06-105090i
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: CROSSINGS - BUILDING D
Project Address: 1409 S 348TH ST Suite D101
Plumbing Permi #: 06- 105090 -00 -PL
Inspection Request Line: (253) 835 -3050
Parcel Number: 185295 0010
Project Description: Install plumbing (dwv, water pipes, and instant water heater) for toilet and lav in existing
restroom in tenant space 101. This permit does not include restroom walls, ceiling, grab
bars, floor covering, exhaust fan, etc.
Owner
Applicant
Contractor
OPUS NORTHWEST LLC
CURT GILBERT
EVERGREEN STATE MECHANICAL
OPUS NORTHWEST LLC
EVERGREEN STATE MECHANICAL
EVERGSMIOIKN 5/2/07
915 118TH AVE SE SUITE 300
5415 S 331ST ST
5415 S 331ST ST
BELLEVUE WA 98005
AUBURN WA 98001
AUBURN WA 98001
Plumbing Fixtures
Lavatories ........ ............................... 1 Water Closets.. ............................... 1 Water Heaters. ............................... 1
- THIS CARD IS TO &MAIN ON -SITE
C11T OF ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 105090 -00 -PL
Owner: OPUS NORTHWEST LLC
Address: 1409 S 348TH ST Suite D101
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 iCr Date l0 /Q d` By Date By Date
Lj Final - Plumbing (4075)
Approved
By C kj Date / 0 •�zi' �e
RE0: z
�►
OCT 0 006 , / j�7 (� i
CIfY OP T'' P12
Federal Way t11�r o �E�E�A�. E R M I T
CDMAlUMTYDBVBlAPdBKf SERVICES I w SF MF CO ME E PL E EN FP
33925 D AVENUE SOUTH • sox 97,3l3UILDING p pL P L I C AT I O N °
PHOHRAL WAY, X 98063-9718 0 P7 -, - �---•� /
753- 835 -2607• PAX 259 -035 -7609
www. dtvc!/edemhoau.MM
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS _ l l 6 ( QS c �t�a �`f SUITE /UNIT # �
ASSESSOR'S TAX /PARCEL # t% �_ LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) - p A-C 061 C FjQ5S //!/tar s 9(0 (T 1>
TYPE OF PERMIT
!Attach aeParate Pape /or leap 4Iepal d-aWmq
❑ BUILDING 0 PLUMBING
❑ DEMOLITION ❑ ELECTRICAL
PROJECT DESCRIPTION (Provide detailed description of work included on
t1DD l 77225fl -T' ' � (-A-tJ -M 72x2 .
MECHANICAL
❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Name) jjjj�, -714 (✓ r ' `% � S� ( �
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP, /_ l�
COMPANY NAME S.,Tir�-7�
v� N 164
APPLICANT NAME
OFFICE PHONE
r7 5!�
MAILING ADDRESS
5411 5- S-v 5- l 5-
CITY, STATE, ZIP
4JtIV Gc/f} r l
CELL PHONE
(z5-3) Gob - 73-5
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
B L / Z / 3
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (coPy of card required with •}ch application) EXPIRATION DATE
/Y 73
COMPANY NAME
I'L
APPLICANT AME
446
OFFICE PHONE
10
MAILING ADDRES
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
o Architect ❑Tenant 11 Agent ❑ Other escribe ,)
FAX NUMBER
`am '
zs33_
NAME ff
,c�1+ T_GIL L
PRIMARY PHONE
7�s3" j006 -_733 S
E -MAIL ADDRESS
u�trE- i&8e.7 t --p'1I
NAME y
MAILING ADDRESS CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK ($
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . O HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
3 . FT.
TOTAL
3 . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
LW/TOIo -
PRO►OSM
TOTAL
••NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub /Shows Combo(
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS tn.& —. stnicd
fixture to be installed or relocated as part of this project. Do not incl
EVAPORATIVE COOLERS OAS LOOS
FANS HOODS (cemm.reld)
FIREPLACE INSERTS RANGES
FURNACES GAS WATER HEATERS
OAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
existing
1 WATER CLOSETS Roasq
DRINKING FOUNTAINS
RAINWATER SYST
T HOSE BIBBS
[_ ELECTRIC WATER HEATERS
REFRIO. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I eert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that !
am authorised by the owner of the above premises to perform the work for which the permit application is .inade. 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 irSformation supplied to the city as a part of
this application.
NAME/TITLE " 'T ' TNA rV
(Sign
RELATIONSHIP TO PROJECT
Al Inac'
a Owner b Agent )( Contractor ❑ Architect O Other
RnIIrHr, iii nn — rAntiR„v 1. 7.006 Paae 2 of 4 MandoutsTermit ADDlication