11-102029 City of Federal Way
• Plutnbitig
Community Development Services Permit #: 11-102029-00-PL
P.O.Box 9718 FILL
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: MOORE COUNSELLING
Project Address: 33507 9TH AVE S Unit C-2 Parcel Number: 132185 0030
Project Description: Installing a new sink for new tenant.
•
Owner Applicant Contractor
GIOS OFFICES LLC GILBERT PLUMBING GILBERT PLUMBING
30640 PACIFIC HWY S UNIT B 1602 RIVERVIEW DR NE GILBEP*913RG (12/7/11)
FEDERAL WAY WA 98003 AUBURN WA 98002 1602 RIVERVIEW DR NE
AUBURN WA 98002
P1W111 ,„,4,111
Sinks I
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, November 19, 2011
Permit Issued on Monday, May 23, 2011
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: Date:
Pi AU 1:1 bfzt/#
• THIS CARD IS TO REMAIN ON-SITE
CITY OF -Ay
`" Construction I"ection Record
Federal Way INSPECTION RE UESTS: 253 835-3050
PERMIT #: 11-102029-00-PL Address: 33507 9TH AVE S Unit C-2
Project: GIOS OFFICES LLC 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.
0 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By ' -.7., '
l`� Date 6/3��� By Date
0 Final-Plumbing(4075)
Approved
By / .'Z...74-- Date ;,/,2#/
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Aga+ \ 0 0. V V
CITY or ! �, HERMIT S F CO ME PL IIE EN FP
Federal Wa Ec l
COMMUNITY DEVELOPMENT SERVICES A P L I C A T I O N
253-835-2607•FAX 253-835-2609 NI Ay L a
9,mc.ct 9.ff_etierc(way.cont
LTY OF FEDERAL WAY
SITE ADDRESS o-q SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSO`R'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
U DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ,`^/�e �^ iqC
(Tenant Name/Homeowner Last Name) r
PROJECT DESCRIPTION
Detailed description of work to Apr) �l ,'p`'' '
I
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ' }Y %Ice S
MAILING ADDRESS v E-MAIL
CITY STATE ZIP
NAME
g PHONE
ri
1-(94.4/4
MAILING ADDRESS ( E-MAIL
CON )Er:I / �`�
CITY STATE ZIP FAX
lkdWA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/// ,E, �>' ' ,;- / /
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and ���� ��
respond to all correspondence MNG ADDRES E-MAIL
concerning this application) ) ADORE.?
(11)(74,,"), C
CITY I` STATE ZIP FAX
4.
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 1027 095) MAILING ADDRESS,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 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 Iaws 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.
fr 9.7g...,
SIGNATURE: /'/`/ g DATE
PRINT NAME: ,/// ,l e 6r�� ��
Bulletin#100—January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
• •VALUE OFMEcnAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many 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)commercial)
BOILERS FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Aja x •
�..,�; ,.
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS)Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
:, .. GEYFIL 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 ❑ No
RESIDF4TI4I• NEww OR ADDITION x `
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE 9 CARPORT D
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
i
ESTIMATED SELLING PRICE$ #OF BEDROOMS
4 .w. €ME.12C'I ;.I1 INEN lA13D1T.IO
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
In Square Feet Type Stories
•
775
ADDITION
1.1VIERCIAL— RE1'IOi)FL/1 ENAN IA'I_PR04ElIF, TS
Construction # of 1—
AREA DESCRIPTION in Square Feet Occupancy Gryoup(s) ,e Stories Additional Information
4,r x i
14;3-
TENANT AREA ONLY
Bulletin#100—January I,2011 Page 2 of 3 k:\Handouts\Permit Application