07-104622 > Cit• of Federel V1ta
Community DevelopmentServices • Plumbing Permit: 07-104 L
2-OO P
'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: NORMAN KIM CPA OFFICE
Project Address: 32812 PACIFIC HWY S ;,,mal Parcel Number: 797880
80 0020�g Project Description: Relocatingrestroom toilet,lav orY� , sn hand sink and replacing an existing
electric water heater.
,
Owner Applicant Contractor
ROBERT HUSBY PHILLIP CHANG P C I PERSONAL CONSTRUCTION
P 0 BOX 6301 P C I PERSONAL CONSTRUCTION PCIPEC*015C6 1/21/08
FEDERAL WAY WA 98063-6301 21440 NW NICHOLES CT SUITE L 21440 NW NICHOLES CT SUITE L
HILLSBORO OR 97124 HILLSBORO OR 97124
Plumbing Fixtures
Lavatories 1 Sinks 1 Water Closets 1
Water Heaters 1
CONDITIONS:
Subject to field iOspection. Mato Om s',
PERMIT EXPIRES Friday, August 21, 2009
Permit Issued on Wednesday, August 22, 2007
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: ---.. -�2 — c
-A THIS CARD IS TO MAIN ON-SITE 4
Clef OF ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-104622-00-PL
Owner: ROBERT HUSBY
Address: 32812 PACIFIC HWY S
•
FEDERAL WAY, WA 98003-6408
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) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test.
By Date By�(,c" Date Gr.. (O-,0 1 By Date
❑ Final-Plumbing(4075)
Approved
By Date/2..../s-67.
•
•
For inspector reference only
0 Rough Electrical O FINAL-Electrical
Approved Approved
By Date By Date
� ECEIVED A- - 6 t a- 2-
leral Way P E R 1- I+- SF MF CO ME E Opp E ENS FP
COMAIUMfYDEVSLOPIIffiNTS I
33325EDERAL WAY W8063-971 2 2 2007APPLICATION TD
_________/ 07....6„/_.
253-835.2607•FAX 253-835-2609
www.dto ede N OF FF€WER�ApLTWAY
Thefollowingis require infooffon-an incomplete 4 application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS a /2. ► A , s SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 3 9D - i> _ � LOT SIZE(sf)
•
LEGAL DESCRIPTION(e.g.Acme Estates Lot 1) kilfj p t 9--A 4 .. , A 64-,c,e .
(Mach lleganste~fee legal desaiptlon)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work ' ded on this permit only) q
FCP-
PROJECT.NAME(Name of Business or Owner Last Name) ji)5r►rua,i I-Gn ilk al* 0�.-
• PEOPLE INFORMATION
PROPERTY NAME I PRIMARY PHONE
OWNER (KIM' ^^^- t"t�,",`,, ( ) -
MAILING ADDRESS CITY,STATE, Creel U,E-MAIL ADDRESS
30370 r'L .c.. i C i a,�..(I
CONTRACTOR COMPANY NAME n APPLICANT NAME �+ OFFICE PHONE
gLING
C—pf S'�t�.�'r lC°-1r)$"7" ( ),,n� D ESS ��� CITY, TE,ZIP CELL PHONE
v`/ , -6d. E . qJ'- 0' / AIA „,�,,,�-.-,..,. �;A 9�v' ( ted) 9`7` -- 3O7c
r �1, y� ITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
JvY ( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
Ali1)(‘A/
Ppie OK- e6 .0 j -›-f./o ?
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME / PRIMARY PHONE E-MAIL ADDRESS
ONTACT ` n�� ( ) _
NDER iithe Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
ING USE PROPOSED USE
ING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 4 +"o `
A ERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
ERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESC ION EXISTIN, PROPOSED TOTAL
SQ.FT. SQ,FT. SQ.FT.
BASEMENT
� a
FIRST .
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL=MVP IST TOTAL PROPOSED SP TOTAL SP
"IVEWHOMES 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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or7ub/Shower Combo) 1 LAVS(Bathroom Sinks URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS P WATER CLOSETS crone)
( ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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.
SIGNATURE: DATE -- ��37
Com✓
Property Owner ap /or Authorized Agent .
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—August 16,2007 Page 2 of 4 . k\Handouts\Permit Ap