14-103961 • 9 Plumbing
City of Way Permit #: 14-103901-u0-PL
Community&Econ.Dev.Services
33325 8th Ave S FILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: 253)83rD-3050
Project Name: CMBA NO 5 LLC
Project Address: 34507 PACIFIC HWY S Parcel Number: 202104 9107
Project Description: Install backflow valve preventor
Owner Applicant Contractor
CMBA NO 5 LLC EGIL MACK SERVICE LLC EGIL MACK SERVICE LLC
13219 10TH PL S 1402 AUBURN WAY N SUITE 418 EGILMMS914NC(9/1/15)
BELLEVUE WA 98005 AUBURN WA 98002 1402 AUBURN WAY N SUITE 418
AUBURN WA 98002
Plumbing Fixtures
Other Plumbing Fixtures. 1
PERMIT EXPIRES Monday, February 2, 2015
Permit Issued on Wednesday, August 6, 2014
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. / // L'
Owner or agent: .'--""I Date: / � � T
FINALE
'D
THIS CARD IS TO MAIN ON-SITE
CITY OF
Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-103961-00-PL Address: 34507 PACIFIC HWY S
Project: CMBA NO 5 LLC FEDERAL WAY, WA 98003-6879
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) 0 Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
. % .
0 Final-Plumbing(4075)
Approved
By - Date 15-z 2,,-/i./
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• CITY OF 6 PER.MITIIPPLICATION
Federal Way
RECEIVED
PERMIT NUMBER f 4 _ 1 0 3c3i
V/ _ t........„
AUG 0 6 2014
, p
- )
TARGET DATE
SITE ADDRESS -- I FEDE
dDS RAL WAY
�'6 0� '� .Lc.C- - sar:eek2r-pre_, cukkfVim'
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ l9®= CE 20 2 1 & i. - a_ 7
TYPE OF PERMIT 0 BUILDING L`S PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT BEC(L-c �Ve_3 r i- 2 11
PROJECT DESCRIPTION 4I! { C Ian--1�
Detailed description of work to u._-j7i lr V j
be included on this permit only .o/
NAME /� n1 I� PRIMARYPPHONE
//
PROPERTY OWNER ( BA ! SCJ £ LL( q25 T43-24/3
.1.3.211 �, . lD �mORRC7Y�t-k/ C
CIT CAL" 021
ZIe:?gG/,,J
NAME i,` /' I r. lA/V_�ce C.- ILc / P C�, 1233
MAILING .PTS/ N!is+'vl/V W�'I/' f� l L t� E L�� (�' / ee C? ,,,
CONTRACTOR E-MAIL
`/ �"'(
CITY/14140 0 219$eine F - q _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAMp/`r: 1 ei rp.11041 i• lPRI M PHO ,4< 33 /3
4°14
APPLICANT N�` ti2-iliw.
CJ 36e.-
/E-MAIL
22/ l S
/` ii/
CIl " A-4- 1497 T , 3/ / L. O 14 !4
N
PROJECT CONTACT ue1C?l snc 5j l!' r 1 -33,3
(The individual to receive ands
jI�GS D ` . {3 Ab refik r/Yl(DOS Corj
respond to all correspondence —1((
�
concerning this application) CIT "CS A Oi( s�° zf�y7`3 3—'(R-FINANCED
f�1 ( f 4/
NAME ' v l �OOWNE
PROJECT FINANCING
Required value of$5,000 or more MAILING ADDRESS,CITY, TATE,ZIP PHONE
(RCW 19.27.095)
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 suc laim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arise t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied tAi
ity . i part of this application. //� ealA2,-5---
SIGNATURE: 1 /„: A �� B( l :, DATE
2 ici
PRINT NAME: �JeC T /1' S` 4,74,/-73.0,e.
Bulletin 11100—January 1,2013 Page 1 013 k:\Handouts\Permit Application
I i .
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
7<"--
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Slower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHERescribe)1
DRAINS SHOWERS VACUUM BREAKERS zilV
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) f k/�)1 Cl>//217
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Ide L ]) LU] $ I, Z Z
EXISTING REVIOU SE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESS ON SYSTEM?
t (,e /LD/4' 3g") 77 0 ❑Yes No ❑Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
9 9:'
/ / '„w",44,1,
F f
;
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE 0 CARPORT ❑
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EXISTING PROPOSED TOTAL
Area Totals 4:00,43,000.:X,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Sr uare Feet
eet Type Stories
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ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in
-�"„`;•;me�ggr, • Square
quafre�lFeet
{ •.;J,f,/" ' / Type. Stories
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TENANT AREA ONLY
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