12-103786 3 • Plumbing
City of Federal Way � `
Community&Econ.Dev.Services Permit #: 12-103786-00-P L
33325 8th Ave S
Federal Way,WA s8003 ,� °'= Inspection Request Line: (253)835-3050
Ph:(253)835-2607 FaX (253)835-2609
a
Project Name: DIGESTIVE HEALTH SPECIALISTS
Project Address: 33915 1ST WAY S Unit 200 Parcel Number: 926504 0150
Project Description: Install plumbing fixtures for associated tenant improvement work
`
Owner Applicant Contractor
CUNA MUTUAL INVESTMENT SILVERDALE PLUMBING&HEATING INC SILVERDALE PLUMBING&HEATING INC
5910 MINERAL PT RD 11875 SILVERDALE WAY NW SUITE 104 SILVEI*220NU (8/31/14)
MADISION WI 53705 SILVERDALE WA 98383 11875 SILVERDALE WAY NW SUITE 104
SILVERDALE WA 98383
Plumbing Fixtures
Lavatories 2 Sinks 8 Water Closets 2
PERMIT EXPIRES Tuesday, February 12, 2013
Permit Issued on Thursday, August 16, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t e use will be in accordance with the laws, rules and regulations of the State of Washington
//end t e ity of Federal Way.
Owner or agen . CZ� Date: 04/ol—
FIINI/A, l'_ r D 10 15 i
DATE INSPECTOR AREA AND TYPE 0 NSPECTION
a 2;40 /�i I P O �� �, r (Lin^► lav-( { JQOY r rf
THIS CARD IS TO MAIN ON-SITE 4 ,
CITY OF • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-103786-00-PL Address: 33915 1ST WAY S Unit 200
Project: CUNA MUTUAL INVESTMENT 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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By fer Date 9 / -/? By Date
o Final-Plumbing(4075)
Approved
Byrirl Date 0,- S1
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
08/15/2012 12 . 32 FAX 3606921867 SILVERDALE PLUMBING a 002/003
• •
RECEIVED 12 _ I O 3 7-8(p
cm or
A PERMIT SF MF CO ME PL DE EN FP
Federral WaYAUG 15 2012
COMMM=DEVELOPMENT SERVICES , PLICATION
2 5 949 5-2 60 71 FAX 7S9OF FERE Y
aeu�iJdcYutauaidruhaa.�. CDS
BI E AXIDRE88 SUITE/UNIT x
33Cii5 b -
PROJECT VALUATION 2 ASSESSOR'S TAX/PARCEL 0
$ `7\.31 CcYl.'CO a_ a- _ _ Q 4_ - (L L a_ C'
TYPE OF PERMIT ,,BUILDING XPLUMBING ❑ MECHANICAL —
O DEMOLITION 0 ENGINEERING D FIRE PREVENTION
NAME OF PROJECT y��)+
n[
(TenoName/flornec umer Last Name) 'V‘,0 W 1 • \ �Sc-x)._�`1.�.�\�
PROJECT DESCRIPTION
Detailed description of work toQ � lr (144A l —CLU. fll0 f u fliel-urei,
be included on thts permit only _t
Pa
PROPERTY OWNER �° \ � `�1 p(►
, ,,t,
f 1Q cLt W T I e A q u ✓
NAyo1 De� I 471. CA -,tt O6Q _
CONTRACTOR ,, 9 30÷1 'V p s....
605 � - L(1
. ?_ - A fy 1 t,XPD/iYLAT¢ FEDERAL WAY=SINEW LICENSE
SE 0
cli
p ,t,Ne rc� l nto 37- tA2-1SLit
APPLICANT "15oSM ! (
Arcyatie5iktrgalef1
PROJECT CONTACT 7l 61-- 3 cri iF1 l W_ W7 1
Catin
PRONE I
(The individual,to recelpe and 1�� ,
respond to oil con-esportdence 6fAIL NG ADDRESS a E.piAlL
rn
conceing this application) . 0 a CA �}n"/ ��,_
CITY I P STATE ZIP FAX
allanall CONTACT NAME: PHONE E-SIALL
PROJECT FINANCING NAME ❑ OWNER-FINANCED
Required vaiue Of 56.000 or more
ROW J0,27,0v0) MAILING ADDRESS,CITY,STATE,21P PHONIC
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certvg that Co the best
of my knowledge, the irucrmation submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Wag regulations pertaining to the work authorised 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
OOrcitruCtion Or envirerimantal ramp.
