04-103745City of Federal Way
"Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835-7000 Fax: (253) 835-2609
i
SUBJECT i
r #:
Plumbing Permit
04 - 103745 - 00 - P1-
Inspection request line: (253) 835 -3050
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Project Name: SAFEWAY STORE 1555
Project Address: 1207 S 320TH Parcel Number: 150050 0020
Project Description: Install 22 condensate drains for new or relocated cold /frozen food cases. 10/7/04 - Add (1) hand sink and
(1) 3- compartment sink for Starbuck's.
Owner
Applicant
Contractor
1560 INVESTORS LLC
THE PLUMBING JOINT
THE PLUMBING JOINT
200 S BROAD ST SUITE 6
351 UNION AVE NE
351 UNION AVE NE
PHILADELPHIA PA 19102
RENTON WA 98059
RENTON WA 98059
(425) 228 -3204
Plumbing Fixtures
L Description Quanti Description Quant
rDrains 22
PERMIT EXPIRES March 15, 2005.
Permit issued on September 16, 2004
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 agent: C-/ _ Date:
Owner
Applicant
Contractor
1560 INVESTORS LLC
THE PLUMBING JOINT
THE PLUMBING JOINT
r City of Federal Way
omm ity evelopment Services
Cun D(�
PlumbiII
SUBJECT T FIELD
Permit #: 04 - 103745 - W- PL
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335301st Way S
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INSPE
ON.
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request ]file: 253.835.3050
Project Name: SAFEWAY STORE 1555
Project Address: 1207 S 320TH
Parcel Number: 150050 0020
Project Description: Install 22 condensate drains for new or relocated cold /frozen food cases.
Owner
Applicant
Contractor
1560 INVESTORS LLC
THE PLUMBING JOINT
THE PLUMBING JOINT
200 S BROAD ST #6
351 UNION AVE NE
351 UNION AVE NE
RENTON WA 98059
RENTON WA 98059
(425) 228 -3204
I __ DescriptionQuanti
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Plumbing Fixtures
Description I Quanti
DATE
O
INSPECTOR
AREA ANDTYPE
1
THIS CARD IS T' MAIN ON -SITE
TY P
CI OF Community Develo nt Inspection ].ecord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04- 103745 -00 -PL
Owner: SUBJECT TO EIELO INSPECTION.
Address: 1207 S 320TH ST
FEDERAL WAY, WA 98003 -5339
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
By AA Y Date LLY By Date By Date
❑ Final - Plumbing (4075)
Approved
By (j Date /10 AILIf 7
WCEIVED •
",°" CONSTRUCTION PERM IT APPLICA N
uV L SEP 10 2004 APPLICATION NUMBER: K>L1 -
QITY OF FEDERAL. WAY APPLICATION NUMBER:
BUILDING DEPT, APPLICATION. NUMBER:.._ _ _ 7.
"The following is required information - Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY 7. • •
SITE ADDRESS: )2-0 •7 S, 3D1 ` �� - Q
4 ASSESSOR'S 5' 0 0 U ;TAX /PARCEL #: � _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT . •
TYPE OF PROJECT (This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
-// J
P1R`O�JECT� DESCRIPTION (Provide detailed description): neloc e eca,-, f "-TL �' fr /'Ol rf ///- `� d(`
'I C7
C46 6S %p M /haw, Gtllrwoorej
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
^ c p I DAYTIME PHONE: -
�O
MAILINGj� l O , QT //Y STATE, ZIP):
NAME: I
DAYTIME PHONE:
MAILING ADD SS (STREET ADDRES9t
3� Ave
, CITY, STATE, ZIP):
A/F Re q,
`
EVENING PHONE: /
CITY OF FEDERAL WAY BUSINESS LICENS NU
fAX NUMBER:
CONTRACTORS REGISTRATION NUM
(copy
R: I
9 8
EXPIRATION ATION DATE:
p R / 17
of card required)
NAME: I DAYTIME PHONE:
C (�a) .1-2Y � -2Y -3
ADD R� _ E7 ADDRESS; CITY, IP � �17� J ONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( Y>5) a
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ,e CONTRACTOR
PROPOSED USlic-
EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ ) Q,Q 0 1)
PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION ONLY ** ,
NUMBER OF BEDROOMS: ESTIMATED SELLING P:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
OTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLE GAS LOGS)
FANS) HOODS)
FIREPLA SERT(S) RANGES)
PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
REFRIG.SYSTEM(S)
WOODSTOVE(S)
MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET J
WATER CLOSET(S) —"LA MISC. (GaS�ybra�r}5
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of
Federal Way, 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 a part of this application. q
NAME /TITLE: ( p , - 6I) ('4a / /' r DATE: ! I� -Q t6
❑ PROPERTY OWNER MAPPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253-661 -4000 • FAX: 253 -661 -4129
www.dbrofederalway.com