08-101069T
f City of Federal Way Plumbing Perm #: 08-101069-00-PL
Community Development Services
P.U.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: DEVRY UNIVERSITY'- CHAMBERLAIN NURSING
Project Address: 3600 S 344TH ST Parcel Number: 726120 0221
Project Description: Furnish and install hot water heater,(2)scrub sinks,(3)hand wash sinks,(1)floor sink,(1)
air compressor,(1)vaccuum pump,wall outlets and(1)3-way.
,
Owner Applicant Contractor
LBA REALTY FUND III CO INC PSF MECHANICAL INC PSF MECHANICAL INC
3201 SW 344TH ST 9322 14TH AVE S PSFMEI*090NZ (10/3/09)
FEDERAL WAY WA SEATTLE WA 98108-5102 9322 14TH AVE S
98023 SEATTLE WA 98108-5102
. .
Plumbing Fixtures
Lavatories 6 Other Plumbing Fixtures 1 Sinks 1
Water Heaters 1
§
Pl,�Y1��a'y�S PERMIT EXPIRES Sunday, February 28, 2010
I �
Permit Issued on Friday, February 29, 2008
I hereby ert�that the above information is correct and that the construction on a above described property and
the occupancy' t-Wyse will be in accordance with the rules and regulations rf the to 5f Washington
-,-N ',,
and City of ed rai Way."
Owner or agent: Date:
,
(n- Ir1 j0) /0-10,
- t _ (liQ
• THIS CARD IS TO IN ON-SITE
CITY OF Community Developmen Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101069-00-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 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 By Date By Date
— ❑ Final-Plumbing(4075)
Approved
gtv,_ByDate fr`C
•
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
RECEI ED 1
ay PERMIT W —
OOI/MIIATIYnEVSLOr,N&xrSERVICES FEB 2 9 2008 SF MF CO ME EL/�DE EN FP
33325 DER L WAY,SOUTH•PO BOX 9718 CATION ✓✓
FEDERAL WAY,WA 98063-9718 Q p T T TD / /
253.895-2607•FAX25 ',�'84r OF FEDrCi'r.(} LJ�W�JAIr
a�ur.diwPredemimaffenrR
The following is required infdr►hkiibn-an incomplete application will not be accepted. Please print legibly(in ink)or type.
54-41--to NI PROPERTY INFORMATION
SITE ADDRESS!) O 5 SUITE/UNIT I
ASSESSOR'S TAX/PARCEL It 2- r . `Il P - 0 2 2- ( LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) De v Y t,n V Y j,
(ems aP�frkr th daa
{peon)
■ PROJECT IINFORMATION
TYPE OF PERMIT ❑BUILDING b PLUMBING ❑ MECHANICAL •
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PAOJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
W..vv\kik,-- ' ∎ r "t 11 ilecc wA, e,- hearty; 2 .b 51116, 3 kaA,GILlocin %ill,1 P im/ 5114 l /4,— Cov Nffemor 1 /ot.CctAkk r, ptAw , Wtit i OA-kb ( 3-
!?AMe \M`4e-'la* .
•
PROJECT NAME(Name of Business or Owner Last Name) lP� v v' \ 1 v.e./66h - `iv pm.,bve lain n1 .1'5)
au PEOPLE INFORMATION
•
•
PROPERTY NAME .yyL
.
� PRIMARY PHONE PZ,V 1l� 'VVC\VedtCS 1 ) )
_
E-MAIL ADDRESS I6 ADD \\..t.)7, L Gam_ �kAb7,Zni. 'Scrrztc�. I
L
CONTRACTOR E no
r� CELL PHONE
OF DRE33
FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S ERG STRATTON NUMBER. EXPIRATION DATE E-MAILADDRESS
17 I YYle A tf)()NZ-
APPLICANT P NAME r APPLICANT NAME
OFFICE
�OADDRESS CITY STATE,ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other ( ) _
PROJECT x� ' ��� 4 S PRt PH E E-MAIL ADDRESS
CONTACT Vim. ( LUIS) 18 g�p� Srobw�sepsr-yta,.cory-,
LENDER NAME `" 1 Per RCW19.27.095:
Lender Won nation is required gf project value exceeds#5,000
MAILING ADDRESS CITY,STATE,ZIP • PHONE
( 1 -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
•
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 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
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS I e I PROPOS=5 TOTAL TOTAL Z.VaM10 Sr sa
r TOTAL roeso It tuna IF
•
•
"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 nerna
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(comm .:an
COMPRESSORS • FURNACES RANGES •
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
DISHWASHERS � MISC(Describe)
DRINKING S WASHF
• RS RAINWATER SYST VACUUM BREAKERS - �
FOUNTAINS SHOWERS WATER CLOSETS(rom) yr •r
�— ELECTRIC WATER HEATERS ' 4 SINKS WASHING MACHINES . i tea 1/a G
HOSE BIBB3 svMPS. m
•
• 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 applicat ion is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 p this application. 1
SIGNATURE: DATE 21e11 OV
Property Owner and/or Authorized Agent
•
o NEW a ADDITION . a ALTERATION a REPAIR a•TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a.YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
•
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application