06-105197 City of Federal Way Plumbing Permit #: 06-105197-00-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-B
Project Address: -ST 3 3S0-7 7 6--q- �t}�o_ 5 131. B 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 t bove information is correct and that the construction on the above described property and
the occupancy and h se will be in accordance with the laws, rules and regulations of the State of Washington
n e City of Federal Way.
Owner or agent: 17 M(2 Date: /b/Ji iato
THIS CARD IS TO REMAIN ON-SITE • •
art OF Community Development ment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-105197-00-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 � Date/a.f3. G 0, # By Date By Date ■
❑ Final-Plumbing (4075)
Approved
By C ` Dater —/2 .07
�,,A RECEIVE
o -/ c 5 L c' 7
FederalWay. PERMIT
.CO,YA81NTYORFRIAPMENTSERVICES 1 1 2006 SF MF CO ME EL PL DE EN FP
33375 8TM AVENUE SOUTH•PO BOX 9718
EDERAL WAY,WA -97 ro / /
253-835-46F 07•PAX Y98063 5339S-�18 F FEDERALwAP PLI CATI O N
"t"Im°1 derrilwa" iUILDING DEPT.
The followin• is re•uired In ormation-an into .fete application will not be accepted. Please •rint legibi in ink)or tg•
■ PROPERTY INFORMATION
SITE ADDRESS 33..C-0°7 R A-1 , S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sj)
IP
LEGAL DESCRTION(e.g.Acme Estates,Lot 1) ( Pa pi S r a'NT�
(Attach aeparvta Ya9e/^•kNSIMI legal deaoipdot)
1. _.: / PROJECT INFORMATION ;,. .,
TYPE OF PERMIT ❑BUILDING //PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniti)
S_n4!3 , P JMSjn)b- seiwic. 1iv-b p�(/lt42/,alb _
PROJECT NAME(Name of Business or Owner Last Name) CtarPI V1� /ICJ//N / t T�J ��r— - .
_ . PEOPLE INFORMATION
PROPERTY N-M -.(y/"�� ( T/ PRIMARY PHONE
OWNER g- 2 S/.t y L C ( )
-
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR "^•'°.NY NAME APPU• ,
l t et/e4/46/4)4 11X— cat 'V .S )4tm)__ ( ( . '~Yz
t/ 3
Se v114 f I�.� j�,>�' C17'Y `T.'-'���•a / CELL.PHONE
V .S r"(�I l/ -.1-•'V lir e / ,l`tt (4 A` l oct (.2, ry wort • al / eueC
i'�"( /1 I- .C., '/Y v V"l� � (Xr, l JU-y'�riL1` teat
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - BL . I / ('--■)3 ) -
CONTRACTOR'S REGISTRATION NUMBER Ieopy of card regalred with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME AP CANT N MME OFFICE PHONE
c C -�� Co�cy �---- (
MAILING ADDRESS - C STATE,ZIP CELL PHONE -
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant o Agent 0 Other(Describe) ( ( . -
CONTACT NAME 9 ( PRIMARY'HONE _ E-MAIL ADDRESS
LENDER NAME
MAILING ADDRESS . - CITY,STATE,ZIP PHONE
(
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? d YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O PRIVATE(SEPTIC)
PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDTI'IONAL FLOORS(DESCRIBE)
DECK(COVERED?)
_ _ I
GARAGE ❑ CARPORT❑
zzarve rxoroesn Tmw
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(commeraml _ WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS �1
PLUMBING
BATHTUBS IotTub/Shower Combo) SHOWERS WATER CLOSETS gorier V MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom swoop 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 iincluding costs, expenses, and attorneys'fees incurred in 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 r of - city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. f �/1
NAME/TITL DATE < � i 1
(Signature) Rine)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent ❑ Contractor ❑ Architect ❑Other
Rnlleth.itlnil—lannary I 911116 - Pare 2 of 4 k"-(and outs\Pennit Application