11-105109Plumbing
City of Federal Way .
Community& Econ. Dev. Services Permit #: 11- 105109 -00 -PL
33325 8th Ave S
Federal Way, WA 98003'Y Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q
Project Name: EXETER FINANCIAL CORP
Project Address: 1010 S 336TH ST Suite 211
Parcel Number: 926501 0010
Project Description: Plumbing for breakroom sink and instantaneous hot water supply.
Own r
Applicant
Contractor
OMNI PROPERTIES
COUNTY LINE PLUMBING
COUNTY LINE PLUMBING
909 S 336TH ST SUITE 103
214 N PENNSYLVANIA AVE SUITE 182
COUNTLP935PE (10/05/13)
FEDERAL WAY WA 98003
CLE ELUM WA 98922
214 N PENNSYLVANIA AVE SUITE 182
CLE ELUM WA 98922
Sinks................ ...................... .I........ 1
PERMIT EXPIRES Sunday, June 24, 2012
Permit Issued on Tuesday, December 27, 2011
I hereby certify that the above information is corre and that the construction on the above described property and
the occupancy and the use will b7ac co
w ith the laws, rules and regulations of the State of Washington
a the City of Federal Way.
Owner or agent: "�` Dater Z' ?- 7:]2 O � 1
0
' THIS CARD " TO MAIN ON -SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11- 105109 -00 -PL Address: 1010 S 336TH ST Suite 211
Project: OMNI PROPERTIES 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)
E]
Rough Plumbing (4230)
Gas Piping (4125)
Rough Electrical
Approved
Approved to cover
Right of Way
Approved
Approved
Date
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
El
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Af' CJri Of �
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253- 835 -2607• FAX 253- 835 -2609
u!o!; . ri r i of(euerahom;. Corr
HERMIT
4 L- l o _/
S F CO ME (9 DE
APPLICATION RECEIVED
DEC 2 7 2011
091
EN FP
SITE ADDRESS / 0 CITY Of FEDERAL WAY
SUITE /UNIT #
&11 f GL- 1,9,7-7 CDS
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL L ii Is 0 0 0
TYPE OF PERMIT
❑ BUILDING L` .PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E -MAIL
CITY
ZIP
NAME ,rte
C Gc4
PHONE
MAILING ADDRESS i`
7�
E -MAIL
CONTRACTO
CITY STATE
ZIP
FAX
L
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
d
FEDERAL WAY BUSINESS LICENSE #
o - / -�
NAME \
PHONE
MAILING ADDRESS
E -MAIL
APPLICANT
CITY
STATE
ZIP
FAX -
PROJECT CONTACT
(The individual to receive and
NAME
t
PHONE
MAILING ADDRESS
E -MAIL
respond to all correspondence
concerning this application)
./`
CITY
STATE
ZIP
FAX
ALTE N TE CONTACT NAME:
C►
PHONE
tE- -MAIL
Z
PROJECT FINANCING
N E
OWNER- FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 1 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 Iocal, 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 per n, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, in ng its officers and employees, upon the accuracy of the
information supplied to the city as apart of this applicatio
/
SIGNATURE: DATE / —2 — 211
PRINT NAME' �c
Bulletin #1100 — January 1, 2011 Page 1 of 3 k:AHandouts \Permit Application
r�
0 0
VALUE OF MECHAMCAL WORK * (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture lobe installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS lCoromereiatl
BOILERS FURNACES HOT WATER TANKS �cas
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (orTub /Sbo— Combo)
LAVS tH— dSink :I
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
�_ SINKS IGtchen /uHlryt
�� WATER HEATERS W—tno
_.�
HOSE BIBBS
SUMPS
WASHING MACHINES
ft?TAir
CRITICAL AREAS ON PROPERTY? 1 WATER PURVEYOR ( SEWER PURVEYOR ( VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE I LOT SIZE (In Square Feet( I EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 — January 1, 2011 Page 2 of 3 k:lHandouts�,Permit Application