09-100751 • Plumbing
Community Development Services
City of Way • Permit #: 09-100751-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: AFFILIATED COMPUTER SERVICES
Project Address: 3600 S 344TH ST Parcel Number: 726120 0221
Project Description: Install(2)sinks,(1)each on 1st floor&2nd floor and (2)electric water heaters
Owner Aonlicant Contractor
LBA REALTY FUND III CO INC GS MECHANICAL LLC GS MECHANICAL LLC
3201 SW 344TH ST P 0 BOX 1917 GSMECHML928RK(12/10/10)
FEDERAL WAY WA RENTON WA 98057 P 0 BOX 1917
98023 RENTON WA 98057
j a � ...
Sinks 2 Water Heaters 2
PERMIT EXPIRES Wednesday, August 26, 2009
Permit Issued on Friday, February 27, 2009
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: /Z-7,/�1
4‘L '11° kee or, j
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, - ‘
ID THIS CARD IS TO MAIN ON-SITE . .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100751-00-PL
Owner: LBA REALTY FUND III CO INC
Address: 3600 S 344TH ST
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 THI 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) ❑ Rough Plumbing(4230) CI Gas Piping(4125)
Approved to cover Approved Approved to release test
BYO__Nt`.. Date 3..).3 . c, By ■ u„`, Date 3-3_41 By Date •
0 Final-Plumbing(4075)
Approved
By 4A) Date I' L-C,
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
RECEIVOto 0
CI OF 9 ■ 0 Federal Way FEB 2 7 2009 PERMIT - .. /
SF MF CO ME E PL a E EN FP
COMMUNITY DEVELOPMENT SERVICES
33325
2607E SOUTH 0718 FE®E R/ I C AT I O N TD / /
FEDERAL WAY, I{ 97 �'
www.cityoffederalway.com ,,.eDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3 C Do cea..-r&, 34fsf'` 54,- SUITE/UNIT t►
ASSESSOR'S TAX/PARCEL# 1 2 C I 2 Q - 0 Z ?- I LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING EI'PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) 1 ,/
.17.. a Ora.. E rbb w. 5I iS//�� toot; 2.' . /ra., 'pp&.i 4•4.4./ 4 f,L'Yl]
e .,‘e_ S►.. k .1 •... /st Tiber' , bne_ o✓..► ZwA.
PROJECT NAME(Name of Business or Owner Last Name) /4(�S Cad CtA,TiA
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER AC,5 ( )
MAILING ADDRESS/� CITY,STATE,ZIP E-MAIL ADDRESS
33a O AU 6011.1V wAl A) Stu avLp.1 / tak
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
£r'5 Art i &lut..siL LC.C... Crkor SMkt4 to Ir ( )
MAILING ADDRESS p 1 CAITY,STATE,ZIP /� CELL PHONE
P.O 6Ok / 117 •.rATOL it4.1AONDSaS7 ( .W 4)E37... - b33Z
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
(;JZc) 224 - a L fz.
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
GSm -cr c. /.2sAK /2/12/i0 9r`J'D e`.i.a....(s4sr,ce,,z
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
6-5 flfc.HAN1c.H.L.. cc c_ Gti61- SP1 iftz IN 6, ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Po e .> ,v7 Relorou , w4F 16oc? (204 )37.7 -633?
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other (YID-) a•?6 -4 4 q'L_.
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT 6allti%( C.PIA n f ( 2.0(0) 442 - (ea 7S CAA" MIITLonsTroaoRS.Co..,
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $$
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAREHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
lb
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK(0 COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
EEISTISO PROPOSED TOTAL TOTAL EEmTINO 8) TOTAL PROPOSED 8l TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
IN FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
a ELECTRIC WATER HEATERS 2 SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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: DATE ' /t / �10
Property •'ner and/or Authorized Agent iii
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO