06-105846 City of Federal Way Perm: 06-105846-00-PC
111
Community Development Services Plumbing
P.O.Box 9718
Federal Way,WA 98063-9718 fit"*
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: HOSS(HOMETOWN OFFICE :: ='. & SOLUTIONS)
Project Address: 33530 1ST WAY S Parcel Number: 926500 0360
Project Description: Install new rough plumbing for (1) kitchen sink,(1)indirect drains and (1)new electric
water heater
Owner Applicant Contractor
THE CITY CENTER AUBURN MECHANICAL INC AUBURN MECHANICAL INC
33530 1ST WAY S PO BOX 249 AUBURMI163BA 09/12/08
FEDERAL WAY WA 98003 AUBURN WA 98071 PO BOX 249
AUBURN WA 98071
Plumbing Fixtures
Other Plumbing Fixtures 1 Sinks 1 Water Heaters 1
PERMIT EXPIRES Wednesday, November 19, 2008
Permit Issued on Monday, November 20, 2006
I hereby certify that the above information is correct and that the construction on the above abovadescribed property and
the occupancy and the use be in =brda e with the a rules andrfelotatio s of the State of Washington
geh.% ®Sr es-ral WayAlf 4Sirje> .
Owner or agent: AtitADate: 1/r{ Z v~ OE
THIS CARD IS TO MAIN ON-SITE
CITY OF rF, a ommunityDevelo ment Inspection Record
� ��,Np p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105846-00-PL
Owner: THE CITY CENTER
Address: 33530 1ST WAY S
FEDERAL WAY, WA 98003-6210
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) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By C.L. W Date 12- to.. ()(p By Date
0 Final-Plumbing(4075)
Approved
By G-f Date/ 21'• 67'
a
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•
_.A v os 1. c)'( - '1 0 d _1(c1
Federal W*E.Cel PERMIT r
COMMUNITY DEVEWPMENTSERVICES
6:1 2006 SF MF CO ME EL(i) DE EN FP
33325 D AVENUE SOUTH FAX 253-835-2609
Boimi97VON 1 PLICATION
FEDERAL WAY,WA 98063-97VON V � / ti
/
253-835-26070 FAX 253-835-2609 q A` C411
www.city ederalway.com C,
RY p� FE��pEpT.
The ollowin• is4F= _. ,! )• ation-an intim'lete a,'lication will not be acce'ted. Please •rint le,'•1_ (in ink)or •_ ••.
• PROPERTY INFORMATION
SITE ADDRESS 3"b5 3 b I S' (�way SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I I q y co 7�- f 0 U d 0 LOT SIZE(s1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) �JS Off)6t, LS Ca- j -c
(Attach separate page for lengthy legal description)
• PROJECT INNFORMATION
TYPE OF PERMIT ❑ BUILDING [e6 iUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Ft)MI,ch ar'd +n5I11 Y)tu) rough )luMbin j -ft✓ I kt+c-hw
` -inI' I 1ngc )rt-ck dvair) 2hd ( h .tio wai-i-r ktt.31-
_-.31-
PROJECT NAME(Name of Business or Owner Last Name) ti35 b i l(....t.) 5 pa-E-5
III PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 7N, C Li Ctni ve (
MAILING ADDRESS CITY,STATE,ZIP
33530 I5'r W4y S F icxaI 1/VAV / intii. 18003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
-ttvtbv'-n rnccillari (Ai} Inc, �CIiv�6+In - Jt)hnsoif1 ( 263) ID
g - 9-7V
ITY,
MAILING ADDRESS
P.o. 50N 2y.? 4ubvvYe) 03
1�volt 121 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIi,ATION DATE FAX NUMBER
2' o - 00- ) v 2 Li 1 1 -BL CI / 12 /0(o (2s3 )4533 - 1384
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A kili_ (g581(Q3 $ A 4 / (2. /a3
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Avburn 61-4.4 anit a 1 C.hristinb Jb)'nsefl ( 2s3) 838 - 97hb
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
.T. (D. ,Sox 24 6 (Auburn INf %D i 1 -
RELATIONSHIP TO PROJECTI y ,�,, FAX NUMBER
❑Architect ❑Tenant ❑Agent \ Other(Describe) a O n l r��I OV (1.6 3) Ej3 - 138t1
CONTACT vva
V'trl I tL 1J AO On- PRIMARYPHONE /�^�,` E-MAIL ADDRESS
LENDER PPer� RCW 19.2V7.095: Lender information Is \NAME 1 �OJ�✓ _f l U
required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE 0 ` I(df. Sjac. PROPOSED USE V )ck, SPa.C.�.
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4$11i
ul i i o. o/c
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES W4
WATER SERVICE PROVIDERVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER HAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
fill Ili
v
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.F . SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING 8F TOTAL PROPOSED SE TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type off 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
DUClb GAS PIPE OUTLIs15
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) I MISC(Describe)
DISHWASHERS 1 SINKS DRINKING FOUNTAINSDrat n
GAS PIPE OUTLETS SUMPS RAINWATER SYST I rl d t r� t.�-
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS t 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.
C4
NAME/TITLE \� DATE II I (p 10 CQ
(Signature) ('title)
RELATIONSHIP TO PROJECT o Owner o Agent /Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY'
❑NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application