07-106428City of Federal Way
Community Development Services Plumbing Permit #: 07- 106428 -00 -pL
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: OMNI OFFICE BUILDING j
Project Address: 909 S 336TH ST Suite 201 Parcel Number: 926480 0150
Project Description: Adding (2) new breakroom sinks w/ HWT & relocating fixtures for tenant improvement.
2nd floor only
Owner
Applicant
Contractor
OMNI PROPERTIES
COUNTY LINE PLUMBING
COUNTY LINE PLUMBING
909 S 336TH ST
214 N PENNSYLVANIA AVE SUITE 182
COUNTLP935PE (10/05/09)
FEDERAL WAY WA 98003
CLE ELUM WA 98922
214 N PENNSYLVANIA AVE SUITE 182
CLE ELUM WA 98922
"i �Plumlri»giXtUre8
Dishwashers .... ............................... 2 Other Plumbing Fixtures................ 1 Sinks............... ............................... 2
CONDITIONS:
without plans.
I hereby certify that the above inform
the occupancy and the use will be, I
Owner or agent:
y, November 28, 2009
, November 29, 2007
is correct and that the construction on the above described property and
)rd a with the laws, rules and regulations of the State of Washington
}- the City of Federal Way.
F NgLED
Date: ZJ— zf2 '— O —7
THIS CARD IS TO REMAIN ON -SITE
CITY of Community Development Inspection Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106428 -00 -PL
Owner: OMNI PROPERTIES
Address: 909 S 336TH ST Suite 201
FEDERAL WAY, WA 98003 -6311
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.
0 Plumbing Groundwork (4190)
Approved to cover
By Date
Final - Plumbing (4075)
Approved
B Date
Rough Plumbing (4230)
Approved
B Date i
Gas Piping (4125)
Approved to release test
By Date
For inspector reference on!y
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
em er —
Federa I W, by COMMUIMNIXEMOPWNT SORVICt YsG� .� PERMIT SF MF CO ME EL L DE EN FP
999 ?58�+AVENUB SOIITN
oO. % 91 ?ULI CATI O N
• FEDERAL WAY, WA 98069 -9718
?59- d9S ?607•FAX ?59495• ?609 �,\
tauw.clhalCederahunv.com \`�
The following is required\�i�(- an incomplete application will not be accepted. Please print. legibly (in ink) or type.
��. PROPERTY INFORMATION
— SUIT SITE ADDRESS ✓diL d
ASSESSOR'S TAX /PARCEL 9 2 $ - LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) _ 4LO7 /-4- We3e3 7 C.t�L✓a ; f1ou.�KrE 9`7 iI 77
(An«i� FaWJ� kroTnY � d�+�+P�1
•• JECT INFORMATION
TYPE OF PERMIT ❑ BUILDING *?PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O.FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oaW
PROJECT. NAME (Name of Business or Owner Last Namel
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
OFFICE PHONE
OFFICE PHONE
MAIIANGADDRESS
CITY. STATE, ZIP
EMAILADD S
7h
MAILING ADD 9
CITY, STATE, ZIP
CELL ?HON
Z/ Z/ N Eti `� 2
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
OFFICE PHONE
`lit/ '
�/`/ S s
REIATIONSHIP TO PROJECT
M9) X17- OLZZ
MAILING ADD 9
CITY, STATE, ZIP
CELL ?HON
Z/ Z/ N Eti `� 2
a.E a2 44 `/
Z
CITY OF FEDERAL WA USINES9 LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
+�
CONTRACTOR'S RE01STRATIOR RD R.
B"IRATION DATE
EMAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
-MAJUNG ADDRESS # 4 Z
Al -41aE
CITY, STATE, ZIP
CELL PHONE
- co 3 3
REIATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant O Agent ❑ Other ffdi3 —(1 rt/T!t/4G7G/L
( �-
NAME PRIMARY PHONE EMAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender igformation is required (fproject value exceeds $5,000
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
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 11 HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••• AREAS
AREA DESCRIPTION EXISTING
3 , FT.
BASEMENT �
PROPOSED
S . FT.
TOTAL
80. FT.
•
FIRST
FANS
GAS WATER HEATERS M1SC ( Describe)
BOILERS
SECOND
HOODS (c.m ad n
COMPRESSORS
FURNACES
THIRD .
DUCTS
GAS LOO SETS
REFRIO. SYSTEMS'
ADDITIONAL FLOORS (DESCRIBE)
NEW ADDRESS REQUIRED?
a YES o NO
DECK (0 COVERED OR 0 UNCOVERED ?)
D YES.
D NO
PLATTED LOT?
GARAGE 0 CARPORT ❑
DEMO PERMIT REQUIRED?
D YES
NUMBER OF FLOORS
sx +reuo
rsoraees
roar .
roa¢saerriwar
evraerswaeaoer
rorseu
" "NEW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudure 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 INCLEM&D WIM APPLICATI019
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS M1SC ( Describe)
BOILERS
FIREPLACE INSERTS
HOODS (c.m ad n
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOO SETS
REFRIO. SYSTEMS'
BATHTUBS lot Tub /showrcombq LAVS IBattu sbr4 URINALS Cw MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS �,�
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rrtkq
ELECTRIC WATER HEATERS _'_ SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I cert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(ly that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certVy that I will comply with an 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 defense of such claimb whie ay be ads by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the rslianc� city, lulling its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application. �
SIGNATURE:
a NEW o ADDITION
o ALTERATION
D REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
D YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
D NO
NEW ADDRESS REQUIRED?
a YES o NO
UP /BEPA /SU?
D YES.
D NO
PLATTED LOT?
D YES D NO
DEMO PERMIT REQUIRED?
D YES
D NO.
Bulletin #100 - August 16, 2007 Page 2 of 4. k\Handouts\Permit Application