07-105999 I a
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City of Federal Wi
Community Development6ay ervices ry ,,4 ,:t = Plumbing Permit #: 07-105999-00-Pt a `
P.O.Box 9718 {
Federal Way,WA 98063-9718 k '
Ph:(253)835-2607 Fax:(253)835-2609 6,11 L �_ Inspection Request Line: (253)835-3050
Project Name: THE MUTUAL FUND STORE
Project Address: 32225 PACIFIC HWY S Suite 103 Parcel Number: 150050 0100
Project Description: Install plumbing fixtures in conjunction with tenant improvements.
,
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES SAGER MECHANICAL INC ' SAGER MECHANICAL INC
PO BOX 2708 8425 219TH ST SE SAGERMI088NK (8/10/09)
PORTLAND OR 97208-2708 WOODINVILLE WA 98072 8425 219TH ST SE
WOODINVILLE WA 98072
Plumbing Fixtures .
Lavatories 1 Sinks 1 Water Closets 1
Water Heaters 2
PERMIT EXPIRES Friday, October 30, 2009
Permit Issued on Wednesday, October 31, 2007
I hereby certify the e abo e information is corre. and that the construction on the above described property and
the occupancy :, d the u will be in acc ire-nc• with the laws,rules and regulations of the State of Washington
. d e City of Federal Way.
Owner or agen . 0, ® u Date: /0 / -G) 7Z
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835.-3050
PERMIT#: 07-105999-00-P L
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32225 PACIFIC HWY S Suite 103
FEDERAL WAY, WA 98003-6000
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.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
ByC_ c,,j Date/ e 7 By C. Datel/—/—07 By Date
- ❑ Final-Plumbing(4075)
Approved
B iS Date l( 30
•
For inspector reference only
❑ Rough Electrical ❑ • FINAL-Electrical
y Approved Approved
By Date By Date
Y
RECEL •
COT OP 41141111 0CT312007 �� - / bS 9�
PERMIT SF MF CO ME EL 3 E EN FP
COMMUNITY DEVELOPMENT �y
333258Th AVENUE SOUTH•P 10F FEOERA
FEDE253-835-2607RALWA•Y,FAX WA 98063-9718253835-2609 't FYI sU)�D�AIG7�DE, " PLI CATI O N
www.cituotTederalway.com
The following is required information-an incomplete application will not be accep d. Please print legibly(in ink)or type.
/� • PROPERTY INFORMATION
,/ f�fj��
SITE ADDRESS 322 2 c P*c-i, 'tG Mt)y 5 f'6 (ene• I 9�/"30ITE/UNIT#
ASSESSOR'S TAX/PARCEL# / 3 o c - Q / LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 24LUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Abis IQ6STieetNI ,-4 c& i& A e 6A 7a .SPACE PNC<ub t Ai,
/ 4)04 etosFT, (A VAroleV , 7 A.),4, ,4' -Tte3 / � ,..J4.
PROJECT NAME(Name of Business or Owner Last Name) /%L1 T UAL... lv/.)1) `l 7-67Z-
.
PEOPLE INFORMATION
PROPERTY NAME
�A��C�'' ,/ L ./_ [�� PR[ P ONE �f
OWNER P� esc G' t�/os TMvV I Pao P ( ? ) 44,
MAILING ADDRESSCITY.STATE.ZIP E-MAIL ADDRESS
2v' Sr _AEz4edvt. cod q x-4)
CONTRACTOR COMPANY NAME PLICANT NAME OFFI N
E PHOE
5ne 416C0410/C#14.- Oak) cJ yearP ( /2S1 Vol -�
2g utF4/26- / iTS /ceMAILING ADDRESS kieztNVicLe_u1% vont C(p6)N 2o -3. 1149
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
C NTRA
2.v • OS"•REGISTRATION i CD3 - 06 13�- /2 -3/-09- ( ry02 - 6g21
CTOR'S ER EXPIRATION DATE E-MAIL ADDRESS
546,(2,, (i&RE ►L- 6,-/0-1)q 1.4.1'CacFtvS e aa4),cat
APPLICANT OMPANY NAME AP ICANT NAME OFFI E PHONE
•`OM
E
_At-�ADDRESS�fzti�+,J>c� ��c) Gtl I eoAL ( ,) %2 -,9g0
IAIG/ Z 471ST S� CITY.
wd 14- WA 972 (AV )NZe - q/S
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent/Other <O41,8/ it 4 t ('f L/O Z -G 72/
PROJECTE PRIMARY PHONE E-MAIL ADD
CONTACT Z5O t ) (2CV 2Oo - 7‘0 J jyc sle(eAvereo c//c4
LENDER NAME Per RCW 19.27.095: 'Cp
rti
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
� r ••
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT:
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL E5T7NO SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• 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
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or nib/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS / WATER CLOSETS(toilet)
Z. ELECTRIC WATER HEATERS / SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 ow .a 's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further ag hole harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation a • defense of such claim), which may , made by any person, including the undersigned, and filed against the city, but only
where such c -t arises .ut of the reliance of the ci including its officers and employees, upon the accuracy of the information supplied to
the city as ' I .plication.
i
SIGNATURE: (5? ✓ DATE
ope) • er and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO my__
Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application