08-105658City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 58063 -9718
Ph: (253) 835 -2607 Fad: (253) 835 -2609
Project Name: SIMPLY PAWS
Project Address: 35419 21ST AVE SW Suite B
Mechanikal
Permit #: 08- 105658 =00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 252103 9002
Project Description: Installation of gas piping from the rear of the building, north along the roof and to the
simply paws suite.
caner
Applicant
Contractor
ROYAL PLAZA ENTERPRISES INC
GRAHAM PLUMBING/MECHANICAL INC
GRAHAM PLUMBING/MECHANICAL INC
509 S 63RD ST
19410 HWY 99 SUITE A -11 I
GRARAPI948LO (6/20/10)
TACOMA WA
LYNNWOOD WA 98036
19410 HWY 99 SUITE A -111
98408 -6325
LYNNWOOD WA 98036
Mechanical Valuation ................. ...........................2500
Is this an Online or O.T.C. application ? .................Yes
.......................... 1
PERMIT EXPIRES Saturday, May 23, 2009
Permit Issued on Monday, November 24, 2008''
1 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
„ _ .-�" andAi ity of Federal Way.
Owner or agent:
001, 1
0
Date: I Lz !y ---C� 8
A
THIS CARD IS TO RE IN ON -SITE
CITY OF Community Developmen Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 105658 -00 -ME
Owner: ROYAL PLAZA ENTERPRISES INC
Address: 35419 21ST AVE SW Suite B
FEDERAL WAY, WA 98023 -3058
This card is part of your required inspection documents. 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.
[] Mechanical Rough -in (4165) E Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By ace / By Date
E {�
For inspector reference only
O Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
C",ff
A � = �
FedmI Cep PERMIT — ��
O0MMUMIYDEVELOP SF MF CO TIE EL PL DE EN FP
33325 8m AVENUE SOUTH - PO BOX 9718
AEDERAL WAY, WA 98063.9718 O
253.835 - 4607 - PAX 253- 835-3609 Noy ti PWC AT I O N
wuw.dluo/lbdemhm.mm t
The olio is ��an incomplete application will not be acce teat. Please print kg&bj ftn inN or
SITE ADDRESS
ASSESSOR'S TAX /PARCEL # ? ,, - 2,
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Pffaasq-- pWjbrbV60 bpd da WoN
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUhKBII'IG rMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENOINEERING ❑ FIRE PRZVENTION SYSTEM
SUITE /UNIT #
LOT SIDE (SJ7
PROJECT NAME (Name ofBqgk= or Owner Last Name)
PROPERTY
'OWNER
71—CONTRACTOR.
'— APPLICANT
PROJECT
CONTACT
LENDER
I EXISTING USE
NAME (
APPLICANT' NAME
Gra
APPLICANT NAME
PRIMARY PHONE
MAIIINO ADD
s��. � i
, STATE, ZIP
�"� L� q�c�3G
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY E
APPLICANT' NAME
Gra
APPLICANT NAME
OFFICE PHONE
MANdNO ADDRESS I Lit Q
s��. � i
, STATE, ZIP
�"� L� q�c�3G
CELL PHONE
— -f
CITY OF ERAL Wj
RELATIONSHIP TO PRW
LXPIRATION DATE
FAX NUMBER
CON7ACTOR'S >RZOISTRATION NUMBER
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TION TZ
7 1C)
E-MAILADDAM
COMPANY-NAME
P (.
APPLICANT' NAME
Gra
OFFICE PHONE
2Q _ 2 �(l
MAWNOADDRZSS
°)9(o 1-1 22s(,
ZIP
CELL PHONE
IL L7 I
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RELATIONSHIP TO PRW
FAX NUMBER
a Architect a Tenant o Agent It50ther
-
1 - F NAME PRIMARY PHONE
NAME
Per RCW 19. ?7.096:
tq/oaeallon is required U eve**& 04000
O RESS
CITY. ST 9
PHO
EXISTING ASSESSED /APPRAISED VALUE $
SPRIIIKLERED BMDING? a YES a NO FD2E
WATER SERVICE PROVIDER a LAKE11AVEN op Lmn
SEWER SERVICE PROVIDER a LAKEHAVEN HIGBLINE
PxoPOSEn
V OF PROPOSED WORK $
7PROPOSED /REQUIRED? o YES: a NO
AC o PRIVATE (WELL)
E ( C)
AREA DESCRIPTION
EXISTING
8 . FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
a YES a N0
BASIC PLAN?
FIRST
a NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
a NO
THaZD
_a YES a NO
UP /SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
a YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
a TES
a NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
seurnra
rswoeso°
WMAL
rorncszar=
roraraommar
2WALSr
"`NEW HOMES ONLY'"` NUMBER OF BED MS ESTIMATED SELLING PRIC $
Indices . number of e e to be ' led or relocated as part of this project. Do not include existing
AENCBAMCAL
Value of Mechanical W k $ (A Y OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATI0A7
AIR HANDLING U EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOH.ER3 FIREPLACE INSERTS HOODS
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (orTabl mwramea►
DISHWASHERS
DRINKING FOUNTAINS
ELTZCTRIC WATER HEATERS
HOSE BIBBS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (fowq
WASHING MACHINES .
MISC (Describe)
Z cw* b under penalty of perjury that I an the property oaf or authorised agent of the pvpwV owner. I eat that to the beat of my
knowlake, the b %rmation submitted in support q/ this permit application to true and correct t eer ft that I will comply with all applicable
City of federal Wag regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's reeponsibiHtg for compliance adth 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 (lneluding costs, expenses, and attorneys' fees incurred in the
investigation and dq/enss st;da cn� _ nwV bs m m yiy person, including the wndsrstgned, and flied against the city, but only
in
where such claim arises q/ tlur lw q/ the nclading its o,D"le— and employees, upon the accuracy q/ the ft formation, supplied to
the city as a part of applicattii
SIGNATURE: DATE( lit -7 —v�p
Property Owner and /or Authorized Agent
El NEW a ADDITION
a ALTERATION
a REPAIR a.TENANT Ii ROVE=NT
BUILDING ST[EI.L ONLY?
a YES a N0
BASIC PLAN?
a. YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
_a YES a NO
UP /SEPA/SU?
o YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a TES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 Mandouts\Permit Application