06-105194 City of Federal Way Plumbing Permit #: 06-105194-00-PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CAMPUS POINTE PROFESSIONAL BLDG-A
Project Address: 650-S---336`3' -SrT A v- -- S 0/ R Parcel Number: 926500 0020
Project Description: ALT- Stub plumbing service into building
Owner Applicant Contractor
THREE THIRTY SIXTH,LLC BIENER PLUMBING INC BIENER PLUMBING INC
1611 9TH AVE N 4033 S UNION AVE BIENEP*190B9(9/6/07)
EDMONDS WA 98020 TACOMA WA 98444 4033 S UNION AVE
TACOMA WA 98444
Plumbing Fixtures
Other Plumbing Fixtures 2
CONDITIONS:
PERMIT EXPIRES Friday, October 10, 2008
Permit Issued on Wednesday, October 11, 2006
I hereby certify that th- a love information is correct and that the construction on the above described property and
the occupancy and he,,-e will be in accordance with the laws, rules and regulations of the State of Washington
-n• the City of Federal Way.
Owner or agen ;� �/ Iv l(02 Date: . J/"
THIS CARD IS TO REMAIN ON-SITE
CITY of ''`
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105194-00-PL
Owner: THREE THIRTY SIXTH, LLC
Address: 650 S 336TH ST
FEDERAL WAY, WA 98003-6355
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 4_ (..„) Date /0 . /3. 06, By Date By Date
•
•❑ Final-Plumbing (4075)
Approved
By G s..� Date/ . 2.07
RECEIVED
. ° OCT 1 1 2006 Q( Lv
- 5 J 9_V
F ederalway PERMIT
COMMUNITY DEVELOPMENT SERV& V OF FEDERAL WAY SF MF CO ME E DE EN FP
333258TM AVEIf AESOU7N•POEOX9718UILDINr D PPLI CATI O N TO / /
r FEDERAL WAY,WA 98063-9718
- 253-835-2607.FAX 253-835-2609
www.aigo(kdemhuau.rom
The foilowin• is re,aired information-an inco •late • • •lication Will not be accepted. Please •rint legibly in ink)or type.
■ PROPERTY INFORIIIATION
SITE ADDRESS 33C )• R 1)1 A✓i s SUITE/UNIT#
ASSESSOR'S TAX/PARCEL• - LOT SIZE(s f)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 2.4771 P44 S PO/A T�
(Attach separate page for lengthy legal desenpaon)
■'PROJECTINFORMATION .
TYPE OF PERMIT ❑ BUILDING /PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
;i-I4t , P(W fl Bf/ 6- SC A (C l 13ti1 c."DGAJb
PROJECT NAME(Name of Business or Owner Last Name) CI?1710 (ti'i /n/Cr-S. / - 74 •
. PEOPLE INFORMATION ,
PROPERTY . NAM y PRIMARY PHONE
OWNER -Jt7 77 /, � L CSC, ( ) -
MAILING ADDRESS lCITY,STATE,ZIP
CONTRACTOR "'rnANY NAME APPLY _
c I6dI fW,v i ✓4 1.t, _ Go,&Z_W,5Al4 tc JL ( 1 , i``tz
4033 Svvii4 (4,Di1J �.L- CELL-PHONE
A.r 4,a„�, :4 t C
�'t v n��� r/v.� . , '✓✓V�- (,A,Y} �j pct / (2�"i'�tt C¢tit �
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / (. 5. ) -
B L '
CONTRACTORS REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME .....---, CANT N. E , OFFICE PHONE
-A ti � dd
k (_)T . ( ) -
MAILING ADDRESS C STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect ❑.Tenant 0 Agent ❑ Other(Describe) ( ) . -
CONTACT NAME 9 �, . I PRIMARY PHONE - E-MAIL ADDRESS
.. J`
LENDER NAME
MAILING ADDRESS " . CITY,STATE,ZIP PHONE
(
III 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 O 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 ❑ CARPORT❑
=STIRS PROPOSED 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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(camm.raid) WOODSTOVES
BOILERS FIREPLACE INSERTS - RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS -' WATER CLOSETS mom) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE(Bathroom maim) VACUUM BREAKERS 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 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 attorn eys'fees incurred to the investigation and defense of
such claim),which e m e by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the re of city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. •� /, r,4/•
NAMEJTITL � \ DATE `J /I"7[
(Signature) (Title)
RELATIONSHIP TO PROJECT U Owner U Agent o Contractor ❑ Architect -❑ Other
•
£9 lfrf F a1�
TLd1..tin ill AA_Tannaru 1 7nfA Page 2 of 4 k\Handouts\Pemtit Annlication