08-100188 a:
r' unty of Federal Way • PlumbingPermit: 08-100188-00-PL
Community Development Services
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: BEST CORN t ! re
Project Address: 30406 PACIFIC HWY S suit-A-4 d - Parcel 'ber: 092104 9107
is VVVI
Project Description: Installation of(1)3 compartment sink and (1)2 co .rtment si
Owner Applicant s act.
EUGENE LOHER C S N PLUM' S N PL
30406 PACIFIC HWY S SUITE A 1615 PINE S CS P*' t ,
FEDERAL WAY,WA EVERETT WA 98 1 5 PIE ST
98003 / , EVE A 98201
ri `
tubing. es
Sinks 2
PER XPIR Wed sday, Ja 13, 2010
'e I sued Monday, January 1 , 2008
I hereby certify that the abo or - •rrect and that the construction on the above described property and
the occupancy . the use - in accor.ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. 0,1
Owner ent: Dte:
THIS CARD IS TILREMAIN ON-SITS
CITY OF SCommunity Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100188-00-PL
Owner: EUGENE LONER
Address: 30406 PACIFIC HWY S Suite A
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) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By �� Date /..ZZ_ G By Date
— 0 Final-Plumbing(4075)
Approved
•
By C�) Date/_2
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A,
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33325 87,AVENUE SOUTH•PO BOX 9718
2S3D•86O7 PAX29538435?619 JAN 14 A.PPLI CATI ON TD
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The followinger'iitefinFo a>jtt Ntn tVAlete application will not be accepted. Please print legibly(in Ink)or type.
IN PROPERTY INFORMATION
SITE ADDRESS C!6. I t t c? r aa SUITE/UNIT
ASSESSOR'S TAX/PARCEL# b g \ 0 ,' - '' k y ' LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sepmate pager IenOthg legal daeiggen)
• PROJECT INFORMATION •
TYPE OF PERMIT • 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) •
Gd(f 3 Compcwrn€/Z s;115 l,liid L'amp"r,iic/? 'f` • ,I CJI .
•
PROJECT NAME(Name of Business or Owner Last Name) 5e5-i-- corn. 4-,2
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
• OWNER It e Ul".Ueien.e Ltdf1eY (t ) 45
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS ��
304106 fa CI krc W eyuraj/ ' Viral way ' tuck al3
• CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
CSN ?Id m)',AC) ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
)6 t s P.► rye s+ 6 veve-H- (q.25) 330 - 3101
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER ( ) —
�&XPD2ATION DATE) ` E-MAIL ADDRESS
CSN SLP 4 g66Mw •-77/6/0
APPLICANT COMPANY E APPLICANT NAME OFFICE PHONE
V tl tA� ( )
MAILING A RESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME/� + UPRIMARY PHONE
CONTACT Q, c.cc r U 41EMAIL ADDRESS
1 ( ) CIL( - ('AL , 3 g61-tr--i e 0)104AI/2446mi
LENDER NAME Per RCW 19.27.095:
ruler information-is •`wired" p cl value exceeds$5,000
MAILING ADS �._ ATE,ZIP E
( ) _
• DETAILED BUILDING INFORMATION
EXISTING USE % PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a N•' FIRE SUP• -ION SYSTEM PROPOSED/REQUIRED? a YES ❑NO
WATER SERVICE PROVIDER ❑ LAKE N 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a L VEN a HIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD NN i-7-
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(0 COVERED OR 0 UNCOVERED?) /
GARAGE 0 CARPORT 0
• `
NUMBER OF FLOORS XXL a lROPOS=D TOTAL Tom XXINxeosr TOTAL PROPOSED el TOTAL ST
*!NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
MI FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL .
Va a of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
/ f
IAIR HANDLING UNITS EVAPO IVE COOLERS GAS PIps'OUTLETS WOODSTOVSS
—t_ BBQS , FAN GAS ATER HEATERS MISC(Icribe)
•
BOILERS �c • LACE INSERTS ODS(commerdas �`�
CO RESSORS FURNACES RANGES . •
CTS • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAYS(B.Wraomsinks URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toseq •
ELECTRIC WATER HEATERS Z-, SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE •
I certify under penalty of perjury that I am the property owner or authorised 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 ail applicable
City of Federal Way 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 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 flied 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: /�4-"":' DATE I//4/0 D
r Property Owner and/or Authorized Agent
t ,, s G� i }''
•
o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application