09-100764 • � Pl•, mb ng
City of Federal Way Q
Community Development Services Permit #: 09-100764-00-P L
P.O.Box 9718
Federal-260,WA Fax (253)8335-5-2609 p 98063-9718q
Ph (253)835-2607 Fax Inspection Request Line: (253) 835-3050
: :
Project Name: LA NUEVA LUPITAS II
Project Address: 35425 21ST AVE SW SUITE C Parcel Number: 252103 9002
Project Description: Groundwork, rough-in,& finish plumbing
Owner Applicant Contractor
GLEN&PATTI'S FEDERAL WAY GRAHAM PLUMBING/MECHANICAL INC GRAHAM PLUMBING/MECHANICAL INC
PO BOX 8164 19410 HWY 99 SUITE A-111 GRAHAPI948LO(6/20/10)
TACOMA WA 98418 LYNNWOOD WA 98036 19410 HWY 99 SUITE A-111
LYNNWOOD WA 98036
Lavatories 2 Sinks 4 Water Closets 2
Water Heaters 1
PERMIT EXPIRES Wednesday, August 26, 2009
Permit Issued on Friday, February 27, 2009
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 'n accordance with the laws, rules and regulations of the State of Washington
and the.City of Federal Way.
Owner or agent: i _-- +•+' ' _— Date: ,2'2_7 -ca c1
i • 0 Pl m ing
City of Federal Way Q
Community Development Services Permit #: 09-100764-00-P L
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: LA NUEVA LUPITAS II
Project Address: 35425 21ST AVE SW SUITE C Parcel Number: 252103 9002
Project Description: Groundwork, rough-in,& finish plumbing **3/5/09 Add floor drain**
Owner Applicant Contractor
GLEN&PATTI'S FEDERAL WAY GRAHAM PLUMBING/MECHANICAL INC GRAHAM PLUMBING/MECHANICAL INC
PO BOX 8164 19410 HWY 99 SUITE A-111 GRAHAPI948LO(6/20/10)
TACOMA WA 98418 LYNNWOOD WA 98036 19410 HWY 99 SUITE A-111
LYNNWOOD WA 98036
, '' ' '''': 11- '.;''iA4'''''-'--=-A:-zi--:;',.::'1;-,-',1t''Itiktyg-4 -1740:•' .,‘fi; ''''''Y ii, ' '''=-1„
Drains 1 Lavatories 2 Sinks 4
Water Closets 2 Water Heaters 1
PERMIT EXPIRES Wednesday, August 26, 2009
Permit Issued on Friday, February 27, 2009
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
a
d the(J --1�City�of Federal Way.
Owner or agent: -- �
�h aerf rf_eZ. 6-ti'x7,c,,r,eate. /5— 0
V(P.M14B I 12138
DATE INSPECTOR AREA AND TYPE OF I,SPECTION
3/3 /0 w M� r�cv1,4 n iv9V t: t) 1 i �S c‘A, sre1l P I i;\
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w"‘t, THIS CARD IS TOOMAIN ON-SITE ,
CITY OF * ry lit ommunity Developmentp
Inspection Record
Federal WayIVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100764-00-PL
Owner: GLEN & PATTI'S FEDERAL WAY
Address: 35425 21ST AVE SW SUITE C
FEDERAL WAY, WA 98023
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) Ei Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
r � /
By ,iv' , Date 2 < y ' By��--7 Date '7— 7--q-07 By Date
— 0 Final-Plumbing(4075)
Approved
By
By 7,0 C�� Date / /412/0
For inspector reference only i
- 0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
ED
CITY OF .. RE 1"
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'7 � -1/
Federal Wa 7
Way PERMIT
COMMUNITY DEVELOPMENT SERVICES FEB 2 7 lli�.T SF MF CO ME E PL DE EN FP
3332E 8DH AVENUE SOUTH•PO BOX719718 IJ AT I O N TD
FEDERAL WAY,WA 98063-9718 �` 1 / /
$ .. 253.835-2607•FAX 253-835-2609 A�1 OF F� d..
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 35LJ� , C J-1 f- V\i SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ __ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for Iengthy legal descnpaon)
ill PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING a'PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESC' r ION(Provide detailed des ' tion of work inclu on this permit onlu)
id c --
j.,Nr- a k..,Li ---r , 13 4,-1 1 5 f Il/1^�12 f�i
LAI-141 rimy& 0
Al,...)(PROJECT NAME(Name of Business or Owner Last Name) --l/.— (A.cs - • j a , "
II PEOPLE INFORMATION
PROPERTY NAME
� ) 5-Goi-lsi-
PRIMARY PHONE
OWNER /�, C�� ( 6 Lri-re U4 I 1� Pbt:S' ( )
MAILING ADDRESS .).1 CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMP NY NAME APPLICANT NAME OFFICE PHONE
C.
o-3....,1...,:A c‘ /r C "Z 9
MAILING ADDRESS J CITY,STATE,ZIP CELL.PHONE
flLi(t) (-4, (9 6(--c.4 `/iI /x0,/,_,,,,-/ c....):1c,:1 'I603 (2 -) X14-7 - 2---L(1((1r
CITY OF FEDERAL WAY,U �jSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( t2 ). ( 2 - -')
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
C,(('•4N; P1 `7tf.L0 C.�R^-14VC,v C-7 0;1.ck
APPLICANT COMPANY Ni ME APPLICANT NAME OFFICE PHONE
(A In z„ l.a.)442, c l' ,tite_c.(. L'a,,, C, -, Ci (z,--c) `i 4 7 -z It j
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
l`'t `1(U {( ,- 9 4 (fy19�I ( 2tx ) '3•7, -a9If
RELATIONSHIP TO OJECT r FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other ( Lf Z S)-36, ( -2 L'21
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
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? 0 YES 0 NO .
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
R PROJECT FLOORAREAB
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT. SQ. FT. SQ.FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL FASTING Sr TOTAL PROPOSED SF TOTAL sr
**NEW HOMES ONLY*` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
6„ 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 Tub/Shower Combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINSj� SHOWERS WATER CLOSETS(Toilet)
I ELECTRIC WATER HEATERS `1� SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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 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. .
SIGNATURE: /�/ � DATE L- 2-7 DC?
Pro.w Owner and/or Authorized Agent
_.,.— —
o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
" s
• t
Bulletin#100-January 1,2009 Page 2 of 4 k\Handouts\Pemvt Application