10-100188 Plumin
City of Federal Way • b g Permit #: 10 100188 00 PL
Community Development Services �
P.O.Box 9718 FILE
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: COUNTRY FINANCIAL
Project Address: 32001 32ND AVE S Suite 340 Parcel Number: 162104 9001
Project Description: Adding(1)sink& (1)water heater
Owner Applicant Contractor
FOSS REDEVELOPMENT AMERICAN MECHANICAL CORP AMERICAN MECHANICAL CORP
PO BOX 94449 PO BOX 1136 AMERIMC071BH (01/8/11)
SEATTLE WA 98124 MONROE WA 98272 PO BOX 1136
MONROE WA 98272
Sinks 1 Water Heaters 1
PERMIT EXPIRES Tuesday, July 13, 2010
Permit Issued on Thursday, January 14, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy d the se will ee in accordance with the laws, rules and regulations of the State of Washington
d . City of Federal Way.+
Owner or agent: ,1I1!!, v►vi \ 2 Date: n
• •- a e 3 f0
Flt‘.
f THIS CARD IS TO ON-SITE ,
OTYOF '' 0 Construction Ins _ ction Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-100188-00-PL Address: 32001 32ND AVE S Suite 340
Owner: FOSS REDEVELOPMENT FEDERAL WAY, WA 98003
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 t — a`it—v,o By Date
0 Final-Plumbing(4075)
Approved
B -- Date Z_73-74,q
E Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.,„ 40. _ / 0 0 / ,E*
OtECEIVe
- -
`I"" PERMIT SF MF CO ME E PL E EN FP
Federal Way � °
COMMUNnYDEVELOPMENTSERY1(E5� 4 NI APPLICATION / /
253-835-2607•FAX 253-835-2609
3 x t a' a ,, Ii :i•.' s , ' ,,,` e:' ' "1" f�x' r, ..r:e�,;•Et
SITE ADDRESS 1140. --\K\ ---2.- \ ‘6 i\viceJ
SUITE/UNIT 0 ZONING ASSESSOR'S TAX/PARCEL 0
Z\)--A.,\N\Q ‘ '- \ ' , A_ Ic _ k - C \ Q 0 1
NAME OF PROJECT ��
(Tenant or Homeowner Name) ,A�� V`\��C_,V0A
0 BUILDING �� G ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ LECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
`Cc) ,,c\- - ern 'coo •xvt0 r� .b-Q sta\c._.
PROJECT DESCRIPTION �`X�, ` ' • \`CV--
Detailed description of work to ,
be included on this permit only "► ■'W`,\1 • N.• f
??
�'44.,:',4Q:;')�% sc•E#���5�+�.d ;6��f'��E6',s�',fEEli'..
NAME PRIMARY PHONE
PROPERTY OWNER ( )
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT ❑ PROJECT CONTACT
NAME., . - PRIMARY PHONE
\--Nc�CLAC `mac , \cc ADO rX044
4CONTRACTOR MAILING ADDRESS.CITY,STATE,ZIP C` .a FAX
WA STATE CONTRACTOR'S LICENSE 6 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 6
's\`C� .�r�c\c� ��\\ cj\�`1 /, \ &I -/C s-Y
rm. . _nn t PRIMARY PHONE 1
APPLICANT ..1 . CAN . ' `\a , `NE(`I `..FAX
co ADDRESS,�`i, \\?=C \`\1\CX\\ \I,N 41�A91/4(\- -A°\
I PRIMARY PHONE
PROJECT CONTACT NAME /n ,r��^'
(The individual to receive and `f°' tic \( M ), v -6W9 I " C
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP Ne � n FAX _
concerning this application) ~k \\1-2- ...9 \�o� ,1 � `t,,- 4Nzi\_ _40\
ALTEITNer CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) _
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the
city, but only whe such claim arises out of th- reliance of the city, including its officers and employees,upon the accuracy of the
informatio II to the ity as a p. is .pplication.
I. 11
SIGNAT cl�'WIll \IVA DATE S\\\A \O
PRINT NAME:V YJ�C7 \ �C------)
Bulletin#100—January 1,2010 Page 1 of 4 k:Wandouts\Permit Application
fie
MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commeretal)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or-Fab/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS '/ SINKS(Kitchen/utllttyl WATER HEATERS(FJectitc)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
—
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ �� $
EXISTING)PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR ._......_._......__._......._.__...._._..—._...__._._ ___�._.__.
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL..'-NE IA DDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2010 Page 2 of 4 k:U-Iandouts\Permit Application