06-100122 • S
City of Federal Way Plumbing Permit #: 06-100122-00-PL
Community Development Services
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: KELLER WILLIAMS REALTY
Project Address: 33530 1ST WAY S Suite 102 Parcel Number: 926500 0360
Project Description: Plumbing new sink and dishwasher
Owner Applicant Contractor
SEATTLE-FIRST NATIONAL BA AUBURN MECHANICAL INC AUBURN MECHANICAL INC
33530 1ST WAY S PO BOX 249 AUBURMH63BA 09/12/06
FEDERAL WAY WA AUBURN WA 98071 PO BOX 249
98003-6210 AUBURN WA 98071
Plumbing Fixtures
Dishwashers 1 Sinks 1
CONDITIONS:
PERMIT EXPIRES Friday, January 11, 2008
Permit Issued on Wednesday, January 11, 2006 ,
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
and the City of Federal Way.
Owner or agent: _ ' \ Date: t \CSC.
THIS CARD IS TOREMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-100122-00-PL
Owner:
Address: 33530 1ST WAY S Suite 102
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.
O Plumbing Groundwork(4190) 0 Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By .8./c" Date / /2 oc, By Date
❑ Final-Plumbing(4075)
Approved
By. 3 Date 3 ` - Sop
ieral Way
tca***---4 • 40 b.. - 1z20 z-
PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8L Ave.S.•PO BOX 9 718 APPLICATION TD
FEDERAL WAY,WA 98063-9718 / /
253-661-4115•FAX 253-661-4129
www.ci t uoffederalwau.com
The ollowi • is re•uired in ormation-an inco •fete a••lication will not be acce•ted. Please •rint le•ibl in ink or .
PROPERTY INFORMATIONi � 1f
SITE ADDRESS 3) 5 3 c' 1 S E-- ,1 P,�� 5C�r.3 Ir• i_ re As \(-o� lk``"`t,..\ 1 lu'A SUITE/UNIT#
l
ASSESSOR'S TAX/PARCEL# U" C) C`. 5 - C\ G �_`
n LOT SIZE(sf) 7 71 O 1 5 st-P�
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 1J✓e S V• °' 'P IA,S - 0 `P I-t ?,,-,k i.)-ii, C t _
(Attach separate page for lengthy Iegalidescription)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING (4PLUMBING 0 MECHANICAL
o DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
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PROJECT NAME(Name of Business or Owner Last Name) c_%.,.\r ,et✓L£.,,� of u, 'e 3 L L C
PEOPLE INFORMATION
PROPERTY NAM3, PRIMARY PHONE
OWNER /C✓0 z\A" r[:✓uktAl A\ 5?ir� ,{c_ ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1110L, . e -kat ` ---171 ( 'Z5-1 ) &3$ - `1 7 e. 0
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MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO 'R,-_->s 2-4 ,-L Lti vl , (,1/A Q3o7( (zo(9) -130 - )8S 5
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
.Z Cs -C C., - 1 0 Z ' 2 Z- B L ( Z / 3 ( / ( 15') ) k53 - HPL--(
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
2 U 3 (A. g : _s- 1 cl 3 B A Q 11 Z. lob
APPLICANT CO ANY NAME APPLICANT NAME OFFICE PHONE
A Lt bLk.r v\ .fi•e C n:• COY \ G Os\A, c,CV) `11-Lot,t4.1 (T -3 ) g e - i720
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
T c' }3 0 x '-1--Lk e1 '1 ur 6 , v, , Lc ifi Et 'elc-'( (Zc'(,) 7 3 O - )e `).
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 'Agent ❑ Other(Describe) (2' '3)938 -Il '7g U
CONTACT NAMfI> PRIMARY PHONE E-MAIL ADDRESS
( frlG(cv\ 'rrd'lvC&c (-Y ) P k - CI. g C)
brel+,okorN(cc,I,c(7,.r„war d•>"n%c4►.c ow'
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE f &9L ( e,I O-I-c,cc v"O ( u') PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ / Sl C.5--/ o. c..%
SPRINKLERED BUILDING? 0 YES •ISt NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER V"LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ISLAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS J ;
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
• Z
**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(commembai) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
1 DISHWASHERS i 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 arty 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 emplo s,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE
a ,re) (Title)
RELATIONSHIP -e .ROJECT 0 Owner ❑ Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application