04-103431 t t •
City Con ity vuun unity Development Services
Federal Way Plumbing Permit #:04 - 103431 - 00 - PL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: ANIMAL SUPPLY
Project Address: 32001 32ND S Suite420 Parcel Number: 162104 9001
Project Description: Furnish and install fixture(sink)
Owner Applicant Contractor
FOSS REDEVELOPMENT MARVIN STEIN&ASSOCIATES AUBURN MECHANICAL INC
FOSS REDEVELOPMENT MARVIN STEIN&ASSOCIATES PO BOX 249
1111 FAIRVIEW AVE N 2221 5TH AVE AUBURN WA 98071
SEATTLE WA 98109 SEATTLE WA 98121 (253)838-9780
Plumbing Fixtures
ip jQuant4 Description -1[uantiti,i Description IQuantit�j
Description
Sinks I� 1 _ _.. --
___ i-
PERMIT EXPIRES February 23,2005.
Permit issued on August 27,2004
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: Pr c.�� �`�.� Date: g 1 Z:1 \o-
Soo
ssit
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103431-00-P L
Owner: FOSS REDEVELOPMENT
Address: 32001 32ND AVE S Suite 420
FEDERAL WAY, WA
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) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By A (......„ 'bate q/�� By Date
Final-Plumbing(4075)
Approved
By&Ll( Date
V
GECEIV 114 CONSTRUCTION PERMIT APPLICATION
� - APPLICATION NUMBER:Q�'4
AUG 2 7 20t - APPLICATION NUMBER:
I'EDERAL WAY APPLICATION NUMBER: - -
**The fohirMrliPiilequired information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 3,9(.a i - 13 T'd A\;€ ASSESSOR'S TAX/PARCEL#: I L� 2 1 0 L L - 9.Q O 1
�L�EGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): J fr )\ 14 6 0 5.o S-�
t�Y11Qta::', CONI C YGI.t Q Pax L'
• PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING 34,PLUMBING a MECHANICAL a DEMOLITION
0 ELECTRICAL o ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): t'UYf115V\ ` Tr s4,l\ f )(-�vLY>✓
aa I�
PROJECT NAME: '-D SS ..- A‘l(.l\In F\ni iMca --S id? e
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
1-05 ., t ck•sie 100(YI.Q&I- (2c(; ) 21D2 - 1400
MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP):
�i:t\-\\tt- , VJ PL C‘ S1 el
CONTRACTOR: NAME: DAYTIME PHONE:
NA\ AV In \C A.X(e 1 0 C (2 ")) .S33 - cr r<
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ' EVENING PHONE:
f'-0- ex)k 2i-1-(1 bvOrn , vv/p, 9T 1 ( ) - 1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
20-Q0-- 1t.YLA-1-1*—p0-- 13U (253)$33 - I 3GL)
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) Av C5 U 2 t'k T \tr 3 ic6N 01 / / (I 5
APPLICANT: NAME: � � (' DAYTIME PHONE:
1\i-ib.AVY\ i`\ .( V`VXVU(CJX:, • Ii.e - ( 3) 8;S - 9-7&)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
a ARCHITECT a TENANT a OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT `&CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES o NO -
WATER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE a 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)
FAN(S) HOOD(S) WOODSTOVE(S)
BBQ(S) RANGE(S) MISC.( )
BOILER(S) FIREPLACE INSERT(S)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: a ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET MISC.( )
GAS PIPE OUTLET(S) I SINK(S) WATER CLOSET(S)
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 application os made.,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit app 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.
-1 'k *C Q 1TI)��C `l C( DATE:
NAME/TITLE:
a PROPERTY OWNER a APPLICANT „CONTRACTOR
FOR OFFICE USE ONLY:
a NEW a ADDITION 0 ALTERATION a REPAIR a TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? a YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES a NO CHANGE OF USE? a YES a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000 •FAX:253-661-4129