I further agree to hold harmless the City of Federal'Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the in.oestigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only when ouch claim arises out of the retttance of the city, including its oO cors and employee., upon the accuracy of the
information supplied to the city
a as na Pert of this�.plication. Q
SIGNATURE: (� Mk Yt { �r i •( n DATE V . I ---11-D-•
PRINT NABice l'�e.,�,4e, 7a6 _0,11
Bulletin#100—January 1,2011 Page 1 of 3 k:UHundoutn\Permit Application
I
02/15x''2012 12 . 32 FAX 3606921667 SILVERDALE PLUMBING Z 003/003
0
tal
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VALOS oFAtECI ANICAL WORK $ (a copy of bid or estimate must be prbb(ded) _
Indicate how many of each type offtxture to be installed or relocated as part of this project. Do not include existing^fixtures to remail.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONPmONER FIREPLACE INSERTS HOOb$(C mremNn))
BOILERS FURNACES HOT WATER TANKS In„x11
COMPRESSORS GAS LOG SETS REFRIGERATION SYSr
DUCTING OAS P1PINU WOQDSTOVICS
_Y.fy.aN...' -1‘.11,1711;',1717,117.17.11111.1.11or'I Ih iA' 1 I>' Ii1 1 r -,:.�-L._„I,.- 'II Ir„•r-I T^+..�j'1-'fi'��� n m'^''I"�V ° ^a )�'n f"'�a `yr'i'
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Indicate how many of each type of fLnure to be installed or relocated as fat of this prq/ect. Do nor Include existing fixtures to remain,
BATT-ITUBS 0,1\w/shower combo) c2.,- 1-AVS(H,1„d 8e,h.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
-
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(1Urabon/Umlty) WATER HEATERS Inkcir+,:)
HOSE SISSS SUMPS WASIi[NQ MACHINESI TOTAL'RCCl'[TREa:
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CRITICAL AREAS ON PROYEATYT WATER YORVEYOR SEWER PDRVEYOR VALUE OP EEN3TIWP IMPROVEMENTB III
1
$
EXISTING/PREVIOUS USE LOT SIZE(1a Sgiuue Peet) --- EXISTING ETRE gp'&.i irILLER BYSTHM7 PROPOSED PIKE SUPPSES9ION 8YSTEMT
❑Ycs ❑ No ❑Yes ❑ No
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h.. _i ;r I` 6. l' ... .. 1r i i I )x1,6'. {`f, ;'
AREA DESCRIPTION tin■quare feet) EXISTING. PROPOSED TOTAL FOR OFFICE USE
+z.c4, •a r n1Yie ur'R4 ,'x,)§ A 1� }1ti1 'Gr R: 1 1 N>t ? t )iai a 111 y'FPj
Tswf!i","+ ) r��1p�, Tit[{) )1.{�, ( z�?,4t"V �f ,i�.k grf,, I'n s 4 I, +n, ti. t 11 FS z§1 w r)N,a @y i'3
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j..A r}`49114,.1,
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FIRST P WOR(or Mobile Home)
4
Y 4'�1�Y"�W Al $ 1�1�7�a ' r �Vt ',„Iii
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COVERED ENTRY
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,+', r"1i„ r > r ,) 'r i ,' ,{,p Lz;1 •i,a. , ,,,{),,, li§i;i', 1.;.....,......,^'
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GARAGE 0 CARPORT 0 •
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ICIST
Area Totals
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ESTIMATED SELLING PRICE$ I #OF BEDROOMS
s
f.:117,,11:..,-,I I' tt�Il I II,.1, I, ,1, 4I ; r 1 ' " ' 1,1�.;+1 1 II'b! f f 'IC'II;( 1 +
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'�,,�(� � � .�..I_�.y,.',I v �_in. _, :,�,.,r,.,W,��',rl. .L..v..,„ . .e.E,J .u,tl _,,.N � ,I,�..l..a„�uc�v.�ials, I �, �,' 11�1`tlldi�j ,��tiirle�Sr}•rtldt'.
AREA DESCRIPTION _ occupancy ciroup(r) M of
�, Stories Additional;Information
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4.',:',,.''',$'fSI ,n i..,'y.'l,1'''il, n,„1 „y,".'a ,I") ,Y 11 „ :'',,dl :'
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ADDITION
1iI 4 irl,gr)'Irl 'M^7d+' ? ) 1i Ikf 1cZ71 ?4. lr r , �7PC JI.^71,r pun rr " P1, uo n,.x,r i^
rI1 I roll. '�{Ir IY�.{« 1"4! r tl n t-',l , r 1 i' �? .'` 1-r}.-.-�Iw44a3 'r�r r .n ,I
Ipn I W i i F 4i 4' > t ' r '', `I .1)'11.1)1,1,11,1,14'411
i 1'tiJ c r r1 1 ^i-i`:L,I' i f 1;4' 1 I 11, n
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A [!, wk:luli.q,a,u�1,�i nl4+`. ,A x'I, r � a.. ��r-�`1t+6rvJf��i:14111'� ,f ,M;,?n•rm� d�rllm.11, ,,mlr 1r„� In.xwr w,rw,si�a.,7�t?,I MlllS �.� , ,1 ` -.,,r k,, 1,{,1,1!{I 1,,, ,V
AREA DESCRIPTION Occupancy Group(.) NERO Stories Additional Information
d11I ,YVI,4-,,,,,,,,F-114,,,
)' s� �,"}{a�y�'�� � 1 (u)1) .) rhe ;`,,} I E ,4} , L f � ,. i :.r r„ri (c 1 !' ";! , " r`r' 1 p I
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b,ti., ,I v„ .. .. r l i�(!., d.1%9"l 11x4,1,11,',Id,-�rlr,,slk11 1,3 N r ll l I' N, r Q , ,-, I„, y, ,, ,
,.� ,rf .}'4C,,is,', •I'� � '.'.'�.,1' �Hf�1�1�,�ia '01,,•,�1,{E;II4��t111,1, ,1r;c iiz;:,, �I �� ,1��,„S�Vr`i 1iE?r:�I111411,�1`{•I��i
TENANT AREA ONLY
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Bulletin#100-Junuury I,201 1 Page 2 of 3 k;\1-11111dou1A\Permit Application