07-101131City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Plumbin g PerAN #: 07- 101131 -00 -PL
Inspection Request Line: (253) 835 -3050
Project Name: VERIZON
Project Address: 2125 S 320TH ST Parcel Number: 762240 0010
Project Description: Installation of underground rough -in only. Clean outs per drawing.
Owner
Applicant
Contractor
STEADFAST COMMONS LLC
S D DEACON CORP OF WASHINGTON
S D DEACON CORP OF WASHINGTON
1928 S COMMONS
PO BOX 3070
SDDEACW108NT 6/20/08
FEDERAL WAY WA 98003 -6013
BELLEVUE WA 98009
PO BOX 3070
BELLEVUE WA 98009
Plumbing Fixtures
Other Plumbing Fixtures ................ 3
THIS CARD IS TO MAIN ON -SITE
p Inspection _ -
CITY OF Community Develo nt Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101131 -00 -PL
Owner: STEADFAST COMMONS LLC
Address: 2125 S 320TH ST
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 ? • b
By
%
Date
By
Date
❑ Final - Plumbing (4075)
Approved
By Date (�
t:ITY OP.. RECEIVE[
Federal Way PERMIT
coM,>lunmDevFrorMenTSEe (j SF MF CO ME EL PL E EN FP
33325'8*" AVENUE SOUTH • po BoVU 0 2 2007
FEDERAL WAY, WA 98063.9718 APPLICATION T°
253-835 -2607• FAX 253 0 Q� /
tuww.tdl� � denllwa (�I� FEDERAL WAX
BUILDING DEPT.
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
c� PROPERTY •• •
SITE ADDRESS �`, 5 .�Cj �� S h SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 7 Z C) - d LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page fw lengthy legal description) '
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING Ar�LUMBING O MECHANICAL
O DEMOLITION O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJEC DESCRIPTION (Provide detailed description of work included on this permit onlu)
rj C r • 4--
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
COPY of card requi -d
w @L csc oppIlestlas
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
L.0 ( ) -
MAILING ADDRESS CITY, STATE, ZIP a E -MAIL ADDRESS
1� �w `�e ,�}• Cyr?
COMPANY NAME
5. � )
APP.LICANT,NA E
l 1�
OFFICE PHONE
MAILING, ADDRESS
1. ,7 ,d .�
(mi) ?w -z/at
MAILING ADDRESS
CITY, STATE, ZIP
l/ e " l �"'S
CELL PHONE
'776
RELATIONSHIP TO PROJECT /
FAX NUMBER
k��� -
CITy�Y OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
j
`
- �C�f
CONTRA OR'3 REGISTRATION UMBER
EXPIRATION DA E
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
wl-,,
OFFICE PHONE
-
MAILING, ADDRESS
CITY, STATE, ZIP
CELL PHONE
PHONE
RELATIONSHIP TO PROJECT /
FAX NUMBER
O Architect ❑ Tenant 06gent ❑ Other ,,jAj%-,A
NAME �� PRIMARY PHONE E AIL ADDRESS I
NAME
Per RC 19.27 095:
Len information is required if project value exceeds $5,000
MAILING, ADDRESS
effY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES . ❑ NO FI SUPPI
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE
USE
VALUE OF PROPOSED WORK
SYSTEM PROPOSED /REQUIRED? O YES O NO
TACOMA ❑ PRIVATE (WELL)
PRIVATE (SEPTIC)
AREA DESCRI N
EXISTING
S : FT.'
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FANS
BOILERS
FIREPLA S S
FIRST
F ACES
DUC
AS LOQ SETS
SECOND
CHANGE OF USE?
THTUBS (or Tub /Shower combo(
LAVS (Bathroom Sinks)
THIRD
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ADDITIONAL FLOORS (DESCRIBE)
SINKS
HOSE BIBBS
SUMPS
DECK (t7 COVERED OR O UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
o NO
GARAGE 0 CARPORT O
NUMBER OF FLOORS
a7nSTIN
PROPOSM
TOTAL
TOTAL rJMMNO Sr
TDTAL PROPOSED Sr
TOTAL ST
"NEW HOMES ONLY" NUMBE OF BEDROOMS ESTI TED SELLING PRICE $
lnrlicate number of each tune of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
(A1Q0PY OF BID OR
AIR HANDLING UNITS
EVAPORA VE COOL
BBQS
FANS
BOILERS
FIREPLA S S
COMPRESSORS
F ACES
DUC
AS LOQ SETS
LUMBING
CHANGE OF USE?
THTUBS (or Tub /Shower combo(
LAVS (Bathroom Sinks)
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
!MA'MUST BE INCLUDED WITH APPLICATION)
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS pmnm erciaii
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS rrouet(
WASHING MACHINES
?. MISC (Describe)
_--r certgy 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 jlled 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 PQV I!
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner
A-Xgent ❑ Contractor ❑ Architect ❑
3- Z -u?
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
a 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 Mhandouts\Permit Application