06-102021r
.4' Ki
•
City of Federal Way Plumbing Permit #: 06-102021-00-PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 SITE
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CROSSINGS-BUILDING J
Project Address: 34919 ENCHANTED PKWY S Parcel Number: 202104 9040
Project Description: Install plumbing for shell restrooms only.
Owner Applicant Contractor
OPUS NORTHWEST LLC CURT GILBERT
OPUS NORTHWEST LLC EVERGREEN STATE MECHANICAL
915 118TH AVE SE SUITE 300 5415 S 331ST ST
BELLEVUE WA 98005 AUBURN WA 98001
Plumbing Fixtures
Drains 1 Lavatories 3 Urinals 1
Water Closets 3 Water Heaters 1
PER IM EXPIRES Wednesday, April 30, 2008
Permit Issued on Monday, May 1, 2006
�I e Y a. s the above information .correct that the construction n t above described _ aqd
the pa r the use va hbein co n w�l a laws,r roes and regulations of the� r,of Was,hing n .,
u ,,'` .0 - ,and 1k a City i`o F decal Way.
e
Owner or agent: ��� Date: _ _
THIS CARD IS TOMAIN ON-SITE
CITY OF 41tommuni t3 Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102021-00-PL
Owner: OPUS NORTHWEST LLC
Address: 34919 ENCHANTED PKWY S
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 W Date s-2 p(p Byc, � Date ` S. c.�_` L. By Date
❑ Final-Plumbing(4075)
11 Approved
By C. 4,..) Date Ca. 13. vc,„
, lior
I RECEIOD
tarter 0@ - LO__ 0,1---.
L
Federal Way. APR 2 4 2006 PERMIT
COMMUMTYDEVELOPMENTSERVICES
SF MF CO ME EL OBE EN FP
33325 8°AVENUE SOUTH•PO BOX 9718 � /� D
FEDERAL WAY,WA 983063-9 Y OF FEDEFRARP L I C AT I O N To /
/Cc)
953-8335.9607•PAX953d35-m BUILDING DEPT.
teww.divolfedemlwnu t»m
The fo llowin• is re.aired in ormation-an incom•lete a.•lication will not be acce•ted. Please •rint legibi in in or ty•e.
■/PROPERTY INFORMATION
SITE ADDRESS 3-1 CI' 9 C n(cWA7'�/ 7) pi< /K!u s', SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - /_ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) �j Lu 6 J
/Attach separate page for lengthy legal desalptionl
' ■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING QQ PLUMBING , MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
s Q1.- . Ze->1—om $
PROJECT NAME(Name of Business or Owner Last Name) -- ]>114'{- U►' ' ` O SS(Ai 6-- �_ 0
•
1�
I■ PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 0/ 0 ■'M - ( '/Z) yo Z-7 CC)
MAILING ADDRESS CITY,STATE,ZIP
Gl/S /1 e Nf k- S., 1E--LLca/(lE tAi4 o S_
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
L VJ&Le' N me.11.4MCAL Cu elL f 1. 1
3)-7 3C- - 3"3/ /
MAILING ADDRESS CITY,STATE,ZIP CELL.PHONE
54/!5- S'o 3: i 5�- sT Av3t/ rt/ A/,5- yyet7/ (z3 ) Go( - 7335
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Z - C., 3- 1 0 Z —r-7__13 L . /Z / 3/ / ac vs-3 ).73s- - `13.5-z-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
r
0— u E-,� � smi 0 / Key 3- /3/ / °'"
APPLICANT COMPANY NAME yy�`�{{77 '// APPLICANT fNAAMEE,,'�, p OFFICE PHONE
�ItGz& & / �`//!G� /L �e ( U /6y�/ (z, )'-7 -`53`(/
MAILING ADDR CITY,STATE,ZIP CELL PHONE
ii? '4( 31r ,r 111)3ve61 W,4 `mil (z5-3 )6.0( - 35
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) Sv,3C.dN7L -7�f` ( 5!,) )3 ) -/3S-2-
CONTACT NAME y.--- PRIMARY PHONE E-MAIL ADDRESS
��4,r_
� 1 �l "67"--- (?'s3) boob --73 3 5 CuerE-/L, 7'e--3h1
LENDER
6o ?- NEn-
r ,fs ,ai
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■?DETAILED BUILDING INFORMATION .'.,
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUED? ROPOSED WORK $
SPRINKLERED BUILDING? ❑YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ L HAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
snsrua raoroeso TOTAL
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $•
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAHICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/Shower Combo) SHOWERS - J WATER CLOSETS craws / MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS floo e 1ber4-t4
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES 1 URINALS HOSE BIBBS
. 3. LAVS(s sroomswni VACUUM BREAKERS Z ELECTRIC WATER HEATERS
• 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 authorised 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 a part of
this application. Xi—T�5/i3/P g5M DATE 2 '
-0 &
NAME/TITLE �'
(Signatures (This)
RELATIONSHIP TO PROJECT 0 Owner o Agent O Contractor 0 Architect O Other •
ti
r, �rC t., yi„i
�.. r ".",1.7‘ _. 54� P9£%��lP ,3 1
Dons)nf k\Handouts\Permit ADulication