05-106512 • 11,
City of Federal Way Plumbing Permit #: 05-106512-00-PL
Community Development Services
P.O.,Box 9718
Federal WayWA 98063-9718
Ph:(253)835-2607 Fax (203)835-2609 Inspection Request Line: (253)835-3050
Project Name: PACIFIC INTERNATIONAL BANK
Project Address: 31827 PACIFIC HWY S Suite B Parcel Number: 082104 9126
Project Description: New plumbing of sinks and toilets
Owner Applicant Contractor `
HARSCH INVESTMENT PROPERTIES LLC JAY SEO BILL'S PLUMBING&GAS
HARSCH INVESTMENT PROPERTIES LLC
BILLSPGOI0JK 05/13/06
1121 SW SALMON ST PO BOX 98046
PORTLAND OR 97205 LYNNWOOD WA 98046
Plumbing Fixtures
Lavatories 2 Sinks 1 Water Closets 2
CONDITIONS:
,,
PERMIT EXPIRES Thugs t e tuber 7, 2007
Permit issued on Tuesday, December 27, 2005
hereby certify that the above information is correct and that the construction on the above describedproperty 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:
CL--------
Date: // "- -0
THIS CARD IS TOOMAIN ON-SITE
CITY OF ¶ommunityDevelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-106512-00-PL
Owner: HARSCH INVESTMENT PROPERTIES t
Address: 31827' PACIFIC HWY S Suite B
FEDERAL WAY, WA 98003-5409
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) 141 Rough Plumbing(4230) ❑ Gas Piping(4125)
A roved to cover Approved Approved to release test
By G Date 2.2,$.•p,S-'By Date By Date
'"t Final-Plumbing(4075)
Approved
ByQ��+-� Date 02
A .
Federal Way411 RECELV :'', - LoSL2-
COMMUNPYDEVEWPMENrSERVIcES
PMF CO ME ELrEENFP
1' EC 2 �'f
333158m AVENUE SOUTH 980 O 9BOX 718 8 APPLICATION 1
FEDERAL WAY,FAX
98063-260 D / /
153-8351607•FAX 153 835-2609
www.cityofederalwau.com CiITY QF FEDER LWAY
BUILDING D T
The ollowi • is re. fired in ormation-an inco .late • ••lication will not be acre•ted. Please •rint le.ibl in I or y-.
■ PROPERTY INFORMATION
'46-
SITE ADDRESS :"7/P 27 12?Cz'( " r• /WY S • B SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / - LOT SIZE s d 1)
7,01,
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) !d
(Attach seParateaueefor l )!leg.,desaiptionj
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING XPLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
.1tel s o// piwr-,k7%`4y fcy _ . .s :' ks. Ci.' 2_ -t-v, lets .
PROJECT NAME(Name of Business or Owner Last Name) f).coK
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER f)`-1 . Mu tc- f / )2 - 44773
MAILING ADDRESS CITY,STATE,ZIP
(t. J. (3°-tH5j'. Sextfek. w,, 733
CONTRACTOR COMPANYtNAME t APPLICANT NAME
OFFICE PHONE
s p lu�,.b C-1€ S
t3` '"7 OA'i 1 Cart (420 3a 474.4
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
pa *@ 4/ 3 Ly47��' 0 A 'F 36-- a9
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - -B L / ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
, LSPGGioJ S / )3 / 06
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
SAL4& 4S ai001)� • ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant o Agent 0 Other(Describe) ( ) -
CONTACT NAMErPRIMARY PHONE
1�ei( i ro J (�) 4 zal - 44 ^•j E-MAIL ADDRESS
LENDER .d,;1 > „. ,,,,,-t ,4,,,_,e 0ii nit ,,), k: NAME YG4 6
¢4f„ I dace-.i•f .,•4,w-,,,•-,4, -,t' ),,ftiz•�
MAILING ADDRESS CITY,STATE,ZIP
• 7t_ -
' ■ DETAILED BUILDING INFORMATION
EXISTING USE V c C.G w(- PROPOSED USE h AL
•
EXISTING ASSESSED/APPRAISED VALUE $_ ►"/A VALUE OF PROPOSED WORK $ SL'''d C` '—
SPRINKLERED BUILDING? X YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 3010
WATER SERVICE PROVIDER jg LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEW& SERVICE PROVIDER (LAKEHAVEN ❑HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
...... ...._...... ... ..
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EfaarvrO PROPOSED MAI 'q,id. -x`z`v:7,.h.t) �< < t.,,.4„_3� at'
.„
**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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or7Lb/ShoeerCombo) SHOWERS Tl— WATER CLOSETS Croiieq MISC(Describe)
DISHWASHERS / SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
NAME/TITLE .,l '( DATE 12--2-7- 0C
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor ❑Architect ❑ Other
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Bulletin#100—January 7,2005 Page 2 of 4 kUHandouts\Permit Application