15-103548 Plumbing
City of Federal Way Permit #: 15-103548-00-P L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2606 Inspection Request Line: (253) 835-3050
Project Name: FIDELITY NATIONAL
Project Address: 33434 8TH AVE S Unit 109 Parcel Number: 609430 0000
Project Description: Rough-in Breakroom sink,hot water tank and dishwasher.
Owner Applicant Contractor
8TH&9TH LLC BRIAN KNAPIK MOSS BAY PLUMBING LIMITED
11100 NE 8TH SUITE 380 MOSS BAY PLUMBING LTD MOSSBPL00000(3/15/17)
BELLEVUE WA 98004 8040 161ST AVE NE 8040 161ST AVE NE
REDMOND WA 98052-3807 REDMOND WA 98052
Plumbing Fixtures
Dishwashers 1 Sinks 1 Water Heaters 1
PERMIT EXPIRES Sunday, January 17, 2016
Permit Issued on Tuesday, July 21, 2015
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
a the City of Federal Way.
Owner or agent: 'f �� Date: 7' 2
0 THIS CARD IS TO MAIN ON-SITE '
CITY OF Construction In " ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-103548-00-PL Address: 33434 8TH AVE S Unit 109
Project: 8TH & 9TH LLC FEDERAL WAY, WA 98003
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) ❑ Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By 0,6 Date `1 1 z...$ 1(S-- By V,vi Date "1 (7,3 (IC By Date
El Final-Plumbing(4075)
Approved
By C `, Date �_. �
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
{ EIVED
�
�,TMOF . PERMI141kPPLICATION
Federal Way JUL 2 $ 2015
CITY OF FEDERAL WAY
�PERMIT NUMBER _ S cI _ (� TARGET DATE 2 1 ,I 1
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING ILPLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT / T�1}-G 7 /'�A � A Li
PROJECT DESCRIPTION t ceh / I fl �rY )19 Pit
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Detailed description of work to /f,7" l 7 /./?1 A/C /'?�/`S` , t -!4 4
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 0‘, -;/6'79- 672/
MAILINyG ADDRESS E-MAIL
STATE
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NAME /
PHONE NE
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MAILING ADDRESS E-MAIL
CONTRACTOR v VO
CFAX
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I / WA SIZE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PRIMARY PHONE
MAILING ADDRESS E-MAIL
APPLICANT
Sq) yrs //' �-, il' rIy /17% z'
/92 STATE ZL s...e2
///
� FAX NAME PRIMARY PHONE `r
PROJECT CONTACT /3J//2/f -16/,
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence /9CSJ
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING `14,___OWNER-FINANcED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized 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 authorized 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: /?/`"/�4-% //c' DATE 7"`2/`/I
PRINT NAME:
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated aspart of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
y�
DRINKING FOUNTAINS / SINKS(Kitchen/Utility) / WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
** EW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application