07-106226` city 61e►al.rvay Plumbing Permit #• 07- 106226 -00 -0
Community [xwetopment Services •
P.fS. Box 9718
;sderal Way, WA 98063 -9718
Ph: (253) 835 ,2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: CHILDREN'S HOSPITAL - SPORTS MEDICINE
Project Address: 34503 9TH AVE S Suite 300 Pdmel fir: 750451 0050
Project Description: Adding (1) sink, which includes waste, vent & water piping
Owner
Applicant
Contractor
MEDICAL REAL ESTATE SERVICES, LLC
STIRRETT JOHNSEN INC
STIRRETT JOHNSEN INC
105 CENTRAL WAY SUITE 203
5555 WESTGATE RD NW
STUUU *281B6 (5/1/08)
KIRKLAND WA 98033
SILVERDALE WA 98383
5555 WESTGATE RD NW
SILVERDALE WA 98383
Plu ratiing )durds
n:
Other Plumbing Fixtures ................ 1 Sinks............... ............................... 1
PERMIT EXPIRES Saturday, November 14, 2009
Permit Issued on Thursday, November 15, 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
Owner or agent: Date:
,NOV 1 $2007
�- ", Q
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106226 -00 -PL
Owner: MEDICAL REAL ESTATE SERVICES, LLC
Address: 34503 9TH AVE S Suite 300
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 Iisted 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 -, By Date
❑ Final - Plumbing (4075)
Approved
By Date Lp �p
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
My RECEIVED BY
Federal VT&PUNffY DEVELOPMENT DEPA� R M I T
33332 ENUE SOUTH -PO BOX 9718 N O V 1
253 - 835-2607 FAX 253-835-2609 AY)PLICATION
www.cituoffederqLwall.com
The foliowina is
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will not be
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SF MF CO ME EL & DE EN FP
ted. Please vrint leaiblu fin inkl or tune.
SITE ADDRESS 3 q -03 9-r-14 k\ S U� S 0 CNN SUITE /UNIT # � b
ASSESSOR'S TAX /PARCEL # "1 5 O T � I -- d o a O LOT SIZE (sf \\
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) s / ►l) T*-� l I-C- a G'-r 6 P 15�-p !�'pe-2
(Attach separate page f- t—gthy legal description)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu;
AjD0 o0a C) s►ML N 3° �--L66ja , IK3
NO Lj P *s V C rJ T- 'j- LO r\ 7t72 P cis / tjcj
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
D Iro
APPLICANT
CONTACT
LENDER
NAME PR/WARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME
STl I TT-
APPLICANT NAME
1D1 NJL /�t-fA_6M
OFFICE PHONE
MAILING ADDRESS
,5.5 -�� eJ�6061TG
CITY, STATE, ZIP LO
4830
CELL PHONE
( ) -
CITY OF FEDETL WAY BUSINESS LICENSE NUMBER
((,,JJ((
o a z 0- Q- 'B
EXPIRATION DATE
07
FAX NUMBER -
_U_ _-I
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
�T L �r2 ?li� 1 8 (10
EXPIRATION DATE
COMPANY NAME
...
APPLICANT NAME
OFFICE PHONE
( -
MAILIN ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe;
FAX NUMBER
( -
,MME ,y� L��L� P$IiYtA_ RY PHONE- � r� E -MAIL ADDRESS
9
NAME
i&M-W
/ ` ` h-
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING USE Sp��- t✓w-► T t C �-1 PROPOSED USE S G
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)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SO. FT.
TOTAL
S . FT.
BASEMENT
FANS
HOODS (commercial)
W OODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
BxisrtRO
PROPOSBD
corer
�OrviM=STIra ; "
TOruraio "
s�
* "NEWHOMES ONLY " NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commercial)
W OODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
BATHTUBS (w Tub /sho combo)
SHOWERS
WATER CLOSETS (roilet) MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS pathmom sinks)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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.
NAME /TITLE
RELATIONSHIP TO PROJECT ❑ Owner
❑ Agent %&Contractor ❑ Architect ❑
v �7
Bulletin #100 — August 19, 2004 Page 2 of 4 k\Handouts\Permit Application