16-104151City of Federal Way
community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: KOSNOSKI EYE CARE
Project Address: 2314 SW 336TH ST
F Numbing
Permit #: 16- 104151 -00 -PL
Inspection Request Line: (253) 8353050
Parcel Number: 132103 9097
Project Description: Installation of (4) hand sinks. ** *REVISED 9/9/16 TO ADD (1) wMitiallW hand a ak * ** '
Owner
GOLD INVESTMENT L L C
A Ip Illcant
TRANSIT PLUMBING INC
Contractor
TRANSIT PLUMBING INC
33615 7TH PL SW
309 49TH ST NE SUITE A
TRANSPIIO1KK (8/9/17)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98002
309 49TH ST NW
AUBURN WA 98002
Plumbing Fixtures
Sinks.: ............................................. 5
PERMIT EXPIRES Sunday, February 19, 2017
Permit Issued on Tuesday, August 23, 2016
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: Q . `� e a( Date: Q f X11 to
EO
Piumbifkg of Federal Way
Commonly & Econ. Devv.. Services Permit #: 16-104151 -00-PL
33325 8th Ave S
Federal way, 98003
Ph: (253) 835 -2607 Fax: (253) 835-2609 Inspection Request Line: (253 ) 835 -3050
Project Name: KOSNOSKI EYE CARE
Project Address: 2314 SW 336TH ST Parcel Number: 132103 9097
Project Description: Installation of (4) hand sinks.
Owner
Annlicant
Contractor
GOLD INVESTMENT L L C
TRANSIT PLUMBING INC
TRANSIT PLUMBING INC
33615 7TH PL SW
309 49TH ST NE SUITE A
TRANSPIl01KK (8/9/17)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98002
309 49TH ST NW
AUBURN WA 98002
Plumbiing Fixtures
Sinks................ ............................... 4
PERMIT EXPIRES Sunday, February 19, 2017
Permit Issued on Tuesday, August 23, 2016
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 acco dance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: Cs
emm or
Federal Way
PERMIT #:
16- 104151 -00 -PL
THIS CARD IS TO ON-SITE
Construction In on Record '' y
INSPECTION REQ 3) 83 5 -3050
Address: 2314 SW 336TH ST
Project: GOLD INVESTMENT L L C FEDERAL WAY, WA 98023
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 )
[3 R u g g ( ) Plumbing
Piping
Approved to cover
Approved
Approved to release test
By A,,) Date Q'` 30111,
By f - r1 Date � I � 3 f 11�
rBy Date
❑ Final - Plumbing (4075)
Approved
By r% Date to (y� tb
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Wa y —"
Approved
By
Date
By
Date
By
Date
WE EI ED
t - -- PERMI'10APPLICATION
. CITY OF
AUG 2 3 2016 PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003 -6325
Federal Way
253 - 835 -2607 + FAX 253 - 835 -2609 + nermitcentena )citvoffederalway.com
CITY OF FEDERAL WAY
CD5
PERMrr NUMBER �p _ ® 1 C� 1 5 L— F t—�
- TARGET DATE
SITE ADDRESS !
w 33 [` .�
SUITE /UNIT #
PROJECT VALUATION
$ �pt7�
ZONING
ASSESSOR'S TAR /PARCC�EL # q /�
! 3 'Z d 3 -
TYPE OF PERMIT
❑ BUILDING 1111PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
1 N 5
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
NAME lU ML,, " &
2s3 �isS�r � 4 S+4
M �ING ADDRESS r � A, ,� `
!� J /TL
E-MAIL
CONTRACTOR
CITY
i¢TATg
ZIp
FAX
WA CONTRALTO 3 C%E,N�SIE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME ` „/ /
R /�S
PRUKARY PHONE
APPLICANT
MAILING ADDRESS
S Ct �-�► z' d S C G I.1�"0
EMAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME ���
PRIMARY PHONE
(The individual to receive and
MAILING ADDRESS
EMAIL
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER - FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I cert(jy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 ci a part of this application.
SIGNATURE: DATE
PRINT NAME: .,J
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
a a
VA
MECHANICAL PERMIT LUE OF MECHANICAL WORK
Indicate how mmy of each tupe o f flxture to be instaUed or relocated as part of this project Do not include exisfirkg fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commerci4
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY? _
WATER PURVEYOR
VALUE OF PLUMBING WORK
Indicate how many of each type of re
to be installed or relocated as
part of this project. Do not include existbigfixtures to remain.
BATHTUBS (or14b /Shower Combo)
LAVS (Hand SftJ q
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS +
SINKS (Kitchen /UhL'ty) %4d ✓' �
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS S.r• rs
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? _
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL - NEW /ADDITION
AREA DESCRIPTION I Area Construction # of
Square Feet Occupancy Groups) ,�na Rtnrie� Additional Information
ADDITION I
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
Square Feet Occupancy Group(s) Additional Information
_. _ I Tvtse I Stories
TENANT AREA ONLY
Bulletin # 100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application