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01-104694 00 S City of Federal Way Plumbing Permit #:01 - 104694 - 00 - PL Community Development Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: CENTER FOR DIAGNOSTIC IMAGING Project Address: 33801 1ST S Suite101 Parcel Number: 926504 0160 Project Description: PL-Tenant Improvement for restroom.Adding(1)Lavatory,(4)sinks,(1)water closet,(1)Floor Sink, (1)water heater.All electric. Owner Applicant Contractor SPIEKER PROPERTIES L P PRIMM MECHANCIAL LLC PRIMM MECHANCIAL LLC 33801 1ST WAYS 4455 S 134TH PL 4455 S 134TH PL FEDERAL WAY WA TUKWILA WA 98168 TUKWILA WA 98168 98003-4546 (206)277-7820 Plumbing Fixtures yd Jescriptiorlve' il.,, ii mrgyp,. r �k -_ n �i1 'I " ��g description Quantity Descriptiouantity Lavatories 1 Sinks 5 Water Heaters 1 Water Closets 1 PERMIT EXPIRES June 17,2002,IF NO WORK IS STARTED. Permit issued on December 19,2001 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: �''�� 4_, Date: /,'pre/4 /6,V ID A/ a�' \ 5 ✓v c,..ivk . ! •p4.G.a. -Po✓ U/k t.2-1. IZ' /9* U/ cc-3 A-I k. 9 vvld , 4,, e 14.. . t' I c i.". k. • c--.4=' IA"0> ' /2- z-a. - o , c_,3 ('© `-`--51^ i' l (-4_ wi-N,(. C.9 k l -/6, -- o z. G c..J L> ( i Ft-'t,A. c ( 0A 3 - 5- o2_ Gc_____) G • RECEIVED • CONSTRUCTION PERMIT APPLICATION vv L r APPLICATION NUMBER: O f - _1(2 - Pi., APPLICATION NUMBER: _ DEC 10 2001 - - APPLICATION NUMBER **The fat1gi V&iMdrmation-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. Q./,' ' PROPERTY INFORMATION SITE ADDRESS: 3380 1 ` 5.7-A�/e .5 11/ 5 ASSESSOR'S TAX/PARCEL#: 9244114- 49/ LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ' . .. -_ a•PRO3ECT INFORMATION - TYPE OF PROJECT(This application): ❑ BUILDING N6LUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): S� 7/ •-{.,,- r ...ir PROJECT NAME: e ✓ /"`- '`c !Loci Z Mx-a- ,K- ■ ;PEOPLE INFORMATION r PROPERTY OWNER: NAME: -► DAYTIME PHONE: ,/�,� y4, i 6q- g-7,v ke S f✓kJ� r1z$ ) 79- "►Kra) KCMG ADO (STRE!'j-ADDRESS;CITY ATE,ZIP): 27-4)/ Lid eve S“./ 3tt 7 t P cJ�- CONTRACTOR: NAM DAYTIME PHONE: ,� •a of /14 ---‘4,14-04741c4-e_._ LA-C_ (axe, ) Z17 - Zc� MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP• EVENING PHONE: �: 5' i g4t'L / i_.....), le GAJ A 9M ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 0 O oA 7___I Z a c) - - ('o) 2-7"1 --7&F Z J CONTRACTOR'S REGISTRATION NUMER: EXPIRATION DATE: (copy ofcard lit 1_ L14 Li4 M 4 "(66 Cz 6 9 I Z'1 /zoo-2_ APPLICANT: NAME: DAYTIME PHONE: ._ -66 Jo kA (.606)0F'7 - MW l MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) 4 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR a-DETAILED BUILDING INFORMATION :, EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** • NUMBER OF BEDROOMS: ESTIMATED SOLLING 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: ■ IXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEL)) 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: ❑ ELECTRIC ❑ GAS `` PLUMBING BATHTUB(S) / LAVATORY(S) URINAL(S) / WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) 4 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 daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information suppl" to the city a this application. yy NAM DATE: NAME/TITLE: 121/0P ❑ PROPERTY OWNER ❑ APPLICANT (CONTRACTOR FOR OFFICE USE-ONLY `❑;;NEW ,r .❑;;ADDITION ❑ ALTERATION ❑zkEPAIR :? .: TENANT-iMPROVEMENT =CENSUS:CODE -. LOTSIZE ZONING QESIGNATION-.. „_„ BUILDING SHELL ONLY? .;x;❑ YES ❑ NO COMP PLAN DESIGNATION ." BASIC PLAN? -._ YES$ .❑ NO' • • iri SECTiONs= TOWNSHIP RANGE - NEW ADDRESS REQUIRED? YES NO 'PLATTED:LOT? _ ❑YES` ❑ NO CHANGE OF USE?:I ❑YES. . ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129