07-102395City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
li Fh: (253) 835 -2607 Fax: (253) 835 -2609
• 9
Plumbing Permit #: 07- 102395 -00 -PL
Inspection Request Line: ( 253 ) 835 -3050
Project Name: ROUND TABLE @ FEDERAL WAY MARKETPLACE
Project Address: 34410 16TH AVE S Suite 101
Project Description: Installing tenant improvement plumbing fixtures
Parcel Number: 250090 0040
Owner
Applicant
Contractor
FEDERAL WAY MARKETPLACE
TACOMA PLUMBING & HEATING
TACOMA PLUMBING & HEATING
INVESTORS LLC
PO BOX 44601
TACOMPH27IPR (5/2/08)
3700 BEAZER RD
TACOMA, WA
PO BOX 44601
BELLINGHAM WA 98226
98445
TACOMA, WA
98445
Plumbing Fixtures
Dishwashers .... ............................... 1 Lavatories........ ............................... 2 Sinks................ ............................... 7
Urinals ............. ............................... 1 Water Closets.. ............................... 3
CONDITIONS:
PERMIT'" XPIRES' Friday, May t 2009
Permit Issued on Wednesday, May 2, 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
�- and the City of Federal Way.
Owner or agent: Date: 0� �� %
` THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record_
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 102395 -00 -PL
Owner: FEDERAL WAY MARKETPLACE INVESTORS LLC
Address: 34410 16TH AVE S Suite 101
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 By G. -►J Date S— 7 By Date
❑ Final - Plumbing (4075)
Approved
By G Date 7 r
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Pal �� - oc� -3 vg c a
ary. RE4r - 1 3 c55
Federal Way � -- —Q - - --
0 2 2007 PERMIT SF MF CO ME E PL DE EN FP
COMMUNITY DEVELOPMENT SE
33325 FEDERAL WAY, WATH • PO '101 AL PLI CATI O N
FEDERAL WAY.- WA 98083 -9718
253- 835 -2607• FAX 253 -
I,14W F f:80 DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
f PROPERTY INFO.
SITE ADDRESS L ` L.l p 1 s� SUITE /UNIT # � 1 L
ASSESSOR'S TAX /PARCEL # �2, U O C - Q LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Atfmh separate page for lengthy legal descript/oN
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING JKPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
COPY of card required
wfth each appffcatloa
011 -4�"gl1aA
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
NAMF
?(g �i�es� LL
PRIMARY PHONE
3) 53 - 41Y z/
ce �
( ) -
MAILING ADDRESS `� 1^
C STATEr. IP /
E -MAIL ADDRESS
FAX NUMBER
(��3)5�� -038 2
-
- � - �� 12i31r2on
COMPANY NAME
•
APPLICANT NAME
`
3) 53 - 41Y z/
MAILING ADDRESS
C& t3o
( ) -
CITY, STATE. ZIP
T(�c�,vi (} �1yyy
CELL PHONE
53) lc -5710/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
(��3)5�� -038 2
-
- � - �� 12i31r2on
( ) -
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
C
l P R- 5� /2 BSc
M
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Gb
PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
N PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender igformation is required if project value exceeds $5,000
MAILING 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 ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
IUMLL -
`O m
r 4
PROJECT •O'
• AREA DESCRIPTION
AREAS
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
SO. FT.
BASEMENT
FANS
G" WATER HEATERS
M[SC (Describe)
FIRST
FIREPLACE INSERTS
HOO o
OVE/y
SECOND
FURNACES
RANGES
1Z-Z �—
THIRD
GAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
87[787IN0
PROP08ffi1
TOTAL
TOTAL JOUSTW0 8F
TOTAL PROPOSF7/ SF
TOTAL SF
* *NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
OF BID.9R-ES7IlGT7E MUST BE INCLUDED WITH APPLICATION)
AIR UNITS
EVAPORATIVt'C 'RS
GAS PIPE OUTLETS
WOODSTOVES
BB
FANS
G" WATER HEATERS
M[SC (Describe)
BB
FIREPLACE INSERTS
HOO o
OVE/y
COMPRESSORS
FURNACES
RANGES
1Z-Z �—
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
J
BATHTUBS (or'!Wb /shower Combo) /�•
LAVS (gethromn Sinks)
' URINALS
.' MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
G2k O'er`
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS mti,t)
ELECTRIC WATER HEATERS
SINKS
_
WASHING MACHINES
❑ NO
HOSE BIBBS _
SUMPS
UP /SEPA /SU?
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 L� J, i DATE I tJr�
(Signature) ('Wile)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES o NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - April 2, 2007 Page 2 of 4 MandoutAPermit Application
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