11-102028 • , P1uIilbilg
City of Federal Way •
Community Development Services Permit #: ��02028�OO-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Parcel Number: 132185 0030
Contractor
GILBERT PLUMBING
GILBEP*913RG (12/7/1 l)
Ph:(253)835-2607 Fax (253)835-2609
Project Name: BATTERSHELL
Project Address: 33507 9TH AVE S Unit C-1
Project Description: Installing a new sink and dishwasher for new tenant.
Owner Applicant
GIOS OFFICES LLC GILBERT PLUMBING
30640 PACIFIC HWY S UNIT B 1602 RIVERVIEW DR NE
FEDERAL WAY WA 98003 AUBURN WA 98002 1602 RIVERVIEW DR NE
AUBURN WA 98002
Flume' J;r5I . �
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Dishwashers 1 Sinks 1
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
;anctthe City of Federal Way.
Owner or agent: ' Date:
FlWAU4 '.
THIS CARD IS TO MAIN ON-SITE
CITY ry of ''' b.*, ".
Federal WayConstruction I . ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102028-00-PL Address: 33507 9TH AVE S Unit C-1
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) D Rough Plumbing(4230) El Gas Piping(4125)
Approved to coverApproved Approved to release test
By Date By [i, Date 6/3// By Date
DI Final-Plumbing(4075)
Approved
By 'l Date f//
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Er 0 PERMITFeteEivF MF CO ME PL �E EN FP
COMMUNITY VELOPMENT SERVICES
253-835-2607•FAX 253-835-26 APPLICATION
u�_u_w.r��efi_ernfu, e
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SITE erre OF FEDERALSUITE/UNIT#
c''.7 � � p5
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#r '3 .� Qr -
TYPE OF PERMIT 0 BUILDING '‘0
)PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) �`
PROJECT DESCRIPTION � /V1! r
Detailed description of work to 9 ° C�-k� ' v rt�'G i(
be included on this permit only
NAME , ti PRIMARY PHONE
PROPERTY OWNER ,�i' 5 l
MAI G AD RESS
, '( y�� Lein q � E-MAIL
"`"(t{tom �a c- ',e"F� . `'p
CITY 6 ? w )STATE ZIP
NAME xpa l!},�s 7 Ppn[(//❑2� ,p p'!� qRnn PHONE
p,Y' y t.F' i
MAILING ADDRESi, a,1 E-MAIL e �.
CONTRACTOR >r4 € 2 t 0424‘,11:1
CI STATE . ZIP FAX
r �, a- ,_
WA STATE CRNT,RACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C7I
NAME _ u PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME / PHONE
(The individual to receive and „*" �� "" `' 1�
respond to all correspondence MAILING ADDRESS, E-MAIL
concerning this application) � Z f1 e�
CIT STATE ZIP 80(0'
r� FAX
ALTERNATE CONTACT NAME: PHONE ONE.„04-
C76'
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) 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 laws regulating
construction or environmental laws.
I further agree:to hold harmless the City of Federal Way as to arty 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 ty J a part of th pplicajion
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SIGNATURE „` l // a DATE `2
PRINT NAME:
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application