14-105271 .R
Plumbing
City of Federal WayF 1 LE
Permit #: 14-105271-00-PL
• Community&Econ.Dev.Services
4111
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609. p Q 835-3050
Project Name: BECKER,MARTA DDS
Project Address: 33915 1ST WAY S Unit 100 Parcel Number: 926504 0150
Project Description: Plumbing for tenant improvements.
•
Owner Applicant Contractor
CUNA MUTUAL INVESTMENT CORP MERIDIAN PLUMBING INC MERIDIAN PLUMBING INC
5910 MINERAL POINT RI) 9723 160TH ST E MERIDPI024DU(3/31/15)
MADISON WI 53701 PUYALLUP WA 98375-6215 9723 160TH ST E
PUYALLUP WA 98375-6215
Plumbing Fixtures
Laundry Washer Outlets 1 Lavatories 3 Sinks 3
Water Closets 1 Water Heaters 1
PERMIT EXPIRES Wednesday, April 8, 2015
Permit Issued on Friday, October 10, 2014
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 ac nce with the laws, rules and regulations of the State of Washington
an the City of Federal Way.
Owner or agent: 1-4$1 Date: /Q—/ C'- J Cf
tt• THIS CARD IS TO MAINON-SITE
CITY OF 0
Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-105271-00-PL Address: 33915 1ST WAY S Unit 100
Project: CUNA MUTUAL INVESTMENT COF 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) - ❑ Rough Plumbing(4230) Gas Piping(4125)
Approved to cover Approved Approved to release test
By It44 Date t o(v it �� Date It I l 3(l By Date
❑ Final-Plumbing(4075)
Approved
By 60 Date t 7.1 30 11 it
O Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
tPERMITPPLICATION
CITY OF
Federal Way 0 C T 1 0 2014
CITY FEDERAL WAY 'lcig /4rei/ %e ii
PERMIT NUMBER / V
TARGET DATE /If- /at if-7 6-0 - 0<:'
SITE ADDRESS SUITE/UNIT#
339 ,ic /5t ' SDCtu) l v o
PROJECT VALUATION ZONING f ASSESSOR'S TAX/PARCEL S _
$ A 6 5 0 `{ _ 0 / s 0
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT L e ma!`/ / v C For
PROJECT DESCRIPTION („� 1 1 / T1Detailed description of work to ( 6 I , Y
be included on this permit only 3
PROPERTY OWNER NAME Cu. 1k 0- VIA
I l f VI V CS f. PRIMARY PHONE
MAILING ADDRESS 1VVI'v/�i. /VI E-MAIL
CITY STATE ZIP
NAME PHONE
Met;ril.:4 , / /174 f- / Xnc_ 9s3-a/1 - agFa"
MAILINGNGADDRESS „ ,,E/-MAIL
CONTRACTOR / 7 rst3 J6'fh S / �� siq'A.�'jir_ii '$17,s Im to
CITY ''STATE ZIP FAX
Pa>ea//v 4.,63 18373-- .1.-1-7 ic-a i s-S- .`Cc'4?
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Mer..2 p7Qaci Dry tat /3 ii /s; 2 �t,F;
-� -la3a•.a,-tic.
NAME /A 1 • PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY - STATE ZIP FAX
NAME jPRIMARY PHONEPROJECT CONTACT D G crt.q / ?r74)2 z5-3- 6'7/-3c6'.
(The individual to receive and MAILING ADD E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t Itty as a part ofllils a lication.
SIGNATURE: Cit": '4 G' DATE
PRINT NAME:
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
11111
111
Y
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture 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(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMITc'
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) '1 LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS / OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS FA/tor—S/0 k
DRINKING FOUNTAINS SINKS(Kitchen/Utility) / WATER HEATERS(Electric)
HOSE BIBBS SUMPS / WASHING MACHINES 8 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? 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 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
sxisrmo PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
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 Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January I,2013 Page 2 of 3 k:\Handouts\Permit Application