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04-100242 N. r ti s , 3//565 City of Federal Way Connnanity Development Services / Plumbing Permit #:04 — 100242 — 00 — PL, 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 / (,, 1 Inspection request line: 253.835.3050 Project Name: FEDERAL WAY NATIONAL LITTLE LEAGUE FIELD HOUSE Project Address: 450 SW CAMPUS Parcel Number: 192104 9004 1 Project Description: TI-Adding(4)water closets,(3)lavatories,(3)sinks,(1)water heater,(2)urinals and(2)floor drains Owner Applicant Contractor FEDERAL WAY NAT LITTLE LEAGUE*FED HOLADAY PARKS INC HOLADAY PARKS INC 1911 SW CAMPUS DR HOLADAY PARKS INC HOLADAY PARKS INC FEDERAL WAY WA 98023-6473 4600 S 134TH PL 4600 S 134TH PL SEATTLE WA 98168 (206)248-8747 // Plumbing Fixtures @ Q 116 a.. l li .?. liki , W;141Q a 7 .t,. ,....._ 07 O.'> y;' a,,CfMtli Drains 2 Lavatories I 3 Sinks 3 I Urinals I 2 Water Closets 4 Water Heaters 1 PERMIT EXPIRES July 21,2004. Permit issued on January 23,2004 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 Feder a0 ay, Owner or agent: C� � ti-- Date: t---a3"09 St44A el • wvk, , (mil (41... 1 . 01c / - Z ,e. - e) Al e., c J Is 0 ap (-1-e5/) . Z/ ..;- 097- / ,, , lotyn 't filiCEIVED CONSTRUClit PERMIT APPLICATION CITY Of 4101‘1111116 JAN 2 3 2004 APPLICATION NUMBER`.. . 1 _ , Federal W CITY OF FEDERAL WAY APPLICATION NUMBER - BUILDING DEPT. APPLICATION.NUMBER: - _ **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. �/ C7 / • PROPERTY INFORMATION SITE ADDRESS:�zG € d��' '111.41. ASSESSOR'S TAX/PARCEL#: L .%& L Q. 4 - 90 D i LEGAL DESCRIPTI N OF SUBJECT PROPERTYY ACH EPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING (PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM / PROJECT DESCRIPTION(Provide detailed description): / ' . - 6`') .A� C%Q�)), 431 , i � 3 - --. -- ---� - I J / , : ' PROJECT NAME: - -_• _ , .� �. _ go' I • PROJECT INFORMATION LW- PROPERTY OWNER: MME' DAYTIME PHONE: G,o�tetSTR w Q ATE, ) °2- --'`' -c- ( `�z5') 2z(A -2.72a ! ( M LING ADDRESS(STREET ADDR ATE,ZIP): /I// J 44,- _ •/41 ,, e e . P°.23 CONTRACTOR: NAME' DAYTIME PHONE:a 4.4L) 4� �*4,e_, (a (0) 2.qg - 874,7 MAILING ADDRESS(ST ET DDRESS;CITY,STATE,ZIP): EVENING PHONE: �600 /341- / ze) 98I6 9 ( -- - CITY OF FEDERA WAY BUSINESS LICENSE NUMBER: / FAX NUMBER: ;o-o/-/oj 3 9 s-Oo-J3L. _ - - ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) o sL 4- p P._` 7 g N o 9 / o /o s DAYTIME PHONE: APPLICANT: NCB i 1#-A� (24(0) A,tg - ST�F7 MAI,NG ADDR ( ADDRESS;CITY,STATE,ZIP): EVENING PHONE: •/(000 /3 4/F- AP i i - - GU J ' • ILA ( ) - RELATIONSHIP •PROJECT: /�--�_ FAX NUMBER: ❑ARCHITECT ❑TENANT EOTHER(DESCRIBE): ( 206)248 -g70 , E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR OP..�? p() ADlada�/ rks.cak • PROJECT INFORMATION 1 EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ eiq-g b C)©• °O PROPOSED USE: _ PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION O NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL -BASEMENT FIRST 1 SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: - Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) Z URINAL(S) I WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) d. SINK(S) 'f WATER CLOSET(S) ___g___ MISC. INTERCEPTOR(S) SUMP(S) • DISCLAIMER/SIGNATURE BLOCK I certify 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,induding 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 s to the city as a part of this application. / NAME/TITLE: (;?.._i1-( DATE: ! A 3 ❑ PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR FOR.OFFICE USE ONLY: I a NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT CENSUS CODE: LOT SIZE:. ZONING DESIGNATION:' BUILDING;SHELL ONLY? 0 YES ❑NO COMP PLAN DESIGNATION" BASIC PLAN? " Q YES 0 NO SECTION . ' TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES o NO PLATTED:LOT? 0 YES ❑NO CHANGExOF.USE? ❑'YES'; "o-NO k COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederalway.com