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04-103380 City or Federal Way Conmmnity Development Services Plumbing Permit #:04 - 103380 - 00 - PL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.6614000 Far 253.661.4129 Inspection request line: 253.835.3050 Project Name: COUNTRYWIDE HOME LOANS Project Address: 32001 32nd S Suite110 Parcel Number: 215465 0010 Project Description: Plumb in for new sink&dishwasher Owner Applicant Contractor FOSS DEVELOPMENT AUBURN MECHANICAL INC AUBURN MECHANICAL INC FOSS DEVELOPMENT PO BOX 249 PO BOX 249 1151 FAIRVIEW AVE N AUBURN WA 98071 AUBURN WA 98071 SEATTLE WA 98109 (253)838-9780 Plumbing Fixtures Description _ Quantity _ _ Description Quantity I Description jQuantity Dishwashers � I I Sinks I- 1 PERMIT EXPIRES February 21,2005. Permit issued on August 25,2004 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. A Owner or agent: �U-,h._ ., stz_L- _ Date: S1 Z O�{ 6.%) kb ♦© THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103380-00-PL Owner: FOSS DEVELOPMENT Address: 32001 32nd AVE S Suite 110 FEDERAL WAY, WA 98001-9625 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 IN Final-Plumbing(4075) Approved \ By 4`'-t Date e ) CONSTRUCTION PERMIT APPLICATION � EJZA _ RECEIVED APPLICATION NUMBER: f1 y - i 0 s -( ) AUG 2 u APPLICATION NUMBER: - ?004 APPLICATION NUMBER: - - CITY F **The feuy�{ $tplih d information—Please print(in ink)or type** Please note: Electrical,Fire Prevention Sys tems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: 3 oa( S Ord ts:Ve 15i.Aiie 111., ASSESSOR'S TAX/PARCEL#:II t..0 2- t C LL - 9CC 0 0 1. L LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): .f \ El I3 C7C CGS+ C_Caw\ct Cv0po YCek Qo.r+,C • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): 1 AVn i SY1 A. TrSk11 PROJECT NAME: tO`-�`� ,�11c11v1 Ceuk►M-r1A W1de 4\650111- L,ocwi 4 • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: {oss +?edevelo rO Q i(14- (2o(,) '2i"2 - )4C,c_ MAILING ADDRESS(STREET ADDRESS;t ,STALE%Z16),:ct CONTRACTOR: NAME: DAYTIME PHONE: is•subAVY1 Mcchav0,C0J) 7inC• (223) ES DA - Cc.7 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: P 0 60 I\ '141 MAA/r , WP 9 I ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 'LO—'6)O-- \b-Zt41-1-C3J--et, (253)$33 - i3g� CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) AU 13 U 2 M 01 / I D 5 APPLICANT: NAME: DAYTIME PHONE: M1.19\Arv1 rMec U1q,vtU co.Q,,Inc• ( .3) 838 - 17&) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT *CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 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) **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: FIXTURES 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: o ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) I SINK(S) WATER CLOSET(S) MISC.( ) 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`th'e,city�}as a part of this application. NAME/TITLE: ,i7)& 6UVAQ 1C YTDJec ( ►}L,/(�Q Qf DATE: �2C?�� o PROPERTY OWNER 0 APPLICANT „CONTRACTOR t FOR OFFICE USE ONLY: o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? 0 YES o NO COMP PLAN DESIGNATION BASIC PLAN? 0 YES o NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES ❑ NO PLATTED LOT? 0 YES CI NO CHANGE OF USE? ❑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