06-102026 Ak
F •
City ofFedy Plumbing Perm/ P#: 06-102026-00-PL
Community Developmentpment Services •
P.O.Box 9718
e , 98063-9718
Ph:(253Fed)835-26ralWay07WA 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: Shell Only plumbing for restrooms& roof drains.
Owner Applicant Contractor
OPUS NORTHWEST LLC CURT GILBERT
OPUS NORTHWEST LLC EVERGREEN STATE MECHANICAL
915 118TH AVE SE SUITE 300 5415 S 331ST ST
BELLEVUE WA 98005 AUBURN WA 98001
Plumbing Fixtures
Lavatories 4.00 Rain Water Systems 8.00 Water Closets 4.00
Water Heaters 3.00
PERMIT EXPIRES Saturday, June 14, 2008
Permit Issued on Thursday, June 15, 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 IT: Ci 4 Federal Way.
Llr- / / COwner or agent: - i Date: (� " .
.
THIS CARD IS TOO:MAIN ON-SITE
CITY OF 4It ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102026-00-PL
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.
CZ Plumbing Groundwork(4190) 1, Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By ,`�t� Date — 'j.! f By `�A`k` Date ( . 0(p By Date
r0 Final-Plumbing(4075)
Approved
By 4...".4,4) Date! .2.4. 0 a
0 0
• C C G
rm.or RECEIVED 6 T l- 1_ 0 , C)
Federal Way PERMIT
COMMUNITY DEVELOPMENT SEERVICES.n 4 ' 0 SF MF CO ME E ( PL �E EN FP
33325 BTM AVENUE,SOUTH9.PD 97 APPLICATION TD
FEDERAL WAY,WA 98063.9718
253-835-2607•FAX Z53-d?��?5,•��¢¢0�9 �y / /
wtuw.dttmf(edelulwal TY or QE L WAY SJI l (`/X6
BUILDING DEPT,
The following is re•uired information-an incomplete application will not be accepted. Please •Tint legibly in ink)or type.
PROPERTY IN/FORMATION •
SITE ADDRESS 3 S----b Z. Pr-e-i *./ '�7v 50 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) &Lib 14
(Attach separate page for lengthy legal desorlpion(
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING QQ PLUMBING ._ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onig)
C'M$z4.. 7-1*' S
. 1 vr= AeI47Ai A7110 O P/ew rl-!Ails
PROJECT NAME(Name of Business or Owner Last Name) wl..� U-A' ' `/ 10 S '-(All 6--. -60(....__
NI PEOPLE INFORMATION /., -
PROPERTY NAME ...., PRIMARY PHONE
OWNER 0V S /Y tk .( L/Ly) yk;; 7"--L-7c0
MAILING ADDRESS CITY,STATE,ZIP
c3/S /1,'��✓e. .-. j am`/ I E w. 'yoa j--
CONTRACTOR
'`CONTRACTOR COMPANY NAMEAPPLICANT NAME OFFICE PHONE
L':::-4/46-f— '8AlM zr Cu? `6-/Lt r 31.i - T:51 /
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
54/1s- S-v 3.3/5*' 5-I-7 . Av,� is/ - 9 1 (z --3 ) 6.0 > - 73-53-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2- a - 03- / 0Z. 5 z- B L /Z / 3/ / o(, (-6---3 )'73 - `3SZ-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
F- u P-'- - 6-" 5//1 i— /3/ / U(cl
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
CIIeEGr'c 5/297E"7176z/-k C/
/ ,zj--- 17a6 (z>>) -7 s -S‘-3 Y/
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
-3sRE11 7 { So 3(r ,1— )4,,'13Va(1 Wee/ ` / (03 3 )C0 , ----1 -3-S--
RELATIONSHIP
LATIONSHIP TO PROJECT ..,,, FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) Svt3(-.)1 7�frL-7�
CONTACT NAME / PRIMARY PHONE E-MAIL ADDRESS
az:r— (n-itzt •T (Vs3) 6,06 --73 3 5 eoer6-it,8(=-elt-3/r1
LENDER ,,,., NAME e (0/77 T, N61:7
� •'3 ^�- � Yazd� f5a�%�,„„0,l, '�;
,„,,, f h)el;"r r,r f st,14,, ?,z4(Y? ) 23{S°}
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
' ` ''■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
snssuo raoweso msec �, , _,�' o
NUMBER OF FLOORS
**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(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS ' WATER CLOSETS(rose) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST-- y Roof ti efr,N
WASHING MACHINES URINALS HOSE BIBBS ®� F/ �� ��
Y LAVS(Baehr.=sh>� VACUUM BREAKERS 3 ELECTRIC WATER HEATERS
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 filed 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.
� 74- P '/404e7V94— S•/n
NAME/TITLE -� DATEit-
? o c—
(StgnatuY)� (Title)
RELATIONSHIP TO PROJECT p Owner 0 Agent 0 Contractor o Architect C Other
):.-1`;,1' U
.�.sy,;:. ,e.ii��� , x�}!= s ,4s i2 x �o1C�'. ,0'1
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Reetlrtin#t nn—Tsnnary 1. NW Paae 2 of 4 _ k\Handouts\Permit Annlication