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10-101362 Plumbing City of Federal Way Community Development Services Permit #: 1 0-101362-00-P L P.O.Box 9718 Federal Way,WA 98063-9718 ec Ins tion Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 p q Project Name: SAFEWAY Project Address: 1207 S 320TH ST Parcel Number: 150050 0020 Project Description: Remove/relocate existing kitchen sink 12 feet. Owner Applicant Contractor 1560 INVESTORS LLC ELITE PLUMBING SERVICE INC ELITE PLUMBING SERVICE INC 200 S BROAD ST FLOOR 6TH 3821 53RD AVE SW ELITEPS965KK(5/12/10 PHILADELPHIA,PA 19102-3803 FEDERAL WAY WA 98092 3821 53RD AVE SW FEDERAL WAY WA 98092 Sinks 1 PERMIT EXPIRES Saturday, October 2, 2010 Permit Issued on Monday, April 5, 2010 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: c-' Date: 1:z � , : - D THIS CARD IS TO REMAIN ON-SITE CITY OF ,, Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 10-101362-00-PL Address: 1207 S 320TH ST Owner: 1560 INVESTORS LLC FEDERAL WAY, WA 98003-5339 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 Bg� Date 4 ....T_,,, 1 B Date 4 -9 - 0 By Date 0 //Final-Plumbing(4075) Approved By Date • Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date I © — / D / 30Z 011 op`::,,'' • PERMIT S_ F CO ME EL PL DE EN FP Federal Way COMMUNITY DEVELOPMENT SERVICES APPLICATION `-:. ' - .. ..... 253-835.2607•FAX 253-835-2609 .. www.cituof[ederalwaH.com f MMMMMM;MRMRMMMMMIggiMgMpROr SITE ADDRESS SUITE/UNIT M ZONING ASSESSOR'S TAR/PARCEL N 5 O - 0020 02O NAME OF PROJECT (Tenant or Homeowner Name) 'C -T .0 L.,.-._-‘ c \J ❑BUILDING ;& ,PLUMBING 0 MECHANICAL. TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION PROJECT DESCRIPTION Yy� u r1n, S VFl ` Detailed description of work to be included on this permit only ..................................................................... ::?< Of,+ NAME PRIMARY PHONE PROPERTY OWNER k_ t,`1 ('�, ( ) - MAILING ADDRESS,CITY,STATE,ZIIP E-MAIL OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT NAME -- __-__. n 1_ j, PRIMARY PHONE �11J �`1Uvt IL�1 V.[' : L'�Ui c.c �+( (_I `) `'-Y -Lti,4j � �1 6.--"ri)? CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP ,/� PAX � k -5„ ,S 5 f, S Ic,c5r»n ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# l : Ie f'S (1b5ic « 7 NAME PRIMARY PHONE APPLICANT '.k \ 7 N..t, , -S Gi re, i -, ( ) - MAILING ADDRESS,CITY,STATE,ZIP FAX ,S C. ( ) PROJECT CONTACT NAME -- PRIMARY PHONE (The individual to receive and ( ) - respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX concerning this application) I ) ALTERNATE CONTACT NAME: ( PRIMARY PHONE ( E-MAIL ) - PROJECT FINANCING NAME 0 OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE (RCW 1927.095) ( ) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city( as a part of this application. SIGNATURE: l/`/ 4W� -i-D / ”-�•-".-.� DATE ��` � V PRINT NAME: f 1' / L./et f`) 754 ACL C, Bulletin 4100—January 1,2010 Page 1 of 4 k:\Handouts\Per iit Application Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED) Indicate number of each type of fixture 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(cummen.;eJ BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PL U BINE... IXTUR Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or Mb/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS j SINKS(IGtchen/utiiity) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES raTAi.S IXTURES GENET :A.I INFORI► AT: N PROJECT VALUATION 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 ❑ No II�ENTAL .... AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEME T FIRST FLOOR(or Mobile Home) SE�f�ND.k I,QOR COVERED ENTRY DEG?{ GARAGE 0 CARPORT 0 OT13ER(t5 ribej Ems • PROPossa TOTALArea Totals �x �xoil�s 4 * ESTIMATED SELLING PRICE$ #OF BEDROOMS AREA DESCRIPTION • ea Occupancy Group(s) Construction #of Additional Information in S uare Feet Type Stories NEW BUILDING ADDITION AREA DESC• i' ON Area Occupancy Groups) Construction #of Additional Information in Square Feet Type Stories TENANT AREA ONLY PkOJEtwI t REA ONLY Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Permit Application