08-104771nur�ib dg
dlty of Federal Way Q
Community DeveloprrlentServices Permit #. 08- 104771 -00 -PL
P.O. Box 9118
Federal Way, F 98063-9718 835- Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 ax: !(253) 835 -2609 p q
Project Name: SIMPLY PAWS
Project Address: 35419 21ST AVE SW Suite B
Project Description: Adding fixtures for future tenant space
Parcel Number: 252103 9002
Owner
Applicant
Contractor
GLEN & PATTI'S FEDERAL WAY LLC
GRAHAM PLUMBING/MECHANICAL INC
GRAHAM PLUMBING/MECHANICAL INC
DAVID'S FEDERAL WAY LLC
19410 HWY 99 SUITE A -111
GRAHAP1948LO (6/20/10)
PO BOX 8164
LYNNWOOD WA 98036
19410 HWY 99 SUITE A -1l I
TACOMA WA 98418
LYNNWOOD WA 98036
Bathtubs .......... ............................... 6
Other Plumbing Fixtures ................ 3
Water Heaters .. ............................... 1
Laundry Washer Outlets ................ 1 Lavatories........ ............................... 1
Sinks ................ ............................... 1 Water Closets.. ............................... 1
PERMIT EXPIRES Tuesday, April 7, 2009
Permit Issued on Thursday, October 9, 2008
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 ules an regula ions of tie State of Washington
and the City of FedbM.Appl Cation
Owner or agent: i� Date:
,OCT 2 0 2008
4
r
• � • �Plu��lbing
City of Federal Way Q
Community Development Services Permit #: 08- 104771 -00 -PL
P.O. Box 9718x a
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: SIMPLY PAWS
Project Address: 35419 21ST AVE SW Suite B Parcel Number: 252103 9002
Project Description: Adding fixtures for future tenant space
caner
Applicant
Contractor
GLEN & PATTI'S FEDERAL WAY LLC
GRAHAM PLUMBING/MECHANICAL INC
GRAHAM PLUMBING/MECHANICAL INC
DAVID'S FEDERAL WAY LLC
19410 HWY 99 SUITE A -I 11
GRAHAP1948LO (6/20/10)
PO BOX 8164
LYNNWOOD WA 98036
19410 HWY 99 SUITE A -111
TACOMA WA 98418
LYNNWOOD WA 98036
Bathtubs .......... ............................... 6 Laundry Washer Outlets................ 1 Lavatories........ ............................... 1
Other Plumbing Fixtures ................ 3 Sinks................ ............................... 1 Water Closets.. ............................... 1
Water Heaters .. ............................... 1
THIS CARD IS TO WAIN ON -SITE %
CITY OF fommunity Development Inspection Record
Federal Wav IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 104771 -00 -PL
Owner: GLEN & PATTI'S FEDERAL WAY LLC
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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
B �5 Date By G Date O g By Date
❑ Final - Plumbing (4075)
Approved
By Date 1
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cry or
ftdqmj \iP
PERMIT SF MF CO ME E PL E EN FP
�� VSS 8 0X 97 200 hu
AX ?59 83526109 X P P LI C AT I ON
OF FEDERAL WAY
The following is required iC¢ don - an incomplete application will not be accepted. Please print bgobj (n ink) or 4W-
SITE ADDRESS ,
ASSESSOR'S TAX /PARL," 9
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING VLUMBING ❑ 1®CHANICAL
O DEMOLITION O ELECTRICAL. ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT NAME (Name of mess or Owner Last Name1
PROPERTY
NAME
PRIMARY PHONE
ADDRESS
Kf0 4 % ? —M
OWNER
CEU PHONE
511
(
.STATE. ZIP
CELL PHONE
7
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL. ADDRESS
CITY OF FEDE
•
Y
I
APPLICANT
PROJECT
CONTACT
LENDER
COMP E
APPL! HAMS
OFFICB PHONE
ADDRESS
Kf0 4 % ? —M
, STATE. ZIP
`l
CEU PHONE
511
MAWNO D
.STATE. ZIP
CELL PHONE
7
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent Other C-aYv�-a j-O-C
Ct
CITY OF FEDE
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S R1CUBTRATION NUMBER
X33qRAT1OX DATZ
E•MAM AD . RESS
�7Q L ,
C) " 020 10
COMPANY
I�rr. r1� �. ,
APPLI NAME
ti
OFFICE PHONE
( zoo z LL
ADDRESS
Kf0 4 % ? —M
, STATE. ZIP
`l
CEU PHONE
511
,,�A
w (
2oir c.
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent Other C-aYv�-a j-O-C
FAX NUMBER
(14 2,5t 36 / --,-2(,)
E q r l PRIMARY PHONE TWMEBDRESS
C2 cxo (c;? 11 -
NAME
Per RCW 19.27.095.
Lender b&rmation is requbvd i f pn•jea mahm exceeds $4000
MAIUNO ADDRESS
CRY, STATE, ZIP
PHONE
EaQSTIIrG USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORD
SPRINILERED BUILDING? E3 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES ❑ NO
WATER SERVIC)t PROVIDER ❑ LAKERAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKEIIAVEN ❑ HIGBLINE 13 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED :
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Deacnbe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
a NO
THIRD
SUMPS
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
a YES a NO
DECK (0 COVERED OR ❑ UNCOVERED
DEMO PERMIT REQUIRED?
a YES
a -NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
6
rswO°°
TOTAL*
rorAasOMMAr
ror crRo osssr
TOTAL or
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTUPZES
Indicate. number of each type of facture to be installed or relocated as part of this project. Do not &u*zde existing joctures to remain.
11ECCHAJUCAL
Value of Mechanical Work $ (4 COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA?YONJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Deacnbe)
BOILERS
FIREPLACE INSERTS
HOODS ( 4
COMPRESSORS
FURNACES
RANGES
DUCTS.
GAS LOG SETS
REFRIG. SYSTEMS
�LiIJ�
BATHTUBS (errub /shower c oeol
LAYS P.O. swo
URINALS
_ MISC (Deacnbe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
BASIC PLAN?
DRINKING FOUNTAINS
SHOWERS
�_ WATER CLOSETS (ramp
ELECTRIC WATER HEATERS_
SINKS_
WASHING MACHINES .
a NO
HOSE BIBBS
SUMPS
UP /SEPA /SU?
I cat{ f}I under penalty of perjury that I ant the property owner or authorized agent of the properly owner. I oset{fiy that to the best of my
knowledge, the b{formaden submitted in support of this permit application is true and correct l cert(ft that I will osmplg with all applicable
City of JWdwwl 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 rssponaMlity for compliance with local, state, or federal laws regulating construction or environmental laws.
! further agree to hold harmless the City of Pluleral Way an to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such cia b4, which nag be ,Wade by any person, including the undersigned, and Pled against the city, but only
where such claim arisos out of the reliance of the city, including its oAReers and employses, upon the accuracy of the information supplied to
the city as a pmt of this ptication _ g
SIGNATURE: DATE
Property Owner and /or Authorized Agent
d NEW o ADDITION
a ALTERATION
o REPAIR a, TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES o NO
BASIC PLAN?
o.YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
a YES I o NO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a -NO
Bulletin #100 — January 1, 2008 Page 2 of 4 Mandouts\Pennit Application