09-101420 • Plumbing
City of Federal Way /�
Community Development Services Permit #: 09-101420-00-PL
P.O.Box 9718 „�.,,:
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609FiL :.... Inspection Request Line: (253)835-3050
Project Name: MEDICAL IMAGING ON FIRST
Project Address: 33915 1ST WAY S Suite 130 Parcel Number: 926504 0150
Project Description: Plumbing Ti in existing building. 1st plumbing permit issued since building was
constructed.
Owner Applicant Contractor
SOUND VENTURES TACOMA PLUMBING&HEATING TACOMA PLUMBING&HEATING
320 106TH AVE NE SUITE 100 PO BOX 44601 TACOMPH27IPR(5/7/10)
BELLEVUE WA 98004 TACOMA WA 98448 PO BOX 44601
TACOMA WA 98448
#,u1>n "4� r p, 70t ry� a� s � € s „� ry e r s� r 14 S
v
' it �zt,,r, lsri � •
Drains 4 Lavatories 2 Other Plumbing Fixtures 1
Sinks 3 Water Closets 2 Water Heaters 1
Hose Bibbs 1
PERMIT EXPIRES Sunday, October 18, 2009
Permit Issued on Tuesday,April 21, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy the use will be in accordance with the laws, rules and regulations of the State of Washington
a d the City of Federal Way.
Owner or agent: Date:pts,2.` ,a 3(V\
t. it (.(09
' . Aiiii, • THIS CARD IS TO MAIN ON-SITE , ,
CITY OF Community DevelopnYnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101420-00-PL
Owner: SOUND VENTURES
Address: 33915 1ST WAY S Suite 130
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.
0 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
B 9 Date c4 -,Z4 —09 By c...,cAii Date h'.12.p 9 By Date
— 0 Final-Plumbing(4075)
Approved
By G 1.3 Date b y( h....
1Jc' ,
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
' RECEIVE*
Federal lvayPERMIT
CONNUMIY DBVB'LOPNSM'
PR,1 5 ZOOS SF MF CO ME EL�PL)DE EN FP
trnsB AVENUE S011771• 1[9 18 DD I CATI O N
FEDERAL WAY,WA 98063 63-979718 �
233-835-26,7
wwur a! 2600 F FEDERAtVik
The following is required niation-an incomplete application will not be accepted. Please print legibly(In ink)or
`IN PROPERTY INFORMATION
/SITE ADDRESS 3 J ia-c) cs-act \ N7S°o� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - —— — LOT SIZE(sf)
LEGAL DESCRIPTION(eg.Acme Estates,Lot 1)
® PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING F4LUSISING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work inchided on this permit only)
I :- n nye- %.`�n.V e.��`h O 3� 1..i.A.M A_iY\� i /� l Y
PROJECT NAME(Name of Business or Owner Last Name) `1 ' CJ ( knu)+�` 0----• r 5 r
® PEOPLE INFORMATION
PROPERTY )(- NAME
OWNERPRIMARY PHONE
---� ( )'`'ti co i --t-1 .01
MAILING �
`
ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
\ LkC'ctto r t '� ia.o a a.(0 �0 c rr11)1\.o, 11)1\ Icy•p1{0
CONTRACTOR COMPANY NAME i CANT NAME t OFFICE PHONE
f —� CONNR9G :arspt,•‘Ar a s ,4,rie c\'-jars (pe_ s A -►-
MAILING ADDRESS \ \ CITY.STATE,ZIP "CELL PHONE
\%ll i\,a}i` r"Ik. \S,c.c:h1A k6A. `�Rt 44 ( 253) o(o -439
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMB
is-.- R-Xnc>, .- - .‘ is 1 \,/00; (a ') -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
11.C60.P‘ 17-tk i 42. S f oil%e CI uanc. ?-t-;u:d ,1?(tiA66w`.c70n
APPLICANTPANY NAME{\�� ( ` APPLICANT NAME
\ OFFICE PHONE
i Orr�Mia F ti,.rr.�'AO i \is s i..n `� Inc- 1� �o r� (9�C?) ..; 344()4
�MAAILING ADDRESS • V _ STATE ZIP ZIP t CELL PHONE
31. (.0 _ ` t VI\1h . gQ(t11 ( cs� (Dot, - Gi
MA TI NSH TO PROJECT FAX TRAMER
a Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT -PRIMARY PHONEMAIL ADDRESS
CONTACT bu, ',_ (d53 ) c3\ - '-Y ocl Sttoarno f�y l,c., ,k,t9.Go,
LENDER NAME Per RCW 19.27.095:
• infor on iE required 1 f project ealue exceeds$5,000
*ILINC/ADI .414,,___ . « Emir,'..• PHONE
f ( )
• DETAILED BUILDING INFORMATION
EXISTING USE PRO•• , USE
EXISTING ASSESSED/APPRAISED VALUE$ ,ALUE OF PROPOSED WORK $ '
SPRINXLERED BUILDING? ❑YES ❑NO FIRE I • -4,‹ •N SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ :1 ' :1 1, c a 4.•MA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN . :3 GKLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR.1REAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
lb i,. SQ.FT. SQFT. SQ.FT.
SQ ,
FIRST -
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
i
GARAGE 0 CARPORT 0 {
NUMBER OF FLOORS teOreass TOTAL Torum ai. oa. TcrsLraoroesar Tonus?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include
existingfi�wes to remain.
Value ofMechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING YPf3 EVAPORATIVE COOLERS PIPE OUTLETS WOODSTOV \
---.,. BBQS FANS GAB WATER HEATERS
- 9i[SC \ES*- FIREPLACE,INSERTS HOODS y
COMPRESSORS FURNACES RANGES
-PUCTS GAS LOG SETS REFRIG.SYSTEMS
4 PLUMBING '
BATHTUBS hrTub/Shower Com6W ✓ LAYS etro=MAIO URINALS •• MKSC 1D ribe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS L-Y..J 1
DRINKING FOUNTAINS . SHOWERS a WATER CLOSETS mac) a .cvlh,\ 4>\Ocor 1
'✓I ELECTRIC WATER HEATERS V . SINKS WASHING MACHINES a. +�� =r`S i
1 HOSE BIBBS SUMPS
A 1 C.t. 1,4 t4 k.c -
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised agent of the property otoner.I certify that to the best
knowledge,the itlforntation submitted in support of this permit application is true and correct.I certify that I will comply with allof
applicableCity of inrcleral Way
Cita not remove the responsibility regulationsl's pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this itfor compliance with local,state,or federal laws reguiattng construction or environmental lams
Ifsrther agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and fees incurred in the
and d defensesesuch of claim), which may be made by any person, including the undersigned, and fl 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 its formation supplied to
the city as a . .dti� �
this application.Ni SIGRATURE: ,� „ �� �J`��
.pres
DATE
Property Owner and/or Authorized Agent �' ,�, , I
1
i
a NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF'USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO . UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES o NO ,DEMO PERMIT REQUIRED? a YES a NO
i
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application