04-100822 City unity Federal Way Plumbing Permit #:04 - 100822 - 00 - PL
Community Development Services
33530 1st W;y S
Federal k'ay,WA 91003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: PROGRESSIVE INSURANCE
Project Address: 32001 32ND Suite430 Parcel Number: 162104 9001
Project Description: New-Furnish and install new fixtures
Owner Applicant Contractor
FOSS DEVELOPMENT AUBURN MECHANICAL INC AUBURN MECHANICAL INC
FOSS DEVELOPMENT PO BOX 249 PO BOX 249
1151 FAIRVIEW AVEN AUBURN WA 98071 AUBURN WA 98071
SEATTLE WA 98109 (253)838-9780
Plumbing Fixtures
Description Quantity, Description Quantity Description __Quantity
Other Plumbing Fixtures 1 Sinks I
PERMIT EXPIRES September 6,2004.
Permit issued on March 10,2004
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: e---1vl ` Date:
j} gym e
Royb rivmP
riot, / .
• /04
PL
'��® CONSTRUCTION PERMIT APPLICATION
VNl Fry R�C'� APPLICATION NUMBER: l l Ley -7.,2--
APPLICATION NUMBER: - T
pR Ap I. r* ( � APPLICATION NUMBER: -
**The following:4 required information—Please print(in ink)or type**
Please note: Electrical, Fire Prik4{do Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 370(., ( 32"d A.ve• • >(ifk o( ASSESSOR'S TAX/PARCEL#: (O 2- D - rl O O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
T
PROJECT DESCRIPTION (Provide detailed description): ry'j g\
PROJECT NAME: o ye SS j VE 17T-
•
Q PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ( )
CONTRACTOR: NAME:
DAYTIME PHONE:
Auburn Lkec.havuco-Q ,TL L. (is3 )'638 -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
P. 4u10uryN, WA 9 &-) I ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
(
753)8 33 - (3t
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) A v Y v k_M t L9 3 J _ _
APPLICANT: NAME: DAYTIME PHONE:
)
MAILING ADDRES (STREET ADORCITY,STATE,ZIP): (
EVENING PHONE:
)
RELATIONSHIP TO PROJECT: NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT HL,CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ k-20 Do .00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO
":'.TER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE C TACOMA ❑ PRIVATE(WE.L)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) I SINK(S) WATER CLOSET(S) MISC.(- "lair it)
INTERCEPTOR(S) SUMP(S)
• 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 may be made by any person,including the undersigned,and filed against the City of
Federal Way,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.
NAME/TITLE: DATE:
0 PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW o ADDITION 0 ALTERATION 0 REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? 0 YES, 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES ❑ NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES ' 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129