05-103597City of Federal Way Plumbing Permit #: 05 - 103597 - 00 - i 1.
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: FEDERAL WAY CROSSINGS (BLDG B /C/D/E)
Project Address: 1405 S 348TH Parcel Number: 202104 9040
Project Description: Plumbing in (4) waste water lines, (4) water lines, and (7) rainleader lines for BLDG B /C/D/E.
Owner
Applicant
Contractor
CLERGET EVERGREEN LIMITED
EVERGREEN STATE MECHANICAL INC
EVERGREEN STATE MECHANICAL INC
EVERGREEN STATE MECHANICAL INC
EVERGREEN STATE MECHANICAL INC
5415 SW 331ST ST
5415 SW 331ST ST
AUBURN WA 98001
(253) 735 -8341
Plumbing Fixtures
description J1LQuantity Description Quantity Description Quanti
Other Plumbing Fixtures 15 J
PER! T EXPIRES August 29, 2007.
Owner or agent: Date:
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DATE INSPECTOR AREA AND TYPE OF INSPECTION
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THIS CARD IS TO MAIN ON -SITE
rr OF tommuni ty Development Inspection R
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Federal
Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 103597 -00 -PL
Owner:
Address: 1405 S 348TH 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 - By G, 1,J Date Z . - V By Date
❑ Final - Plumbing (4075)
Approved
By e C'J Date S- / 7- oo
off of A.
Federal Way
COMMUNITY DEVEIAPMEMP SERVICES
3332S 8TM AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063 -9718
2S3 -83S -2607• FAX 253435 -2609
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PERMITiuL 2 2 2005
SF MF CO ME ET( LE EN FP
APPLICA7 GOEP�W / 77a]
formation - an incomplete application will not be accepted. Please print legibly fin inkJ or tune.
SITE ADDRESS yLfi•�
ASSESSOR'S TAX /PARCEL # Z— 0
LEGAL DESCRIPTION (e.g. Anne Estates, Lot 1)
f7%S 3 76.ITE /UNiIT #
LOT SIZE (s•)
(Aaach separatepVe for Ieff9f1W leg& dvaiW&n)
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name)�0
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME
005 'U.i�. LLG
APPLICANT NAME
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PRIMARY PHONE
cn�► 67 =2700
MAILWO ADDRESS
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CITY, STATE, ZIP
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RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent Other (Describe) ItlI3, QVnrf4e J i°_
FAX NUMBER
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COMPANY NAME
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APPLICANT NAME
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OFFICE PHONE
(MT )735- -S3�
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Cn Y, STATE, ZIPP) ,' /�% /%y J([�,ny�/
C�EjLhL/P�HONE •7���
OF FEDERAL WAY BUSINESS LICENSE NU BER
EXPIRATION DATE
FAR NUMBER
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CONTRACTORS REGISTRATION NUMBER loopy of card required with each application)
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EXPIRATION DATE
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COMPANY NAME F
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APPLICANT NAME
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OFFICE PHONE
(7S 733' -4'�Y
(LING ADDRESS CITY, STATE, ZIP —
5z//!5'- Sz 73/ SL e 1.���
CELL PHONE
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RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent Other (Describe) ItlI3, QVnrf4e J i°_
FAX NUMBER
�TS-3j) - 735—'9 ?.iZ,
1
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. s . FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
G7tISTOfO
NUMBER OF FLOORS PROPOSED TOTAL ;`p " " " " " "'T ..: .. ..r /f•
-NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
A ffXJL4ATCAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (Comnmvitaq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
*AS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS (arTut, 1shoaacomt4
SHOWERS
WATER CLOSETS froBeq
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
Ll
6-h
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
L
l
0-
WASHING MACHINES
URINALS
HOSE BIBBS
N�(iW7
LAVS (Bathreomsinkal
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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I cer ft under penalty of perjury that the t4ormation 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 apart of
this application. -�
NAME /TITLE ���U "I� 1'0 � sDATE 7 —Z2 '05
(Signs I (Tide)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
Bulletin 100 — Januaiy 7, 2005 Page 2 of 4 MHandoutAPermit Application