13-102740 ' i • E Plumbing
Community of Federal
i.Dev.Services Permit #: 13-102740-00-PL
33325 8th Ave S J, j ...at
Federal Way,WA 98003
Ph:(253)835 2807 Fax:(253)835 2809 Inspection Request Line: (253)835-3050
6
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Project Name: KOHL'S
Project Address: 2101 S COMMONS Parcel Number. 762240 0010
Project Description: Under slab plumbing work.
Owner Applicant Contractor
KOHL'S DEPARTMENT STORE MULVANNYG2 ARCHITECTURE S D DEACON CORP OF WASHINGTON
N56 W17000 RIDGEWOOD DR 1110 112TH AVE NE SUITE 500 SDDEACW I08NT(6/20/14)
MENOMENEE FALLS WI BELLEVUE WA 98004 2375 130TH NE SUITE 200
53051 BELLEVUE WA 98009
Plumbing Fixtures
Other Plumbing Fixtures. 1
PERMIT EXPIRES Tuesday, December 17, 2013
Permit Issued on Thursday, June 20, 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
City of Federal Way. �`%�
Owner or agent Date: C/
p/
'`Nfto tett, (fa
4A., ,
• THIS CARD IS TO MAIN ON-SITE ‘ ,
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-102740-00=PL Address: 2101 S COMMONS
Project: KOHL'S DEPARTMENT STORE 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
1 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.
El Plumbing Groundwork(4190) 0 Rough Plumbing(4230) El Gas Piping(4125)
�'' Approved to cover Approved Approved to release test
B 6--�� Date By Date By Date
o Final-Plumbing(4075)
Approved
D4 ,f
•
E Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECCVED
CITY OF JUN 20 2013 PERMIT tPPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER /3 _f 6 tL 7 o _ pt. TARGET DATE
SITE ADDRESS
]11j
SUITE/UNIT 11
21 o i S c bh�a�5��7 e
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL S
$
7,Yoo
'76 a ( 1( U - d o r v_
TYPE OF PERMIT 0 BUILDING UMBING 0 MECHANICAL ❑DEMOLII1ON ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION L.Ik i � l. L1 ;. �..
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1(etA
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY ( STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME , PRIMARY PHONE
APPLICANT MAILING ADD - E-MAIL
CITY I STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAII IIIG ADDRESS E-MAIL
respond to all correspondence
concerning this application] CITY STATE ZIP FAX
-------NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$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:
'�tip DATE
/ ((
PRINT NAME: �,�. V. er
Bulletin#100—January 1,2013 Page 1 of 3 k:\1landouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture t be installed or relocated as part of this project. Do not include existing fixtures to remain. _
AIR HANDLING UNITS F S GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIRE CE INSERTS HOODS(commercial)
BOILERS FURNAC '' HOT WATER TANKS(Gas)
COMPRESSORS �A3 I,OG SETS REFRIGERATION SYST
DUCTING GAS PIPING °- WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated aspart of this project. Do not inclu e exi ing 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 txiwxn/Unv+yl WATER HEATERS(Ekxbio
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 Oa Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
D Yes D No D Yes D No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
'
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
gip: e 3+ r , * 'sN`3i-,
GARAGE 0 CARPORT 0
�y �,�, .•, � �° :tip if>
EXstuO PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) a Stories Additional Information
in oars Feet
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Grou s Construction #of
in oars Feet p pl I .a Stories Additional Information•wy3 Y 4-'� ^
01 „ Pi s 7gE
TENANT AREA ONLY
Bulletin#100—January I,2013 Page 2 of 3 k:\Handouts\Permit Application