12-104523 I
0 , P1um'bing
City of Federal Way
Community&Econ.Dev.Services
FIF
Permit #: 12-104523-00-P L
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FARMERS INSURANCE
Project Address: 33650 6TH AVE S Unit 110 Parcel Number: 926480 0210
Project Description: Install(1)sink for associated tenant improvement
Owner Applicant Contractor
SUNLIFE ASSURANCE CO CANADA AMERICAN MECHANICAL CORP AMERICAN MECHANICAL CORP
600 UNIVERSITY ST SUITE 503 PO BOX 1136 AMERIMC071BH(1/10/13)
SEATTLE WA 98101 MONROE WA 98272 PO BOX 1136
MONROE WA 98272
Plumbing Fixtures
Sinks 1
PERMIT EXPIRES Monday, April 1, 2013
Permit Issued on Wednesday, October 3, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wilg l6c to ntAt l and regulations of the State of Washington
Owner or agent: Date:
OCT 0 3 2012
- .
®, • THIS CARD IS TO MAIN ON-SITE `
CITY of
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104523-00-PL Address: 33650 6TH AVE S Unit 110
Project: SUNLIFE ASSURANCE CO CANAD 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) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date IlDate Q`S-2 By Date
I ` .
O Final-Plumbing(4075)
Approved
By<— Date _ (2–
CI Rough Electrical111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
0: t. 2. 2012 12 : 56PM AMERICAN VECHANICAL CORP No. 5743 P, 2
RECEIVED 2_- _ 104_ 5Z3
`tr°F ' PERMIT
Federal Way0CT 0 2 2012 SF MF CO ME DE EN FP
COMA.,',7l'DEl2LOP.NY,47SERV)C5S ,�IWP P LI CATI O N
asay-^_soy t,e a,Corn OFFEDERA
iciuw oR�r?ItDpyratwnu roto
CDS
BITEADDRE99 �v Q- - vSUITE/UNIT R ...�
PROJECT VALUATION 20MNo ASSESSOR'S TAX/PARCEL Y
TYPE OF PERMIT IDBUILDING J M
LUBING 0 MECHANICAL
0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECTerLast \ (��\\� 7,\i
("Tenant Name/Hon�eoumer Las[Name) \\ � �\ \..sL�V`,�,,��,„��
PROJECT AE,SCli1PTION ���`�� '�x� -__\,\. ��> e �x \� � ��\\��
Detailed description of work to \c-' .1 '---' . �- Y 1.
be Included on this permit only
N.thIE PRIMARY PHONE
PROPERTY OWNER �‘ \\ k--- -�U � C[�MAILINO AnnREs ,
CITY STATE ZIP
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ADD
CONTRACTOR � ,� ic \\+��.1J V_�)�y. 1-.QQ
STATE CO r, t
`\ ;\• \....\/c ,FE ) \ BEG 11/1101011k_�
NAA �^ r
\`l1=
_ PHONE
•J 111011111
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT N "P IPHO ' l ,
(The individual to receive and 1A \` . �)) � L •
respond to all correspondence nQ0 AnnRE59 >r ••.,.
concerning this application) &"---), ')k \\- � `Q_ Q�(�`C_Q\ `oJ t
`CIT STAT _,Si..\(N1
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Ni IIP
IITRRNATE CONTACT NAME: PHONE 5- 'L
itt•>ug s
PROJECT FINANCING
O OWNER-FINANCED
Required value Of$5,000 or more
(RCW 18.27.095) MAILING AD510555.CITY,STATE,ZIP PHONE
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 to support of this permit application is true and correct.I certify that I will comp lit 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 Iaws regulating
construction or environmental laws.
lftirther agree to hold harmless the City of Federal way as to any claim(including costs,expenses, and attorneys'fces incurred in
the investlgatl.n a . defense of siteh claim),which may be made by any person,including the undersigned, and filed against the city
but only wher. sue claim rises out of thechance of the city, Inc/tiding its officers and employees, upon the accuracy of the
lnformoti u• lie• to the cl L as a part.. th+:1pplication.
Iliiiiih
SIGNAT • ''. I ,, DATEilk C _
PRINT NAME: • 1-57 �-- A
Bulletin#100—January 1,2011 Page I of 3 k:\l-Iandouts\Pcrmit Application
2 2012 12: 56RM AMERICAN MECHANICAL CORP No, 5743
P. 3
• •
'77 -• m"' •
VALI/A or MECHANICAL WORK $ (a copy qf bid or estimate must be provided)
Indicate how many of each type glib:nu-A?to be Installed or relocated as part of this .ro ect. Do not include existing fbcrures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Deacritx)
AIR CONDITIONER FIREPLACE INSERTS HOODS(corArneruaD
BOILERS FURNACES HOT WATER TANKS v3,,,,)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
- • 7"' -F- -
INR .'S • , 17.77.f:
Indicate how many of each type of fixture to be instalted or relocated as parr of this project. Do not include existing...fixtures to remain.
)3ATI-ITUBS r Mb/Shower Combo) LAYS mato straca TOILLib WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(De4cribc)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS[Kaaurolalayi WATER HEATERS tact.)
HOSE 151DEE SUMPS WASHING MACHINES \ TOTAL FIXTURES
_
•• .:"7-
_ .
_.
CRITICAL AREAS ON PROPERTY'? WATTLE!,PURVEYOR SEWER PtrtiVEYok VALUE OF EXISTRIa iltpRoVELIENTSI
EXISTING/PREVIOUS USE LOT SIZE(Lo squrs From EXISTING POLE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION sys-rEM?
0 Ye8 0 No 0 Yes c No
ID.F)TTINLEW : DFT9N •
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
; -
FIRST FLOOR(or Mobile Home)
SECCiND FLOOR " ' _ _ • • •- - - •
COVERED ENTRY
,:"
_. .
. . . . .
GARAGE 0 CARPORT 0
=ma. 19201'03eD TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
- " - NEVILAtirOiTIOSt :
Area Construction it of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Stories
7..
NZ:V.0=3)04c-• - _ -
ADDITION
= • - -COIV-6,-(Ellefi-Vrt4--..RE_ MODELLTE" _NANT:EIPROVEVIENTS-± 71::: :
Arca Construction of
AREA DOSCItIPTION Occupancy Groupie) Additional Information
in Square Feet 'Type Stories
. .
--
Turk_E. • -
- _.
TENANT AREA ONLY
- ••• - • L
Btille tin#100-January I,2011 Page 2 of 3 k;\HandoutsTeirmit Applicalion