06-103343 Ci of Federal Way • • •
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• Community Development Services Plumbing Permi . 06-103343-00-PL
P.O.Box 9718 "'
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: APPLE PHYSICAL THERAPY
Project Address: 32030 23RD AVE S Parcel Number: 162104 9028
Project Description: Install hand washing sink at PT station.
,
Owner Applicant Contractor
FW TOWNE SQUARE LLC APPLE PHYSICAL THERAPY SUNSET BUILDERS INC
PO BOX 98922 32030 23RD AVE S SUNSEBI140L5 (1/13/07)
TACOMA WA 98498-0922 \ 3108 C ST SE
FEDERAL WAY WA 98023 AUBURN WA 98002
Plumbing Fixtures
Sinks 1.00
PERMIT EXPIRES Sunday, July 6, 2008
Permit Issued on Friday, July 7, 2006
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 th City of Federal Way.
Owner or agent: .t- i g=%1L -'./ Date: 7/07;
- THIS CARD IS TO MAIN ON-SITE
CITY OF -'/41' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103343-00-PL
Owner: FW TOWNE SQUARE LLC
Address: 32030 23RD AVE S
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) ❑ Rough Plumbing(4230) Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By t -w Date -1_Vin,_,O, By Date
.0 Final-Plumbing(4075)
Approved
By Date OA
ob-t
oeosy
p IVF // 3 /Y�
CITY or q
Federal Way JUL 0 7 2L'RMIT 0 j_ Y
c).MMUNITY DEVELOPMENT SERVICES SF MF CO ME E PL /E EN FP
333.>I5 gm AVENUE SOUTH•PO BOX 9718 , RT- CATION
FEDERAL WAY WA 98063-9718 's)TY 0� TO /
253-835-2607•FAX 253-835-2609 BUIL n
www.cttyoffederalwatl.com M
"7
The following is required information-an incom.lete a..lication will not be accepted. Please .rint legibly(in ink)or _ .•
,nt• PROPERTY INFORMATION
SITE ADDRESS + SUITE/UNIT#
1
ASSESSOR'S TAX/PARCEL# I (Q , 6 q - cl ) (.. e) LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 14(k) C' - I Lc -7 ,o,,, l d I 0'i tf Li
(Attach separate page Jor lengthy legal descripttort) J
■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING ,f"PLUMBING 0 MECHANICAL
U DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit orilq)
PROJECT NAME(Name of Business or Owner Last Name) 1
410pb Ph VD
/(e, --AT ao
II PEOPLE INFORMATION
PROPERTY NAME,
OWNER 1
--` DRESS
PRIMARY PHONE
L ^h �(/ / �� C�a/ 3) - 6001i Ii Yl ' MAILIN SS CS.
l4:)./a I 4v . E ; ' of
IP
CONTRACTOR COMPANY NAMEAPPLICANT NAME
OFFICE PHONE
3i(14-0E60(dtw /r)c. -bran k knekt 053) - $y�y
MAILING ADDRESS CITY,STATE,ZIP G)M.:CELL PHONE
3)L >3 "C1` -{ S F t vburn, LO4 / -4 ,e'a 5/0- $CPI
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
02 —.0 (.c--C G 3 1 / l - B L /0/3/ / C LO i9S3) "735 53b,
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
3 ) L13FFIC z 1z-/ 14- 6/ / /3 / p'7
APPLICANT COMPANY NAME APBXANT NAME OFFICE PHONE
\L)03)2. P LI IGS (J 111 )l K 146.-R.. 66J ;3` - 2,17c<
MAILING ADDRESS C S TTATE,ZIP
, l�f G�[�/;..�'`� .41.1/
/+�j
CELL PHONE
L3KC re:
SI S . >/ / J7 Ltd/ C l &OCa 4646/,)‹-V6 - GI�Q( O
RELATIONSHIP TO PROJECT , � " FAX NUMBER
0 Architect ❑Tenant ❑Agent Other(Describe) (Qf�r i-Ati Y 6t3)-735-*-53630
CONTACT NAME PRIMARY PHONE -MAIL ADDRESS
'` -An 4J6?6i £3 '73-/- BL/)L/ -+y-4aSvnsPfbv,i/ 4J
LENDER Per RCW 19.27.095: Lender information is NAME /f)e.Fe
required if project value exceeds$5,000 /' /d 1-&,- (-1
MAILING ADDRESS rCITY,J anic, " 4r PHONE
l���
• DETAILED BUIILDING INFORMATION
EXISTING USE Ph Ups)C'Q_ / C,/ap i' (-- /(i PROPOSED USE / /
EXISTING ASSESSED/APPRAISED VALUE $ ( VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? )(YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES A NO
WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER HAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT j (�
FIRST
SECOND 'f`'NUf Ufa C ai Puma p L'% J5 i 3
___.........„:,,-- ::9.
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS .�
EXISTING PROPOSED TOT TOTAL EXISTING SF TOTAL.PROPOSED SF TOTAL SF
/ c__
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing furfures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUI,IS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS / SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the reliartge of the city, including its officers and employees, n e racy of th i ormation supplied to the city as a part of
this application. //
NAME TITLE;' m "7 /{ 3
/ �G � ..rn�+IiLri �.y..,�TE 1 J /%e) j
/� (Si nature) ( e) / ` /
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent Contractor ❑Architect o Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? u YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application