06-101054 • •
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City of Federal Way Plumbing Permit #: 06-101054-00-PL
Community Development Services
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: CROSSINGS-BUILDING A
Project Address: 35002 PACIFIC HWY S Parcel Number: 185295 0050
Project Description: Installation of sanitary waste and domestic water and roof drainage
Owner Applicant Contractor
OPUS NORTHWEST LLC EVERGREEN STATE MECHANICAL INC EVERGREEN STATE MECHANICAL INC
OPUS NORTHWEST LLC 5415 S 331ST ST EVERGSM101KN 5/31/07
915 118TH AVE SE SUITE 300 AUBURN WA 98001-3632 5415 S 331ST ST
BELLEVUE WA 98005 AUBURN WA 98001-3632
Plumbing Fixtures
Other Plumbing Fixtures. 7 Rain Water Systems 4
CONDITIONS:
PwmttE3CPIRES Friday, March 1 2008
Permit Issued 04 Wednesday, March2, 2006
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: �G fi Date: .Z c-%
• 0
DATE INSPECTOR AREA AND TYPE OF INSPECTION
` THIS CARD IS TO.MAIN ON-SITE
��TY of itommuni Development
y ty p t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101054-00-P L
Owner: OPUS NORTHWEST LLC
Address: 35002 PACIFIC HWY S
FEDERAL WAY, WA 98003
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.
12 Plumbing Groundwork(4190) E1 Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By `"\,�) Date (D ak oto , By,k j� , Date mak, 01/4) By Date
0 Final-Plumbing(4075)
1 Approved
By GCd.„,)( DateGj-30-v
•
CIP \ 5
1
FederalWay. MAR 0 6 2006 PERMIT
COMMUNITY DEVELOPMENTSERVICES SF MF CO ME E DE EN FP
33325 8>n AVIL ENUE SOUTH•PO BO760XY OF FE D E L LI CATI O N TD
253-835-2607.PAX253 29 BUILDING cao l C
www.dttto(7ederahunu.o m
The following is re.wired information-an inborn•tete a.plication will not be accepted. Please .rint legibly in in or pe.
■ PROPERTY INFORMATION
SITE ADDRESS i�0 Z ?vfiZ-1-'C- l 'W I SUITE/UNIT# c-U& A
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy Ieyat description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING . V PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
5 t w Snit At r v Ca oot7
1"^ o 7?6 Mr 7`7/' .
`it'' F berg-,t/.S eves F1 a(,c,1 ›,i/9-1ry
PROJECT NAME(Name of Business or Owner Last Name) FLO t✓1/o S S'kvt s I l A-
. PEOPLE INFORMATION
PROPERTY NAME` `/ PRIMARY PHONE
OWNER
tJ new Lc� .( s )((a-1 -7.)o()
MAILING ADDRESS CITY,STATE,ZIP
`1 15— L( Veni Aok-S-C: 3� 30 _43-( JUL - wi4- c 7 00c
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
cLt 1-EEN s° � ri t(4-170x. (25-3 )73s-- 9/
MAILING ADDRESS S CITY,STATE,ZIP CELL PHONE
f/5- 55 'g.5/ ST fyf/i30i.'A) //o- '7 W/ ( 3 )GO(# -'735
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
ZO —O3 - 1 D7 S-81B L / / ('2S3) ? S--1357-.
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with retch application) EXPIRATION DATE
G- 5 /n l O L R1 its 05-7 o_ / 0'7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑:Tenant ci Agent ❑ Other(Describe) ( ). -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
���f �71,��CZ-`� (`v.-5.) -�3� - C/4`11
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
MI DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
4 •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST /C:/(30 r:C
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS z7°s""o PROPOOW lorec �u<<x, ;
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commera.n WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS k Li h/•--"
DUCTS GAS PIPE OUTLETS
PLUMBING • 160
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS Ireaoq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS nice-
GAS PIPE OUTLETS SUMPS RAINWATER SYST t 6
WASHING MACHINES URINALS HOSE BIBBS � b
� Oy,'I 716
LAVS(sathree013131k4 VACUUM BREAKERS ELECTRIC WATER HEATERS � 7
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 authorised 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 flied 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 city as a part of
this application. /J
NAME/TITLE C51443Vr` DATE d C0
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor G Architect 0 Other •
. . � !r ,�..: ?,.,� 3i!, • ,,o > :„.q
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