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07-101928City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Plumbing Permit #: 07- 101928 -00 -PL Inspection Request Line: (253) 835.3050 Project Name: WORLD VISION zx Project Address: 3450 S 344TH WAY Suite 110; l� Parcel Number: 222104 9040 Project Description: TI - STFI - Installation of above ground plumbing for a break room. Owner Applicant Contractor LBA REALTY MCKINSTRY CO LLC MCKINSTRY CO LLC 660 SW 39TH ST SUITE 255 5005 3RD AVE S MCKINCL942DW 3/16/2008 RENTON WA 98055 SEATTLE WA 98124 5005 3RD AVE S SEATTLE WA 98124 Plumbing Fixtures Dishwashers .... ............................... 1 Other Plumbing Fixtures............... 4 Sinks................ ............................... 1 Water Heaters . ............................... 1 :CONDITIONS: Permit Issued on Wednesday, April 11, 2007 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 ity of Federal Way. Owner or agent: Date: G/'` /�' y % *w THIS CARD IS TO ";MAIN ON -SITE CITY OF Communi ty Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 101928 -00 -PL Owner: LBA REALTY Address: 3450 S 344TH WAY Suite 110 FEDERAL WAY, WA 98003 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 Date By Date A.�7 By Date ❑ Final - Plumbing (4075) Approved By Date . N , .` RECEIV cm or ' Federal way APR 1 1 2007 PERMIT COMMUNITY DEVELOPMENT SERVICES 333258^' AVENUE SOFEDERAL 63 -9C $OF FEDE RAPLICATION FEDEL WAY. WA 9803 -9 253 835- 280 7•FAX253 -835 2609 BUILDING h�Luw,elygjtcrlerphnnu.mgI T. _C) ( - ( _C) ( q Z a SF MF CO ME EL �E EN FP Thefollowing is required ir4)ormation -an incomplete application will not be accepted. Please print legibly (in ink) or type. N PROPERTY INFORMATION ••Z ` /N y SITE ADDRESS J� S 7 • / w� ° do/ SUITE /UNIT #U ASSESSOR'S TAX /PARCEL # Z ? O - © LOT SIZE (s� � D�7� 7 LEGAL DESCRIPTION (e.g.. Acme Estates, Lot 1) Se-e /�' �/�e •J PROJECT IAllarh seP�nlc rrulgl,v Icn9lhyle�l desrlPlmrd INFORMATION TYPE OF PERMIT ❑ BUILDING PLUMBING D MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this vermit onl N d,f c .Si. z e �, w ✓ .,- j6&j eo"e- c,6' va �y .�.+��4 , PROJECT NAME (Name of Business or Owner Last Name) %/I o 2' Lb U 151 o v,) 1541 1— lii *mVDU s PEOPLE 1 PROPERTY NAME L., - 2 -en La K,vd /% &J OOP 1)1 LL L a/, PRIMARY PHONE OWN ER (7" 7945 - -77 Z i MAILING ADDRESS SOOS— 2d A ✓e- S• fIY, TE. ZIP WA 71/ MAIUNG ADDRESS (� . Qo 97/4, CrfY, STATE, ZIP GdLi -nL aity, W . YA E -MAIL ADDRESS CONTRACTOR COPY of rand raqulr.d with each eppaeetlon APPLICANT PROJECT CONTACT LENDER COMPANY f�) w J C4 APPLICANT O ^ YYL { (7" 7945 - -77 Z i MAILING ADDRESS SOOS— 2d A ✓e- S• fIY, TE. ZIP WA 71/ CELL PHONE (zoo) 316 -9761/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE /9- 6D- o00003 -Va -QL 7,-31 -07 FAX NUMBER (zu(Wbsg -1731 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE ►Nc.�►IVcL qV 7,D E -MAIL ADDRESS rvskq. COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE ( — RELATIONSHIP TO PROODIff ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER NAME PRIMARY PHONE ( - EMAIL ADDRESS NAME G Per RCW 19.27.095: Lender information is required if project value exceeds $5,000 MAILING ADVIZFM CITY. STATE, ZIP PHONE EXISTING USE a -6 iJC r S./✓��r PROPOSED USE AOA7 -06 s +� EXISTING ASSESSED /APPRAISED VALUE $ I--1 .300 VALUE OF PROPOSED WORK $ J.lf' J, t,%/V SPRINKLERED BUU DING? <f ES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES eQ NO WATER SERVICE PROVIDER )(LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER X LAKEHAVEN _ ❑ HIGHLINE ❑ PRIVATE (SEPTIC) om r FLOOR IL N PROJECT AREA DESCRIPTION AREAS EXISTING SO, FT. PROPOSED S . FT. TOTAL 3 . FT. BASEMENT LAVS Iaolhraom St,ks) URINALS MISC(Describe) I FIRST RAINWATER SYST VACUUM BREAKERS W R/- 11'4 I ✓f- SECOND i WATER CLOSETS rr.6w) (dA�4qelF-)d THIRD SINKS WASHING MACHINES )O2 "4& cer ��' ADDITIONAL FLOORS (DESCRIBE) SUMPS UP /SEPA /SU? ❑ YES DECK (❑ COVERED OR ❑ UNCOVERED ?) PLATTED LOT? ❑ YES o NO DEMO PERMIT REQUIRED? GARAGE ❑ CARPORT ❑ o NO NUMBER OF FLOORS MSTI PROPOSED TOTAL TUTU EYISTWOSP fYYfN. PROP09FV 5F TOTALHF "NEW HOMES ONLY" NU ER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture to be Installed or relocated as part of this project. Do not include existing fixhtres to remain. of Mechanical Work $ IA PY OF BID ESTI _ AIR HANDLING UNITS EVAPORA COOLERS _ BB95 FAN _ BOILERS PLACEINSE _ COMPRESSORS FURNACES DUCTS GAS LOG SETS MATE MUST BE INCLUDED WITH APPLICATION) GAS PIPE OUTLETS WOODSTOVES GAS WATER HEATERS MISC IDescrlbe) HOODS ICOmmemap RANGES REFRIG, SYSTEMS PLUMBING BATHTUBS Ia. Tatlsn"wer enmba7 LAVS Iaolhraom St,ks) URINALS MISC(Describe) I DISHWASHERS RAINWATER SYST VACUUM BREAKERS W R/- 11'4 I ✓f- DRINKING FOUNTAINS SHOWERS WATER CLOSETS rr.6w) (dA�4qelF-)d ELECTRIC WATER HEATERS SINKS WASHING MACHINES )O2 "4& cer ��' HOSE BIBBS SUMPS UP /SEPA /SU? ❑ YES I certyy 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 lincluding 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 apart of this application. -11 ----J NAME /TITLE TO PROJECT ❑ Owner D Agent AKContractor ❑ Architect ❑ FOR OFFICE USE.ONLY. ❑ NEW a ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? n YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES o NO NEW ADDRESS REQUIRED? ❑ YES o NO UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100- January 1, 2007 Page 2 of 4 Ml- Iandouts\Permit Application