16-100289 4
• • •
F .Plu�mialg•
Citty•&Econ.D Way Permit #: 16-100289-00-PL
Community&Econ.Dev.Services
3'.325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2809 p a
Project Name: PAVILION APARTMENTS CLUBHOUSE
Project Address: 1900 SW CAMPUS DR Parcel Number: 132103 9103
Project Description: Install new plumbing fixtures for associated remodel
Owner Applicant Contractor
FPA4 CASCADE RIDGE LLC RANDY REARDON AMERICAN STAR ENTERPRISES
4685 N MACARTHUR CT SUITE 400 AMERICAN STAR ENTERPRISES AMERISE871P2(10/22/17)
NEWPORT BEACH CA 92660 24012 W 34TH PL 24012 W 34Th PL
BRIER WA 98036 BRIER WA 98036
II
Plumbing Fixtures
Drinking Fountains 2 Lavatories 2 Showers 2
Sinks 1 Water Closets 2
PERMIT EXPIRES Monday, September 5, 2016
Permit Issued on Wednesday, March 9, 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. &)$ 07,
Owner or agent: Date:
Zl qC)
'A
THIS CARD IS TO ' ∎4 . I ON-SITE
Construction Ins Lion Record
`Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-100289-00-PL Address: 1900 SW CAMPUS DR
Project: FPA4 CASCADE RIDGE LLC FEDERAL WAY, WA 98023-6533
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.
0 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By 60 Date 1125)Ra By P4) Date 712—I I I$, By Date
El Final-Plumbing(4075)
Approved
By AA) Date 5l zC )/k
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF MAR' 0 9 2016
. 4k6. litecemp
PERMI' ►PPLICATION
Federal Way
cm OF FEDERAL WAY
2 P 3
PERMIT NUMBER _ 1 _ f5/4*
►
TARGET DATE
SITE ADDRESS SUITE/UNIT N
1900 v�J C4MVt4 `)R
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL N
$ 525O 1 J I_ 3 -
! a
TYPE OF PERMIT ❑BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
1
NAME OF PROJECT PA V I Lip Ji A- /1 T M E'1 f s CL Li 6 1 1.i6
1 PROJECT DESCRIPTION A'° • - SAi//-1 ` i
Detailed description of work to
be included on this permit only
NAME LLB.-- PRIMARY PHONE
PROPERTY OWNI$It 1s P�4 L ASC 2)�� r l t7
MAILI G ADDRESS E-MAIL
N aYS N Mitcn IHU2 CT ST. 1-10D
CITY STATE ZIP
06 T et Ac H Cif- g 2-6 i V
NAME "' PHONE
MAILING ADDRESS 0 r- "'1)
CONTRACTOR ° d/Z i?.' C ' 191._ �'
CITY 7 i STATE. ZIP FAX
1 -ie - WA- cUW
WA c••■••• ^MrreArrnRPC IsICENsE# pTPIRATION PATE r FED RAL WAY BUSINESS LICENSE M
NAME _ / PRIMARY PHONE
smw C A-5 a)N'l F-/TL- l'2-
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify 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 city as a part of this application.
SIGNATURE: /IP( DATE ��1
PRINT NAME: X' // 1 7
Bulletin#100—February 22,2016 Page 1 of 2 161-Iandouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of facture to be installed or relocated as part of this project.Do not include existing 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of future to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo( LAVS(Hand Sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility( WATER HEATERS(Electric(
HOSE BIBBS SUMPS 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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ J #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application