07-104647b J
Ci�ofFedpmentS Plumbing Perm�L #: 07- 104647 -00 -PL
Communi DevebpmentServices
P O. Box 9718
Federal Way, WA 98063 -9716
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: WORLD VISION
Project Address: 3450 S 344TH WAY Suite 200 Parcel Number: 222104 9040
Project Description: Installation of (1) sink and (1) hot water tank.
Owner
Applicant
Contractor
LBA REALTY
D &M PLUMBING INC
D &M PLUMBING INC
660 SW 39TH ST SUITE 255
3211 CENTER ST
DMPLUI *081L9 6/26/2008
RENTON WA 98055
TACOMA WA 98409
3211 CENTER ST
TACOMA WA 98409
Plumbing Fixtures
Sinks............... ............................... 1 Water Heaters. ............................... 1
City of •ederal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Plumbing Permit #: 07- 104647 -00 -PL
Inspection Request Line: (253) 835 -3050
Project Name: WORLD VISION
Project Address: 3455 S 344TH WAY Suite 240
Project Description: Installation of (1) sink and (1) hot water tank.
Parcel Number: 222104 9006
Owner
Applicant
Contractor
LBA REALTY
D &M PLUMBING INC
D &M PLUMBING INC
660 SW 39TH ST SUITE 255
3211 CENTER ST
DMPLUI *08IL9 6/26/2008
RENTON WA 98055
TACOMA WA 98409
3211 CENTER ST
TACOMA WA 98409
Sinks....................
Owner
Plumbing Fixtures
7 Water Heaters . ............................... 1
PERMIT EXPIRES Friday, August 21, 2009
N7�t Is ue► Wednesday, August 22, 2007
the above) ) tion is correO and that the construction <
1 the use E 9 wltlttle laws, rules and reg
a
THIS CARD IS TO " V MAIN ON -SATE
G" OF t ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104647 -00 -PL
Owner: LBA REALTY
Address: 3455 S 344TH WAY Suite 240
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 Byes Date —j,3 —D`7 By Date
❑ Final - Plumbing (4075)
Approved
By Dat _ t' - a-7
For inspector reference
❑ Rough Electrical
Approved
By Date
❑ FINAL - Electrical
Approved
By Date
CRY up
Fedem a R�� 6-
PERMIT SF MF CO ME EL�DE EN FP
COMAIUI'NfTDSVEJ.OP11f8NT S8RV1CB3
33325 JIM AVENUE UWAY,WA981b���G 2.2 20APPLICATION
FEDERAL WAY, WA 98063- 9718f�
253- 835.2607• FAX ?53-835-7609
unuw.dhalfederdtuav
I Y OF FEOERA
The following is regQ incomplete application will not be accepted Please print.legibly (in" or type.
PROPERTY INFORMATION
SITE ADDRESS y �' �O 3�� �%�"�J SUITE /UNIT #
ASSESSOR'S TAX /PARCEL 9 Z V - ® LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach ~Jbr kWfhY JVd dew" -q PROJECT -
•• •
TYPE OF PERMIT ❑ BUILDING PLUMBING. ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on Otis permit only) ll
PROJECT NAME (Name of Business or Owner Last Name) I�
PEOPLE •• •
PROPERTY
NAME �%
PRIMARY PHONE
OWNER
/�.-•�T� ;
) -
RELATIONSHIP TO PROJECT
MAILING DADDRES"�
CITfs' 01f
E-MAIL ADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
C NA
/ �jf,
' ^�
PPLI ArME/
/t/
OFFICE PHONE
)
OFFICE PHONE�j
(0-5-A Z-/—
MAILING ADDRESS
C7,VA73, ZIP
RELATIONSHIP TO PROJECT
CELL PHONE _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONT OR'H REGISTRATION NUMBER ERP
N DATE
E-MAIL ADDRESS
COMPANYJMME
APPLICANT NAME
OFFICE PHONE
)
MAILWO ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAM " TP PHONN / EMAIL ADDRESS
f ✓s iv/'
NAME
PerRCW 19.9.7.095:
Lender information is required ;f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA77019
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (cummerd.q
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOO SETS
REFRIG. SYSTEMS
PLUMBING
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
BATHTUBS (w Tub /sho combo)
IAVS pmhm.swo'
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
��
SHOWERS.
WATER CLOSETS (TwM
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
a YES a NO
I certV9 under penalty ojperjury that 1 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 I will comply with all applicable
City of Federal Way 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 responsibility for compliance with 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 (including costs, expenses, and attorneys' fees incurred in the
investigation and dq/anse of such claim), which nyW be made by any person, including the undersigned, and flied against the city, but only
where such claim arises out of the eliance of t city, including its officers and employees, upon the accuracy of the igformation supplied to
the city as a part of th p n / ., / 1
SIGNATURE:
Owner and /or Authorized
0
a NEW a ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES, o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO
Bulletin # 100 _ August 16, 2007
Page 2 of 4 .
k\Handouts\Permit Application