16-101810 • • Plumbing
City of Federal Way Permit #: 16-101810-00-PL
Community&Econ.Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: BLUSH NAIL SPA(LARKSPUR CENTER B-2)
Project Address: 32411 PACIFIC HWY S Unit B-2 Parcel Number: 150050 0150
Project Description: Installation of(1)"1" backflow preventor.
Owner Applicant Contractor
WILLIAM KIMBALL KORT ROWIRSKI J J PLUMBING LLC
C/0 CHERYL NICCOLI JJ PLUMBING LLC JJPLUL*9830A(9/1/16)
PO BOX 1762 38609 204TH AVE SE 4210"B"ST NW SUITE K
SAN ROMON CA 94583 AUBURN,WA AUBURN WA 98001
98092 •
•
Plumbing Fixtures
Other Plumbing Fixtures 1
PERMIT EXPIRES Monday, October 10, 2016
Permit Issued on Wednesday,April 13, 2016
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 t ity of Federal Way.
Owner or agent /7,11//� c Date: y --/ 3 .u) b
A' , 9 THIS CARD IS TO IN ON-SFTE .
CITY OF Construction Ins tion Record .-
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101810-00-PL Address: 32411 PACIFIC HWY S Unit B-2
Project: WILLIAM KIMBALL FEDERAL WAY, WA 98003-8546
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) E Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
Approved
By Af\i Date l-ii j y/l .
El Rough Electrical El Final Electrical
ElRight of Way
Approved Approved Approved
By Date By Date By Date
I
„A. ~ e. PERM APPLICATION
CITY OF n_, % RQ16
1 f• N( PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way p�' —^��P 253-835-2607+FAX 253-835-2609+permitcenten Vcitvoffederalway.com
OF x°0
PERMIT NUMBER 1I 5 '
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_ TARGET DATE 1 i 1
SITE ADDRESS SUITE/UNIT#
3Z21 ► I P c;m cr. I-„ ,'v' S.
PROJECT VALUATION ZONING '— ASSESSOR'S TAX/PARC II
$ gi , -- t500Si2 _ 12J T)
TYPE OF PERMIT ❑ BUILDING` ”PLUMBING ❑ MECHANICAL ❑ DEMOLITION El ENGINEERING El FIRE PREVENTION
NAME OF PROJECT 1\1‘--1: 5� L1► 61.c i5 h S r
PROJECT DESCRIPTION l✓'l I L ,iic},A (T (i) `r ice-v
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAMEPHONE
0 J 1 1 4._„--,U,--1„--
._.., ,,lam;--1„-,Irmac:
MAILING ADDRESS o E-MAIL
CONTRACTOR 4Z1 0 F T N(1/\ Jam”
CIT S�T � FAX
lUAA.L14- � �
WAEXPIRATION DATE
WSINES)
V PL •!, ✓O IU ' p)- 5IL
NAME
PRIMARY PHONE
1
APPLICANT MAILING ADDRESe % E-MAIL
CITY L• STATE ZIP FAX
NAME - PRIMARY PHONE . ,
PROJECT CONTACT JCG� . X51 -� — -a-At.�ISk-I 29..5G t'fxO(afcc)c 'tz7 cel>
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY �. STATE ZIP FAX
NAME /
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit appleation is true and ssrroot.I certify that I will eemtply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with Iocal, 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 o the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city a p of this application.
5IGNATU 3 .1
DATE ' 1•3 L I LIO
PRINT NAME;J J( V!I/V
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
111111
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(Gass)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS _,_ OTHER4Dscrip+)I
DRAINS SHOWERS VACUUM BREAKERS ((
DRINKING FOUNTAINS SINKS(Kitchen/Utiiityt WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE fIe Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area is Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTIONE8 in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\l-Iandouts\Permit Application