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05-102484 • • CommunCity of Federality WayDevelopment Services Plumbing Permit #: 05 - 102484 - 00 - PL P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050 Project Name: CHICAGO TITLE Project Address: 32001 32ND S Suite400 Parcel Number: 162104 9001 Project Description: Installing(1)new sink in breakroom Owner Applicant Contractor FOSS REDEVELOPMENT SAGER MECHANICAL INC SAGER MECHANICAL INC PO BOX 94449 8425 219TH ST SE 8425 219TH ST SE SEATTLE WA 98124 WOODINVILLE WA 98072 WOODINVILLE WA 98072 (425)402-1930 Plumbing Fixtures Description Quantity Description Quantity Description Quantity Drains 1 Sinks 1 Water Heaters 1 PERMIT EXPIRES June 1,2007. Permit issued on June 1,2005 I hereby certify that the =.eve information is COrreetAnd that the constructionon the above described propertyant,the occupancy and use�will .e in accordance with t�ieaws, u�and regulations of the State of Washington and , the Cityof Federa t ay. ,"' - °: / v� ( r��. AiiiOwner or agen : e U Date: `&�� THIS CARD IS TOtY p p MAIN ON-SITE CITY OF ommuni Developmt Ins ection Record Federal Way IVR INSPECYION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-102484-00-PL Owner: FOSS REDEVELOPMENT Address: 32001 32ND AVE S Suite 400 FEDERAL WAY, WA 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) i! Rough Plumbing(4230) ❑ Gas Piping(4125) Approved to cover Approved Approved to release test By Date By'K4 Dater ' ,l, By Date ❑ Final-Plumbing(4075) Approved By Fr./cDate /r2,..f/eAr „,- .A. eNill CS-- i -4) -1-1/- iv Federal Way PERMIT f COMMUNITY DEVELOPMENT SERVICES `r 20 0REG SF MF CO ME E PL �E EN FP 333258ryAVENUESOUTH•POBOX9Y � ® A LIGATION FEDERAL WAY.WA 98063-9718 T� 253-835-2607•FAX 253-835-2609 / w w w.cit uoffederalw ml.co m CITY OF FEDERAL � / � �� G DEPT. The ollowin• is r.•u '1111 rmation-an incom•lete a••lication will not be acce•ted. Please •rint lee ibl_ (in ink)or •'. q ^� /• PROPERTY INFORMATION SITE ADDRESS 3200 1 3 Z--j- V e--- raSRAL um y 1-0A- 73o0,3 SUITE/UNIT# ,/t ASSESSOR'S TAX/PARCEL# - / J Ll (0 5.----- O O ,-j-- 6 LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 2(PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 4b s/NiL rz) Te 41,4ti-r /Mp,-& PROJECT NAME(Name of Business or Owner Last Name) 2 H/C 400 77 71_L • PEOPLE INFORMATION PROPERTY N % 2� � � `BINARY PHONE OWNER ( ) - /i'5 6 ) Y/L i3, CITY. tJJ ,� /04102. CONTRACTOR COMPANY NAME APPLICANT NAME OFF CE PHON . 4C7 'I/,4 v/e' L b N w y c..0 r-r_ ZSR Z -/f MAILING ADDRESS CITY.STATE,ZIP CELL PHONE r1s-5 Zi9'1457-5. 2t-/Oe Lddv)r,JV/,Le_ kis4 2(7eY )Zoo -37/p CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE __FAX UMBER 2a-o2 �'=L. ac 0 _1.-vB L /Z/3/ / as (ff )9'0z -6721 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPI�`ON DATE 3 ,4) U e L 1 f2 8 2z ,u _dc yg /®/D/a5' APPLICANT COMPANY NAME APPLICANT NAME OFFI PHO 6467 f e 4/6.4/64,07e L u r.,1 c�a�'l (2 � - /730 MAILING ADDRESS CITY,STATE,zip CE PH•NE gm-7/9�i- r--5 at /t)v wcob,o►i <4)4 2o72 (7'f, -371'7 RELATIONSHIP TO PROJECT FAX UMBER ❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe)?I-tiAt/_JZ ( fc - 7Z CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS :1- 05/1 c., L-- (206' )770* -5-0(p Z. LENDER - 2109Information is NAME prof MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3.27a-CC) SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) :a •' 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 ❑ CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED turn, ,asxraessa carni soto� � **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture 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(Commerc al) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orrtib/Shower Combo) SHOWERS WATER CLOSETS Tonet) MISC(De cube) DISHWASHERS SINKS DRINKING FOUNTAINS /ND l(L T GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I cert(fy 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 holt harmless the City of Federal Way as to any claim(including costs, expenses, and atts''lc] incurred in the investigation and defense of such claim),which ay '' made by any person,includin the undersigned,and filed a::4:Eze_the City of Federal Way,but only where such claim arises out of the lianc: of the city,including its i and employees,upon the accof the information supplied to the city as a part of this applicatio v NAME/TITL ai v d ,�a©Tr- �A/UDATE '��Z�o `® (Signature) (Title) RELATIONSHIP TO PROJECT ❑ 0 r 0 Agent /Contractor 0Architect ❑ Other �w � Ii e • ,„ El�_ cADDI�N - ALTERATION` ;1+ �- -T____ DV Ml TT BLiIILDIN QNIF 2� a r€NCS - SIC LAN7 ct a NO =.« NEW DI ICIrTA. ` � ` r '-'1,4` '' AGE OF U ' ` � "1 N �1tT�? I�TES, i�NO CJI"/ ) P U*t d NO i J L a N .. . ' ,I�a I'ERAI" RIq YS n Bulletin#100—January 7,2005 Page 2 of 4 k�Handouts�Pennit Application