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00-105495 , . , • • City of Federal Way Community Development Services Plumbing Permit #:00 - 105495 - 00 - PL 33530 1st Way S Federal Way,WA 98003-6210 Inspection request line: 253.661.4140 Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections) Project Name: DR KINNEAR Project Address: 30821 PACIFIC S Parcel Number: 082104 9024 Project Description: PLUMBING-Install plumbing fixtures in existing office space Owner Applicant Contractor RST ENTERPRISES INC DR MICHAEL K KINNEAR PLUMBING SOLUTION,THE 1101 ANDOVER PARK W#104 30620 PACIFIC HWY S TUKWILA WA FEDERAL WAY WA 98003 PLUMBING SOLUTION,THE 98188-3911 11902 155TH STREET CT E Plumbing Fixtures Description Quantity Description Quantity Description Quantity Lavatories 3 Dishwashers 1 I Sinks 1 Water Heaters 1 Water Closets 3 PERMIT EXPIRES May 20,2001,IF NO WORK IS STARTED. Permit issued on November 21,2000 I hereby certify that the above info a'tion is correct and that the construction on the above described property and the occupancy and-the sew 1 i e accordance with the laws,rules and regulations of the State of Washington and the City of Federal t,11ii*t$i$ltII Owner or agent: Date: I ( `7/' O 41111E®15111\_\\ fig 11 lt'c) cti, iv.. (I(.4.AA, (••• // - 2.2. oO C_,‘J 7/. CONSlip C:I ION PERMIT APPLICATION �El t- • APPLICATION NUMBER: �� - .�U b y.I6 - _ _ ��--- FEYAPPLICATION NUMBER: - - ., ,,,---� APPLICATION NUMBER: - _ - - **The following is required information-Please print(in ink)or type** vvNtt Please note: ElecIital,Fire Prevention Systems and Engineering permits may require a separate application. . • <:. ■ PROPERTY INFORMATION • C SITE ADDRESS: '3 b cg Z I RCC c-t-L c A-J e S ASSESSOR'S TAX/PARCEL #: () Q Z i 0 9I - _1 Z. 4-' LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): __ ■: PROSECT INFORMATION . TYPE OF PROJECT(This application): - ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM 2 PROJECT DESCRIPTION(Provide detailed de cription): `'e-- -I-- SYCt ( ( `x le'.--) rCS � ) C. s� n 7 /BG cc o n s /-t.c9.,e 2 —, k-,-,res ct,---cf c9L, _,J '7 ,15 e_ PROJECT NAME: e) 'E-- K 1.testi.(-Tl ■ PEOPLE INFORMATION PROPERTY OWNER: NAME sTDAYTIME PHONE: z.n-.erP1 • ceS TQC ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): �K( K- `/ /o / /p / 41 t, DJe - CONTRACTOR: NAME: TLCR �-`rvhi n 5 D I L.,_ -o (--) DAYTIME PHONE: ) Z - C336 MAILING ADDRESS(STREET ADDRES ,CRY,STATE,ZIP): EVENING PHONE: kkciOZ (5'- 57— c7- ... ( 3) Tic.) -$2.gg CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: ? I I, r✓1 b 1E ,K 0 l --i- ? AJ /0 / 1'-I / 200/ APPLICANT: NAME: DAYTIME PHONE: ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR a DETAILED.BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) ':-.. **NEW RESIDENTIAL CONSTRUCTIO•LY** ` NUMBER OF BEDROOMS: ESTIMATED SELLI 1NG PRICE: $ - ■ PRO3ECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT i. FIRST %4 4 SECOND c f THIRD ;'r FOURTH ,:€ OTHER FLOORS(DESCRIBE) .3.* DECK i $ GARAGE -: HOW MANY FLOORS? TOTAL: "2. .., r in FIXTURES ti Indicate number of each type of fixture f MECHANICAL t AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) • ° BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) ,a BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) 3 LAVATORY(S) URINAL(S) I WATER HEATER(S) / DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) pFLECTRIC ❑ GAS .�• DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET • GAS PIPE OUTLET(S) / SINK(S) '; WATER CLOSET(S) MISC.( ) . INTERCEPTOR(S) SUMP(S) ■ '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 authorized by the owner of the above prem" •- : ;erform the work for which the permit application is made. I further agree to hold harmless the City of Federal Wa , o an -•im(in• g costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),whi - . be m•.- •y a. tron,including the undersigned,and filed against the City of Federal Way,but only where such daim . a. out of re( w. . the city,including its officers and employees,upon the accuracy of the information su o tfie • part . ••is . :on. NAME/TITLE: �0e DATE: ` ❑ 1-' 10111111111P"- PROPERTY OWNE• APPLICANT M-rONTRACTOR .-FOR OFFICE USE ONLY: LI NEW -*_,.; . ©;ADDITION ALTERATION taiEPAIR N E(yANTIMP,ROVEMENT .. LOTsIz£ -:z.. -- CENSUS GORE_....._:... • • .:.. _.. .;:. ZONING_A,ESIGNA'fION ._,:.n : ,i; ;$,UItAINGS.HELLONL' q (FS -• , NO •COMP PLAN DESIGNATION.. e BaSzoaN? ...... D YES _"O 0 _ . N.B....... ngfiiSii SECTION ._ rTOWNSI IP RANGE •'E{NrpDDRESS,REQUIRED? n .; :[I EES ❑ C i PLATTED LOT? 0 YES -❑.rIO x 1 0.17 E f)F',,USE? YES: :rid. COMMUNITY DEVELOPMENT SERVICFS•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129