04-100279 41
City of Federal way Plumbing Permit #:04 - 100279 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WEYERHAEUSER BETA LAB
Project Address: 32901 WEYERHAEUSER S Parcel Number: 162104 9013
Project Description: Installing 1 3-compartment sink,1 single-compartment sink,1 dishwasher in second floor Beta Lab
Owner Applicant Contractor
WEYERHAUESER(R&D TECH CTR) ENVIROMECH ENVIROMECH
32901 WEYERHAUESER WAY S 4735 E MARGINAL WAY S 4735 E MARGINAL WAY S
BLDG 1202 SPACE B-2 BLDG 1202 SPACE B-2
\FEDERAL WAY WA 98023 SEATTLE WA 98134 (206)762-1960
Plumbing Fixtures
Description Quantity Description Quantity Description Quantity
Dishwashers 1 Sinks 2
PERMIT EXPIRES July 25,2004.
Permit issued on January 27,2004
I hereby certify that the above information is correct and that the construction on the above describedproperty 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: I, zj�1Y 't Date: _ I /2_ ? 1 o
Plumbing rough-in:
Date
Water line:
Date �/'
FINAL PLUMBING: - / Date v `7
Date
RECEIVED
COMMUNTTY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
CITY OF �''' FEDERAL WAY,WA 98063-9718
yAN -------200A PERMIT APPLICATION / 2 53-661 4 1 15•FAX:253-6614129
Fetler ai Wa 1www.ciwo((ederalwogmm
TY OF FLDt.bIAL WA', l .) To
Feroaceu,, y:SUILQ'k�(�&►ipvu�nber: - _
The ollowin• is re.wired in ormation-an inco •lete a.•lication will not be acce•ted. Please .rint le.ibl in in or .e. 1-
■ PROPERTY INFORMATION
SITE ADDRESS: 3 L `f r ) i Y''r / _ . :, i.__ , SUITE/APT #
ASSESSOR'S TAX/PARCEL #: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
b/
TYPE OF PERMIT(This application): 0 BUILDING PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only): Z- I tc.4. to NI D 4
1 1>i4iriw.-45,4_k. Tc: t5 K- Ir•15TA`1_r gti o�i�-A�To''- . s ) 5i1-1CIL E.
1---b4e, i",' .-c ..,.-t,-; -- (-I A-- )D ,T i---,<_z- TU i> :ii ) ;At---L—Ej)
PROJECT NAME(Name of Business/Owner Last Name): F`? hi;-i u-v.:,;c:=.IK 'G.,-__-1 ,,,, L A
• PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER: ` is`' di'..K- li.+i=:tit. .0 ( )
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
CONTRACTOR: NAME _t-Aa COMPANY OFFICE PHONE:
, — "'^ �•' I~14v)mac l.i1r� (7<:',(„_ ) 76 2_ - I ci 6 0
MAILING ADDRESS(STREET ADDRESS;): ,,,_p„�„t, I-:;t CITY,STATE,ZIP CELL PHONE:
4/35 E. 114A -(,t1R,_ l'44 v 5 •Hzt ,a- Virk. .fed 3'1 (kc= ) 3c11 - u s 14
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ”Z S r——EXPIRIATION DATE: FAX NUMBER:
7_ 0 - 0 - I 0 0 P) 0 i - 3 ) /1'(2-/ -14 <:;11 ( LCic) io Z - (tet 3/G+
C C�, '-- — - .tikewedo !!/2-(e/O. q ✓,J
CONTRACTOR'S REGISTRATION NUMBER: 1� EXPIRATION DATE:
(copy of card required with each application) I.--\ \ V- 4'- 4 • A L y
L ,21 3 1 / 2_00 t f
LENDER: NAME: DAYTIME PHONE:
Of Proposed Value>$5,000) /�' ( ) -
MAILING RESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME:
COMPANY OFFICE PHONE:
1\4 i H rA.c,•- Tei rwc�~SS -ri.,i,w c 1114-:--..-H (7-0L, ) /42.2- - I `"t Lc,
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
i3 i-, iiN'a".,.r:l,it- (a.). f:.'N., I s -2. 7;:es
tti.-G. �4t'�, c(('',1°;�j (?_OG, ) 39 ( - C(�S-114
RELATIONSHIP TO PROJECT: ` FAX NUMBER:
0 Architect o Tenant t /Other(Describe): C.:-.1-..),4 t i= A _1 (w4: )'f 6 2 - VI'3G
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner e"Contractor 0 Applicant E-MAIL ADDRESS:
9-4M,M1 e1 pytf.1c•.xcc(t .cc.wt
• 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?: o YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL,PROPOSEDTOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 5 0 0 O
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/ShowerCombo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS Z SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
■ DISCLAIMER/SIGNATURE BLOCh
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 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.
NAME/TITLE: 1(42----; a�. �P.O-SE�T4Gtr1F_E -DATE: Z�o�-Iture) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner ❑ Applicant /Contractor 0 Architect 0
FOR OFFICE USE ONLY. .
o NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES '❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-January 13,2004 Page 2 of 4 k:Wandouts-Revised\Permit Application