03-102730 Cit of Federal Wa V
City y L 010
Plumbing Permit #:03 - 102730 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 1P/615
Ph:253.661.4000 Fax:253.661.4129 I Inspection request line: 253.835.3050
Project Name: SIMPLEX GRINNELL
Project Address: 32001 32ND S Suite301 Parcel Number: 162104 9001
Project Description: Install 1 sink
Owner Applicant Contractor
FOSS REDEVELOPMENT AUBURN MECHANICAL INC AUBURN MECHANICAL INC
PO BOX 94449 PO BOX 249 PO BOX 249
SEATTLE WA 98124 AUBURN WA 98071 AUBURN WA 98071
(253)838-9780
Plumbing Fixtures
Description Quantity Description Quantity Description IQuantityl
Sinks 1
PERMIT EXPIRES January 14,2004.
Permit issued on July 18,2003
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: 7—/.-67
2 ( `t)3 /U R e 6_2)✓ �
tR EC E VE •
°�FFf ;p CONSTRUCTION PERMIT APPLICATION
��`' APPLICATION NUMBER:() - 1 QZJ&)-(X)
JUL U 2 2003 APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY
**The follow og ii9 ARrkormation—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: ,I XO l - .3V2 AVE; ,( 41.-V, 3 ASSESSOR'S TAX/PARCEL#: 1 b 2 l b 9 - `f D 0 1
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING tit PLUMBING o MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):-VW'ills,ji, 4 .1.C1S-k-r1 -etU Y1blv1 )(Alva
PROJECT NAME: 3im1itx C1vinne"lI
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
TO Talk ilvy>am (20(, ) 2-.& , - i<-00
MAILING ADDRESS(STREETDD.RESS;CITY,STATE,ZIP):
115i fa(ott N "I\VV- i\•
CONTRACTOR: NAME: DAYTIME PHONE:
M ikUNG DRESS(STEET r 11 I'RIp�I I�ADDREn55i/e 1 CITY,ST
. (2ATE,ZIP): NING 53. ) O3& - q"--780
1)0 boY 04ci AlMoown , o A 6)&6'71 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
2 0 OC7 t D-2.14-11 0C Bt-- ( 253 ) 338 - 13 FSS
CONTRACTOR'S REGISTRATION NUMBER: A 1 U M q coEXPIRATION DATE:
(copy of card required) ,V 6 2 r i ( 'S 6 A / /
APPLICANT: NAME:
IDAYTIME( PHONE:
) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
• DETAILED BUILDING INFORMATION
XISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
ROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3400 ' 0 O
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES o NO
'ATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
'R SERVICE PROVIDER: o LAKEHAVEN ❑ IIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION..Y** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC o GAS ill
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) I SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• 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 'ty as a part o this application.
NAME/TITLE .Xt/ (lam G DATE: I I — 0
o PROPERTY OWNER o APPLICANT *CONTRACTOR
FOR OFFICE USE ONLY:
o NEW ❑ADDITION o ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ NO _
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
•
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129