Q'i g i wD k— &r,--( i
NAME (0 � � � � �
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
DD
PHONE
KMLING ADDRESS A5-L Q SE -d-J a0
E
rrmp
STATE
lAh
ZIP O�l
FAX- l
570
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
MAILING ADDRESS
CITY STATE
NAME �
ZIP
E-MAIL
FAX
PRIMARY PfIONE
MAILING ADDRESS
sc #� �av
F--'
qA
1
CITY STATE
Six '-L)-,A
NAME
ZIP
3(v'l
FAX
tya
❑ 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 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.
1�
SIGNATURE:
PRINT NAMEL N
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how m= of each
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
PLUMBING PERMIT
Indicate how of each t I
BATHTUBS (or Tub/shower combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
to be installed or relocated as part of thisprOjest. Do not include w sti
FANS
GAS PIPE OUTLETS
FIREPLACE INSERTS
HOODS (commercial)
FURNACES
HOT WATER TANKS (Gas)
GAS LOG SETS
REFRIGERATION SYST
GAS PIPING
WOODSTOVES
q futures to remain.
OTHER (Describe)
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
VALUE OFPLUMBING WORK
$ 51 21)0D
fftxture to be installed or relocated as part D this prgiect, Do not include exfsling f2iLures to remain.
LAVS (Hand Sinks) TOILETS WATER PIPING
RAINWATER SYSTEMS URINALS OTHER (Describe)
SHOWERS VACUUM BREAKERS
SINKS (Kimhon/Utiity) WATER HEATERS (Electric)
SUMPS WASHING MACHINES
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s)
Construction # of Additional Information
Stories
Square Feet
a
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s)
Construction # of Additional Information
Type Stories
S uare Feet
TOTM. BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application