07-105905Y r
Community eyFederal pram y Plumbing Permit #: 07- 105905 -00 -PL
Community bevelopment Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 inspection Request Line.- (253) 835 -3050
Project Name: CORTEZ
Project Address: 28632 21ST AVE S Parcel Number: 422200 0070
Project Description: Adding 25' each to hot and cold water lines
Owner
Applicant
Contractor
DAVID & BEVERLY CORTEZ
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
28632 21ST AVE S
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98003
POINT ROBERTS WA 98281
WASHIES9710B 9/2/07
2800 THORNDYKE AVE W
SEATTLE WA 98199
plumbing Flxturese
Other Plumbing Fixtures ................ 2
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THIS CARD IS TO REMAIN ON -SITE
CITY OF Aao*'o Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105905 -00 -PL
Owner: DAVID & BEVERLY CORTEZ
Address: 28632 21 ST AVE S
FEDERAL WAY, WA 98003 -3339
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)
Approved to cover
By Date
❑ Final - Plumbing (4075)
Approved
By 1 Date _
❑ Rough Plumbing (4230)
Approved
By Date
❑ Gas Piping (4125)
Approved to release test
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
10- 24 -'07 10,04 FROM- T -736 P005/012 F -566
#
RECEIVED
tytr of � 0
_
Federal Way n!1�� PERMIT
COAfAiUNITYDEVEWYmfANrS_vlzpc�T 2 4 2007 SF MF CO ME E Pr, E EN FP
33325 81" ERAL A . IVA 9 • PO BOX 9718 ,, � I' LI Cl�'�'I O N
FEDERAL WAY. TVA Br� S;� 7� A
a53- 333-2@07•FAXCbfylfi MF FEDERAL
.;f„60;4,. u U"SUILDING DEPT.
Thefibfloujina is required irtfonnation - an incom [ete a lication will not be accepted. Please print legibly (in ink) or
SITE ADDRESS 28632 21 ST AVE S SUITE /UNIT a
AssEssoR,s TAX /PARCEL N 4 2 2 2 0 0 0 0 7 0 LOT SIZE (Sf)
LEGAL )DESCRIPTION (e.g, Acme Estates, Lot 1)
JAflach"Pd,4u#1#4fa tr.yuy Ligtd$#.. WpfWV
TYPE OF PERMIT ❑ BUILDING f(PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PPXVrNTION SYSTEM
PROJECT DESCRIPTION /Proutde detailed description of u ork included on this Permit oniu)
Add 25' each to existing hot and cold water lines
PROJECT NAME (Name Qf,Bustness or Owner bast Name) Bc)pT €z
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
DAVID CORTEZ (RSMARYr1+ONY<
839 -8399
MAILINGADDRESS CITY.3TATE. ZIP
28632 21 ST AVE S ay, WA 98003
COMPANY NAME
WESGO
APPLICANT NAME
OFFICE PHONE
(206 ) 378 - 6649
MAILINO ADDRESS
CITY, STATE, 21P
CICLI, PHONY
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CYTY OF FEDERAL WAY SUSINESS LICENSE NUMaICR
EXPIRATION DATE
FAX NUMBER
2. Q - .Q _�- 1 9 -4 2— -3 .4 -B
L 12 /31 /07
( )
CONTRACTOR'S 14MISTMTTON NUMBER (copy of cord required vnth each application)
EXPIRATION DATE
W A S H. I E S 9 7 1 O B
09 /02 109
COMPANY' NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Naida Khan
( 364 ) 945 -2787
MAILING AJDI)PnS
CITY. STATE. ZIP
CELL PHONE
1346 Gulf Road
Point Roberts, WA 98281
( )
RICL�.T7 N HIP TO PROJECT'
PAX NUMaFR
n Architect o Tenant Q6kgent o Other (Describes
( } -
NAME PRIMARY PHONE E -MAIL ADDRESS
Naida Khan (360 ) 945 - 2787 melissa@nwpermit.com
EXISTING USE S FR
EXISTING ASS"SED /APPRAISED VALUE $_
SPRINKLERED BUILDING? a YES O NO
PROPOSED U69
VALUE OF PROPOSED WOPA
FIRE SUPPRESSION SYSTEM PROPOSED /REG, jUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLIKE 0 TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN D HIGHLINE 0 PRIVATE (SEPTIC)
10-24-'07 10:04 FROM-
I}
W- 77
PROJECT FLOOR AREAS
T -736 P006/012 F -566
AREA DESCRIPTION
EXISTING
S . F T.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
a NEW u ADDITION
ri ALTERATION
0 REPAIR a TENANT IMPROVEMENT
FIRST
DUUMING SHELL ONLY? 1j )MS o NO
BASIC PLAN?
SECOND
0 NO
ZONING DRSIGNATION'
TI311ZD
CHANGE OF USE?
o YES
o NO
FOURTH
VP /SEPA/SU?
o y'ES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT? o YES o NO
DEMO PERMIT REquzREDT
DE CK (COVERE D?)
o NO
GARAGE 0 CARPORT O
NUMBER OF FLOORS
' f °'otO
exoroeao
ror.0
rortY elasrntor'
TornL rxoPOeaDer
TOTAL&
••NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ —
type off fixture to be installed or relocated as part of tJVS project. Do not include existing factures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRMORS
DUCTS
PLUIYIBING
BATHTUB$ (at Tbb /aho..ercombo)
DISHWASHERS
GAS PIPC OUTLETS
WASHING MACHINES
EVAPORATIVE; COOEZRS
FANS
FIREPLACE INSERTS
FURNACES
OAS POE OUTI.ErS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (00mmor<134)
RANGES
Q&$ WATER HEATERS
REFPJG, SYSTEMS
WOODSTOVES
MISC (Describe)
Cwr/cocb)
WATER CLOSETS crutot) t y 2 MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST add 25' each to hot and cold water lines
HOSE BIBBS
SLECTRIC WATER HEATERS
I eertoj under penalty of perjury that the igfortnation furnished by me is true and correct to the best of my knowledge. and- &rther, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. t further agree to hold
harmless the city of nderat Way as to dng clout (including costs, expenses, and attorneys• fees incurred in the investigation and defense of
such clairry, which may be made by any person, including the ttndersrigned, and,jiled against the City of Feaerai Way, but only where such claim
arises out of the reliance of the city, including its officars and employees, upon the Accuracy of the igformation supplied to the city as a part of
this application. ^ A� /j/ ( r�
NAM$ /TITLE ��• iv V V l� " "`� It DATE l v
IJI�n�aturrJ I�dcl
RELATIONSHIP TO PROJECT a er WA/gent O Contractor a Architect O Other
Bulletin #100 — 7dnustry 1, 2006 Pagc 2 of 4 k\14andoutsTennit Application
a NEW u ADDITION
ri ALTERATION
0 REPAIR a TENANT IMPROVEMENT
DUUMING SHELL ONLY? 1j )MS o NO
BASIC PLAN?
0 ICES
0 NO
ZONING DRSIGNATION'
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQiIUMD? 0 YES o NO
VP /SEPA/SU?
o y'ES
n NO
PLATTED LOT? o YES o NO
DEMO PERMIT REquzREDT
o YES
o NO
Bulletin #100 — 7dnustry 1, 2006 Pagc 2 of 4 k\14andoutsTennit Application