12-104661 • • Plumbing
City ofFcderal Way
& �s Permit #. 12-104661-00-PL
Community Econ.Dev.Services @ `� •
33325 8th Ave S ;..,� # LU
Federal Way,WA 98003 ._ Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: MYERS-POWELL,OD
Project Address: 33915 1ST WAY S Unit 116 Parcel Number: 926504 0150
Project Description: Install new plumbing fixtures for associated tenant improvement
Owner Applicant Contractor
ESM BUILDING,LLC MERIDIAN PLUMBING INC MERIDIAN PLUMBING INC
320 106TH AVE NE SUITE 100 9723 160TH ST E MERIDPI024DU(3/31/13)
BELLEVUE WA 98004 PUYALLUP WA 98375-6215 9723 160TH ST E
PUYALLUP WA 98375-6215
•
Plumbing Fixtures
Dishwashers 1 Drains 1 Lavatories 4
Sinks 1 Water Closets 2 Water Heaters 1
PERMIT EXPIRES Monday, April 8, 2013
Permit Issued on Wednesday, October 10, 2012
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: See Application Date:
OCT 1-0 2012
kNAvso tfi .jui3
THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-104661-00-PL Address: 33915 1ST WAYS Unit 116
Project: ESM BUILDING, LLC 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.
o Plumbing Groundwork(4190) 0 Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
*ByC, Date\0—( , '(ZBy "c Date `` _ Zr'/7 'By Date
`
.❑ Final-Plumbing(4075) '
Approved
Byii-C-ZIC Date /-16 -13
El Rough ElectricalEl Final Electrical ID Right of Way
Approved Approved Approved
By Date By Date By Date
10/10/2012 10: 38 2537700155 MERIDIAN PLUMBING PAGE 02/03
11112___ RECEIVED — _ - ( 0 4 I
Federal WayPERMIT SF MF CO ME , PL DE EN FP
>u Cas. 6P WP SaT 10 tot
APPLICATION
"",,.a......,a OF FEDERAL WAY
CDs
/02-/03S-6 e
BITE ADDREBB SIIITE/LIN1T 0
33915 1st WAY .W£CTSOOTq 116
PROJECT VALUATION ZONING ASSESSOR'S 1'Ag/pAR {�_0 - I
Z q- 0 5-0
TYPE OF PERMIT D DUILDING %PLUMBING 0 MECIIANICAL
0 DEMOLITION 0 ENGINEERING 0 PERE PREVENTION
NAME OF PROJECT
(7'eaw-.t Name/Flomeow nerLa_stNOn;$) DR. MEYERS-POWELL
PROJECT DESCRIPTION PLUMBING
Detaiird descrtption of work to
-
be included on this permit only
1
NAME.------. ^_ m. PRIMARY PHONE
PROPERTY OWNER
MAO ADpRE5t
I.EN "LMAa.
(ATI STATE ZIP
NAME PHONE ._...._._.
MERIDIAN PLUMBING, INC. 253-841-0296
MAILING Atmr,REss R-ntAtt '
CONTRACTOR 9723-16nt-h ST jape&@meridianpl Ambinc
CITYSTATE ZIP
PUYALLUP WA 983756215 &253-770--0155 cam
wet,STATE CONTRACTOR'S A10EN5Z i
,,—_ MERIDPI024DU �3± 1 a 9 -W�'8 CENSE A
NAME ---------. PRONE .—._._...
APPLICANT MAILING ADDRESS t.mn.u.,
(Err I arATa I ZIP FAX
....Y
PROJECT CONTACT i 1 PHO
NW
(The individual to receive and
respond to all correspondence MAILING ADDRESS S-MAE.
concerntrlg this application) _
CITY I STATE ZAP FAX
ALTERNATE CONTACT NAM: PHONE E-MAIL
PROJECT FINANCING NAME -
Required value Qf more55,000 or ,re ❑ OWNER-FINANCED
(RCW 19.27.090) MAILING ADDREss,CITY.STATE.ZIP PHONE
X mini u .,-P.-natty re perjury that I am the property owner or anthoe ted agent of the property owner.I cent 01 that to the beat
of ncy knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
ail applicable City of Federal Way regulations pertaining to the work authorized by the Issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or em,ironmental laws.
Ifurther agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys•fees locur-red in
the investigation and defense re such ciabrn),which may be made by any person,including the undersigned,and filed against the city,
but only where &nett claim arises out of the reliance-4f the city, including its oljicern andto upon the accuracy
information supplied to the city as apart ofth applic a.
emp �' pO of the
SIGNATU ,r' /0'10...14=3
R$: ..441010g ,r� DATE
PRINT NAME:
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Perinit Application
10;'10/2012 10: 38 2537700155 MERIDIAN PLUMBING PAGE 03/03
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V
VAI-VR or MECuArUCAI,WORK $ (a copy of bid or estimate must be prootded)
Indicate how many gf each type offixture to be metalled or relocated as part of this project Do riot Include extsttr1g fixtures to remain.
AIR HANDLING UNTTS FANS CUSS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commcrckrll
BOILERS FURNACES HOT WATER TANKS low")
COMPRESSORS _ G.A8 LOG SETS REFRIGERATION SYS/'
-
DUCTING OAS PIPING WOODSTOVES
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Indicate how many of each type gjfixture in be Installed or relocated as E:.trt of this project. Do not Indira,existing,f aures to remain.
BATHTUBS 0,r-IVDr3t,o,cr Combo) f LAND Nana 51ra,1 �i TOILETS w rER PIPING
DISH\NASHERS RAINWATER SYSTEMS URINALS
OTHER tDescnb¢)
_L_ DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(wlcbrn,,um./1 _L WATER HEATERS(acad.)
HOSE HIBBS SUMPS WASHING MACHINES y:i11r,Ve. .'TOTAL.PLIETUnr.4,2,
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corneal.AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF E818TINO nq.'ROvRMENTs
$
mEarr I'IO/FREvrOVS USE LOT 53,IZEE(Ia Squec.e Feetl FJUSToro PERE e
Panv�RR SYSTEM? PROPOSED PERE eUF'I'RB96iON SYSTEM?
❑Yes 0 No o Yes o No
77"
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home) -- --- -
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COVERED ENTRY _____
n r r^^ 4 #15,g751
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GARAGE 0 CARPORT U
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Megt {ilEVE ,!)intr,Ei}'„, r 1 .tir3l E-4NEaFt Sal` -11-1 "W'ter.Ed..
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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AREA DESCRIPTION Occupancy Group(a) #of
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Additional Information
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ADDITION p C
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AREA DESCRIPTION PRIPII1M Occupancy Groupls) #of
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TENANT AREA ONLE
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Bulletin 4100-January 1,2011 Page 2 of 3 k:\fHandouts\Permit Application