07-100616City oedera "gay Plumbing Permit #• 07- 100616 -00 ..
Community DcQ �n
.elopent,Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ptt (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: THE WELLNESS STORE
Project Address: 1640 S 318TH PL Suite D
Project Description: Installing plumbing for 3 sinks
Parcel Number: 092104 9208
Owner
Applicant
Contractor
SEATAC VILLAGE SHOPPING CENTER
BILL'S PLUMBING & GAS
BILL'S PLUMBING & GAS
1121 SW SALMON ST
PO BOX 713
BILLSPG010JK 5/13/08
PORTLAND OR 97205
LYNNWOOD WA 98046
PO BOX 713
LYNNWOOD WA 98046
Plumbing Fixtures
Sinks............... ............................... 3
CONDITIONS:
sqft. 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- 100616 -00 -PL
Owner: SEATAC VILLAGE SHOPPING CENTER
Address: 1640 S 318TH PL Suite D
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 ��! / Date 5;1111E;7' By Date
❑ Final - Plumbing (4075)
Approved �I
By / wr ` l�--iiate iG ��
-1;Q
Federal Way - - L.
CITT
2 2oor PERMIT
COMMUNITY D8V8LOPMBKI'SBRI U _ .SF qe.F CO ME EL PL E EN FP
3332FED& AYBNUB, WA 9 • 63 BOX 9718 �{pl. P LI AT I O N
PBDERAL WAY, WA 98063.9718 �
853- 835 2607• FAX 253 Q(~ FED
wwwdemiwn- 3UILD EP /.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
�
PROPERTY •• •
(
SITE ADDRESS 16 1 O 3 � �' >' L, s� SUITE /UNIT # .
ASSESSOR'S TAX /PARCEL # _ - LOT: SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page Jar lengthy legal desat dpN
PROJECT • •
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRjIPTIO /N (Provide detailed description of work included on this permit onlul '
_ yhS't�(1 p +i,tK.rJ�t•+Gl 'ICvr � S�t -„(r5
. PROJECT. NAME (Name of Business or Owner Last Namel
PEOPLE •• •
PROPERTY
OWNER
NAME 1
`
PRIMARY PHONE
CITY, STATE, ZIP
L4 ✓,,wo�Yd 1,✓a. ` /b'U y`
MAILINO ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
CONTRACTOR
COPY o[ end regeirod
With egeh sppuestlon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
C MPANY NAME
p //.�
131. �(r5 1 lkmbb - l...rq 5
APPLICANT NAME
t 1l Cov-�
(OFFICE PHONE
l�L�� )IL/c/ - f !6
MAILING ADDRESS
P. Q-box 71 3
CITY, STATE, ZIP
L4 ✓,,wo�Yd 1,✓a. ` /b'U y`
CELL PHONE
ZS ) 34/4/ -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER
3 LLSP&
EXPIRATION DATE
E -MAIL ADDRESS
S- -►3 -0�
COMPANY NAME ,
8
APPLICANT NAME
CC,-t-
OFFICE PHONE
MAILING ADDRESS 1
i. Vr.1+Gt `
JCITY, STATE, ZIP % 9 p {�/"
L l'llNri 0� �O•�I 6
CELL PHONE
-
RELATIONSHIP TO PROJECT �/
❑ Architect Tenant Plra
FAX NUMBER
❑ ❑ Agent Ga'Other . P%
NAME PRIMARY PHONE E-MAIL ADDRESS
B.- I I I (WIS ) 3Y'4 - L qY6
NAME
Per RCW 19,27.095:
Lender fgformation 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 o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE )WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC)
AREA DESCRIPTION EXISTING
FT.
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
�, PROPOSED
S . FT.
TOTAL
S . FT.
BFIRST
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS 1commerci q
COMPRESSORS
FURNACES
SECOND
Du.i :' :.'... •. ..
GAS LOG SETS
REFRIO. SYSTEMS
THIRD
o NO
PLATTED LOT?
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED? o YES
o NO
DECK (O COVERED OR ❑ UNCOVERED ?)
GARAGE 0 CARPORT Q'.
NUMBER OF FLOORS
sElS1'IDO
PROPOSED
TOTAL
TOTAL E70e7000 er
TOTALPROPOSRDer
TOTAL er
- NEWHOMESONLY1e NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f•Udure to be installed or relocated as part of this project. Da not include existing fixtures to remain.
Value of Mechanical Work $
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS 1commerci q
COMPRESSORS
FURNACES
RANGES
Du.i :' :.'... •. ..
GAS LOG SETS
REFRIO. SYSTEMS
PLUMING
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BAT14TUBS )or Tut, /shower combo)
LAVS )eathroom Sinks)
URINALS
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS troikq
ELECTRIC WATER HEATERS_
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
UP /SEPA /SU? o YES
MISC (Describe)
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 ofjlcers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE
(Signature) ('noel •
RELATIONSHIP TO PROJECT o Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
o NEW o ADDITI.ON
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN? o YES
o NO
ZONING DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU? o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
Bulletin #100 — January 1, 2007 Page 2 of 4 MhandoutsTermit Application .