06-105204 Gtty of Federal Way Plumbing Permit #: 06-105204-00-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-H�
Project Address: -6-50-S-3;341 33 Sad ? 7 f'1 not S Parcel Number: 926500 0020
Project Description: ALT- Stub plumbing service into building dol.-
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
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CONDITIONS:
PERMIT EXPIRES Friday, October 10, 2008
Permit Issued on Wednesday, October 11, 2006
I hereby certify thai the r:bove information is correct and that the construction on the above described property and
the occupancy an -;- use will be in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: / �� `"� �� Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105204-00-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.
El Plumbing Groundwork(4190) •❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By W Date/O ./6„• 043 By Date By Date
❑ Final -Plumbing (4075)
Approved
By C co.) Date I ^l2-07
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Federal 1.12� E RI T oc, SF MF CO ME EL eDE EN FP
� � SERVICES
. 373Y58^t AVENUE SOUTH•Po BOX 9718 n,o LICATION m
FHIIBRAL WAY,IYA 98067-9718 ^ / - /
T53d95-2607•FAX 457-875-?609 %1T
ruunudlWl/edemhcuumm R�
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The following is required information—an incomplete application will not be accepted. Please .tint legibly in ink)or type.
■ PROPERTY!NFORMATION
SITE ADDRESS 33 se)-7 q- A✓i S SUITE/UNIT #
—
t ASSESSOR'S TAX/PARCEL# _ _ _//��_,,, � . LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) C47 7/2 4 S PO/
/Attach aeyarate page/lengthy legal deaaiptionl
. . ., ■ .PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING /PLUMBING ❑ MECHANICAL
D DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
S-Re Ricif alivb- SCwtc." lArrt2 /(47/A/b —
PROJECT NAME(Name of Business or Owner Last Name) C-1477 71W b/ AaINL5 14I U '
U PEOPLE INFORMATION
PROPERTY . NAM wy2 / 7.2.4.7 PRIMARY PHONE
OWNER / q 7 /,1 y L &C .
( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR ..n"rnANY NAME APPIJr
I( 1 P QI.�/4 / _ Goo M ,,S )41,60 L (� ;,, s 't-4-f
A,.- ..004-14 f pt.� t- CST? r, ^ vine CEELl-PHONE
` 1 -C l ,ie (P 'y'V'r A ci- ('/ L 1 al 4u C
�l �•r/-cry �,�.. _ �� f,�,'R ( �S' �'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER _
t - - - B L
/ 1 (- 3 )
CONTRACTOR'S REGISTRATION NUMBER loopy of card required with each application) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5 � /� G)l\ AC)— -- ( ) -
MAILING ADDRESS C STATE,ZIP CELL PHONE
( )
f RELATIONSHIP TO PROJECT - FAX NUMBER
1 ❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
1 LENDER <;A ,:';'e ' ,.a cc 4,s, t,n < , 'Y•„ NAME
I r>,{>, t zz{L'7F spa xLr.p- o>c `y`..-., 1e;
I. MAILING ADDRESS CITY,STATE,ZIP PHONE
■ DETAILED BUILDING INFORBIATIOti
EXISTING USE PROPOSED USE
1
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA C PRIVATE(WELL)
SEWER SERVICE PROVIDER U LAKEHAVEN ❑ HIGHLINE D PRIVATE(SEPTIC)
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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❑
NUMBER OF FLOORS °Oer°o rnorosw rmN
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
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AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commease) WOODSTOVES
BOILERS FIREPLACE INSERTS , RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING -
BATHTUBS(rT.b/Shower Combo) SHOWERS WATER CLOSETS Iroiiu _ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(Bathroom Sinks) 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 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 re e of city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITL DATE i°7►"/( Le
(Signature) mile)
RELATIONSHIP TO PROJECT CI Owner O Agent ❑ Contractor ❑Architect t7 Other
141111o/in tllilil_Tanuary 1 90{16 Pane 2 of 4 k\Handouts'Permit Annlication