13-100025r
A 'Pluiabing
City of Federal Way
Community & Econ. Dev. Services Permit #: 13- 100025 -00 -PL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609 i Inspection Request Line: (253) 8355 -30550
Project Name: 21 WAYS
Project Address: 1420 S 348TH ST Parcel Number: 202104 9088
Project Description: Install plumbing fixtures for new 5,250 square foot retail shell building
Owne
ARRlican t
Contractor
21 WAYS LLC
MERIT CONSTRUCTION NORTHWEST
CORNELL PLUMBING & HEATING INC
33255 139TH TERR SE
3020 S 96TH ST
CORNEPH277JF (11/1/14)
AUBURN WA 98092
LAKEWOOD WA 98499
3210 S TACOMA WAY
TACOMA WA 98409
Plumbing Fixtures
Lavatories ........ ............................... 2 Other Plumbing Fixtures................ 1 Vacuum Breakers ........................... 1
Water Closets.. ..... .......................... 2 Water Heaters.. ............................... 1 Hose Bibbs...... ............................... 2
PERMIT EXPIRES Tuesday, July 2, 2013
Permit Issued on Thursday, January 3, 2013
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: � Date:
..
THIS CARD IST MAIN ON -SITE
C,T,r °F Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 13- 100025 -00 -PL Address: 1420 S 348TH ST
Project: 21WAYS LLC FEDERAL WAY, WA 98003
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 f'L Date
By Date
Final - Plumbing (4075)
Approved
Date
LJ- Rough Electrical
Approved
Final Electrical
n
Right of Way
Approved
Approved
By Date
By
Date
By
Date
RECEIVED
0
Federal way PERMIT
'AN ° 3 20XPPLICATION
COMMUNITY DEVELOPMENT SERVICES
253- 835 -2607• FAX 253 - 835 -2609
www.dtuo((ederalwau.CM OF FEDERAL WAY
CDS
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SF MF CO ME PL DE EN FP
SITE ADDRESS /!JZ O
SUITE /UNIT #
7 401'� .S "" _5� Fo/, a / w 9 Foo3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL #
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Z o Z/ o y- j o
TYPE OF PERMIT
❑ BUILDING API PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
lTenantName /Homeowner Last Name)
Z/ L/ /f /)�4;/
PROJECT DESCRIPTION
Detailed description of work to
��.rr�,i� .✓ll�a /�ar e
be included on this permit only
PROPERTY OWNER
NAME _
Z !4/4 LL
PRIMARY PHONE
MAILING ADDRESS
33 Z ss -7e ,-r SE
E -MAIL
CITY
v v �n
STATE
GJfI
ZIP
980 91
-
NAME
11-146-1 � S_/It, --o &1-,195
PHONE
zs 3-5;fT - 9/00
MAILING ADDRESS
302o S 7.1' -.57'
E -MAIL
CONTRACTOR
CITY / / STATE
L•c f'e�✓oo�/ 14IR
ZIP
9P`/99
FAX
ZS'3 -588- 4 /�G
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME �
PHONE
ZS - 273 -7/7/
MAILING ADDRESS
3Z /p S. T corn
E-MAIL
COr/�E / /�i� ✓PitTU/t.G
APPLICANT
CITY
STATE
w,q
ZIP
9Pyo9
FAX
zs3- /73 -717.Z
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME
/' ` V� �a a
PHONE
ZS3 -y73 -7/ 7/
MAILING ADDRESS /
3Z/lJ I /lic -.
E -MAIL 1
//40 ol V eaTt//2•G
CITY
STATE
w
ZIP
9�yo 9
FAX
zsT -v73- z
ALTERNATE CONTACT NAME:
_jtase jl Gitce
PHONE
zf3(a6 -(o 9/0
E-MAIL
PROJECT FINANCING
NAME
OWNER-FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that 1 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,jiled 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 city as apart of this application.
?
SIGNATURE: // . DATE
PRINT NAME:
Bulletin #100 -January 1, 2011 Page 1 of 3 k:\-landouts\Pernut Application
y
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type o fixture to be installed or relocated as part of this project. Do not include extstin fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower Combo) Z- LAVS (Hand Sinks) 1200 Z TOILETS J'/SV WATER PIPINGX35b
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS _� VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (KHchen /Ubhry) WATER HEATERS (eieeme)���
HOSE BIBBS J 30 SUMPS WASHING MACHINES TOTAL FLXTURES`
Ni
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
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