07-104425w City 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- 104425 -06 -PL
Project Name: AUBURN REGIONAL MEDICAL CENTER
Project Address: 1413 S 348TH ST Suite L104
Inspection Request Line: (253) 835 -3050
Parcel Number: 185295 0090
Project Description: Furnish and install rough plumbing for (1) new hand sink in the existing janitor closet.
Owner
Applicant
Contractor
FANA FEDERAL WAY CROSSING
AUBURN MECHANICAL INC
AUBURN MECHANICAL INC
UNLIMITED PARTNERSHIP
PO BOX 249
AUBURM1163BA 09/12/08
16400 SOUTHCENTER PKWY SUITE 204
AUBURN WA 98071
PO BOX 249
TUKWILA WA 98188
AUBURN WA 98071
Plumb
Lavatories a
Lavatories ........ ............................... 1
CONDITIONS:
1. Subject t Id Inspection
-�- J'nc�..X�1J C c'� - 3 -% - CA 1 e _
THIS CARD IS TO REMAIN ON -SITE .,
CITY OF Community Development Inspection Record:
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104425 -00 -PL
Owner: FANA FEDERAL WAY CROSSING UNLIMITED PARTNERSHIP
Address: 1413 S 348TH ST Suite L104
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.
❑ Plum_ bing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover `` Approved Approved to release test
By Date Bye`' C^3 Date(p ► r`/ -a By Date
❑ Final - Plumbing (4075)
Approved
Bye Date 1 �� 3 t.
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CUT of 0
Federal way p,UG J WRMIT
COMMUN77Y DEVELOPMENT SERVICES n1,
333253 -8 5- 2607 -F 253 - 835 260971,'(�(VVk FAPPLI CATI O N
FEDERAL WAY, WA 98063 -9718 ` ' 1LD
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The followina is rieauired information - an incomplete application will not
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SF MF CO ME El( I bE EN FP
ted. Please Print leoibly Cut ink) or type.
SITE ADDRESS t 4 D5 �(�r C• `� UDC c� 1 . SUITE /UNIT # (/y o T\
ASSESSOR'S TAR /PARCEL # D J Z�j J - nQ I� L/O�T SIZE (r •13T' 1
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) . j`I �(� j� r n K Q i (i �t - - -Il r Q ' I l� are-
(Attach / /
separate page,(2Verejth ly e pl descrOtbrV
fell I 01WIM a QN1 • •
TYPE OF PERMIT ❑ BUILDING X PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this ermit on
%% - - - •1 I_ .)1 _fi 1 --• —J----- - -I - -- `-4'k_-
PROJECT NAME (Name of Business or Owner Last Name) r iAbur n tRe a i oral Te pan+ I m prove f-
•• LE INFORMATIO
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME _ PRIMARY PHONE
MAILING ai:eer rsl
O V ADDRESS ��h � • C TAT-. ZIP 9 wJ
COMPANY NAME
Awmxr Me
APPLICANT NAME
Sum vlo�s
OFFICE PHONE
(253)S313 -R18o
MAILING ADDRESS
CITY. STATE, ZIP
CELL PHONE
P. x Q4q
kw r W�1 a80
(— -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
a 8 4 7 7
EXPIRATION DATE
1x'31 'o-7
FAX NUMBER
(253)833 -t3%
o_ -o Q -1 _o -B
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
' '
A�8U K M I t 1 3 8 A
PRIMARY PHONE E-MAIL ADDRESS
(253) 83 - 9180 to ical•
COO
- NAME
MAII,ING ADDRESS CITY. STATE, 7iP PHONE
EXISTING USE UrQer I 1 1, re, PROPOSED USE )IrQe1n l Capp•��rpe
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES x NO
WATER SERVICE PROVIDER 34 LAKEHAVEN ❑ HIGHI.INE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER A LAK_EHA►VEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
3 . FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
PMSMG PROPOSED TOTAL �` i _ F 5� a ( t
�6
NUMBER OF FLOORS �;u�iiti� ,h h -; +a y .x,
"*NEW HOMES ONLY"` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
Value of Mechanical Work $_
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS (or Tub /Shower Combo) SHOWERS WATER CLOSETS (7buet) MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS (Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
I certtly 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 sled 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
C-1� (Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent K Contractor ❑ Architect ❑
8-6-o7
Bulletin #100 - January 1, 2006 Page 2 of 4 k\Handouts\Permit Application