08-103981 TCita of Federal Wa •
ornrneeervces S Plumbing Permi • 08-103981 -0.0-PL
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: MARK TWAIN ELEMENTARY
Project Address: 2450 S STAR LAKE RD 1 A Ppofr Parcel Number: 720480 0010
CProject Description: Installation of kitchen sink and diswasher F I
Owner Applicant Contractor ,
FEDERAL WAY PUBLIC SCHOOL HAUSER PLUMBING INC HAUSER PLUMBING INC
31405 18TH AVE S 19245 49TH ST HAUSEPL965MK (7/17/10)
FEDERAL WAY WA ISSAQUAH WA 98027 19245 49TH ST
98003-5433 ISSAQUAH WA 98027
•
Plumbing Fixtures
Dishwashers 1 Sinks 1
PERMIT EXPIRES Tuesday, February 17, 2009
Permit Issued on Thursday, August 21, 2008
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: ` '--- Date: 2 / c 5:5-
. 14Oak
THIS CARD IS TO *AIN ON-SITE
CITY OF tommunty Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103981-00-PL
Owner: FEDERAL WAY PUBLIC SCHOOL
Address: 2450 S STAR LAKE RD
FEDERAL WAY, WA 98003-6977
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.
0 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By .�� Date 00# By Date
,
— 0 Final-Plumbing(4075)
Approved
By i�/, Dater/...?r.....„
®,-„„,..c,
, ..... Ao,
a''`I 14, I. ,}14, ze teef.5-4 es
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i
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
I
0 it 1_. - / 0 .3_2'.- t
Feciteralway ERMIT a,Ap3
COMMUN/TYDEVELOPMENF�I� SF MF CO ME EL♦d D E EN FP
33335 8TN AVENUE SOUFH'PO�QC SP18�' APPLICATION P L I
FEDERAL WAY,WA 980635, CATION To
253.835.260 FAX 253-835-2609
wunn.atuoifederahuau.Corn AuG n 1 2003
The following is required information-an in .nWlete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
�1/ �-
�% ���� L- .-: ,.., 1\-e- ...__ ��4`%�
SITE ADDRESS 4 3UITE/UNIT#_
ASSESSOR'S TAX/PARCEL# - __ —_ LOT SIZE(sj
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attar'•aparate Ma for ten"leflal desaipttan)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING X PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIO N(Provide detailed description of wok included on this permitonlu) `1
PROJECT NAME(Name of Business or Owner Last Name) 1"111,..tr + .l U, 1.12,,Y1(LQ,/`.471h-
i• PEOPLE INFORMATION
PROPERTYN ' ^ � �C -S PRIMARY)HONE -
OWNER ^� `r
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME _ OFFICE PHONE_
Thm-- LLC v1\� c (` Z))( 7 7 -ILice
MAILING ADDRESS CITY, ATE,ZIP `��SOr l CELL PHONE
\c1-,`-t`D c L- A.i-` _ --. , (`i- -)) C'tt-\1 -t-\CN
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
N1-43)b 11 --)-kc\LA
CONTRACTOR'S REGISTRATION NUMBER [RATION DATE E-MAIL ADDRESS
I-kP\Vs e ' Li'l N1 Y1 11 j1.71 -01 Oca' ir. T '_
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE s
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT N � K��� r.. PRIMARY PHONE E-MAIL ADDRESS
CONTACT C(!•i.. •�► ��_�ir.l4� (L°IZ) 611 -�`-\�Z 4n
LENDER NAME Per RCW 19.27.095:
Lender information is required If project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ci LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND
•
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS mannPROPOSED TOTAL TOTAL E7QSTINO SI TOTAL PROPOSED sr TOTAL Sr
•
•
**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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
•
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
, DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rouse
ELECTRIC WATER HEATERS ' SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
•
SIGNATURE
I csrt{fy 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 application is true and correct.I certify that I will comply 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 local,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 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.
SIGNATURE: DATE
Property Owner and/or Authorized Agent
•
a NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
•
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application