12-102917 • 0 Plumbing
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-102917-00-PL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CELEBRATION SQUARE -BUILDING I
Project Address: 32057 PACIFIC HWY S Parcel Number: 150050 0110
Project Description: Installation of(4)roof drains.
Owner Applicant Contractor
HARSCH INVESTMENT PROPS LLC LAKERIDGE PLUMBING&MECHANICAL LAKERIDGE PLUMBING&MECHANICAL
PO BOX 2708 INC INC
PORTLAND OR 13508 NE 124TH ST LAKERPM099RK(5/25/14)
97208 KIRKLAND WA 98034 13508 NE 124TH ST
KIRKLAND WA 98034
Plumbing Fixtures
Drains 4
PERMIT EXPIRES Saturday, December 22, 2012
Permit Issued on Monday, June 25, 2012
I hereby certify khat-the above information is correct and that the construction on the above described property and
the occupanand t e u e ill be in accordance with the laws, rules and regulations of the State of Washington
t_,,
and the City of Federal Way.
Owner or agent: Date:(
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. THIS CARD IS TO MAIN ON-SITE
CITY OF •�., Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-102917-00-PL Address: 32057 PACIFIC HWY S
Project: HARSCH INVESTMENT PROPS LL FEDERAL WAY, WA 98003-6001
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) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By -� ` Date - _ _\ ..�. By Date ,
0 Final-Plumbing(4075)
Approved
ByC..'6 Date \x-k-4, ..‘A.
❑ Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,- ,r .1 - 7.6 .Z. 91 L. 2-
Cltt of
Federal WayRECEIVE PERMIT SF MF CO ME PL E EN FP
COMMONINDEVEIAPMEN7-SERVICES 5 PLICATION
253.835-2607•FAX 253-835-2609 11 1
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�EpE�-44 OFcrri
SITE ADDRESS C'Ds SUITE/UNIT#
2-4) -7 PgC. -11,,I ..
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ i C (> U Cj 6) - 0 / / U
TYPE OF PERMIT 0 BUILDING X PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ENGINEERING D FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) I✓ bd-', I, ' CL,
PROJECT DESCRIPTION
�� rc`'✓,�
Detailed description of work to
be included on this permit only
NAME r PRIMARY PHONE
PROPERTY OWNER .%1'S
MAIIAVG 1 DRESS E-MAIL
CITY STATE ZIP
NAMEPHONE
�Cti tom,---V- C.�
MAILING ADDRESS E-MAIL
CONTRACTOR
L$' OCa4,7,
j�
CIT IAC 4 sze%).M1Tg��, Zll,....co 3 FAX
WAS ATE CONTRACTOR'S LICENSE It EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE It
k L-Gr Q G et') 1‹.k..- °}' / - /)v
NAME L4 PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT N PHONE _ �f A
(The individual to receive and ��✓N, 7i� C 7(Z6 Z
respond to all correspondence MAILING ADDRESS EMAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
El OWNER-FINANCED
Required value of$5.000 or more
(RCN'19.27.0951 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 t remove the owner's responsibility for compliance with local, state, or federal laws regulating
constructio or environments fa s.
I furth agree t hold h rmle the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the inues gation an defe of s ch claim),which may be made by any person,including the undersigned, and filed against the city,
but only here such cl ' arils out of the reliance of the city, including its officers and employees, upon the accuracy of the
informati n suppled a city a part of this application.
SIGNATURE: DATE �2-'J I-2---
PRINT NAME: (.2 ��
t S iI/ti1J'U4L�-�
Bulletin#100—January 1.
201 1 Page 1 of 3 k:\Handouts\Permit Application
• . .
S S
MECHANICAL FIXTURES
VALUE OF MECHANICAL 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 futures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS ICommerrlall
BOILERS FURNACES HOT WATER TANKS IGasI
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type offuture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS tor Tub/SI,o r Compo/ LAVS(Hand Sima1 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS p u,•i,e„ uuun•I WATER HEATERS(Eeelrio
HOSE B1BBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL 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 0 Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL -� --
"NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
AreaConstructionGroup(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area I Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application