13-104640 •
• Plumbing
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-104640-OO-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: KELLER WILLIAMS REALTY UNIT 103
Project Address: 33434 8TH AVE S Unit 103 Parcel Number: 609430 0030
Project Description: Install break room sink,HWT & dishwasher.
Owner Applicant Contractor
8TH&9TH LLC MOSS BAY PLUMBING LIMITED MOSS BAY PLUMBING LIMITED
11100 NE 8TH SUITE 380 8040 161ST AVE NE MOSSBPL00000(3/15/15)
BELLEVUE WA 98004 REDMOND WA 98052 8040 161ST AVE NE
REDMOND WA 98052
Plumbing Fixtures
Dishwashers 1 Sinks 1 Water Heaters
PERMIT EXPIRES Saturday, April 19, 2014
Permit Issued on Monday, October 21, 2013
1 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
.andthe City
City of Feral Way.
Owner or agent: /gz''/ Z-- i' ! ' /� �' / Date: /G% 2/7-/C
F!HALED
- • THIS CARD IS TO MAIN ON-SITE '
"T'OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-104640-00-PL Address: 33434 8TH AVE S Unit 103
Project: 8TH & 9TH LLC FEDERAL WAY, WA 98003-6323
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) El Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By-2--e-c� Date t o__z4.-4 3 `By --e Date 1 U_7.4_43 By Date
El Final-Plumbing(4075)
Approved
r
`TJ_� Date L ' (�
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
. 13 -- ( uyD�
RECE ` ! PERMITPPLICATION
Federal WayoC-� 21 2013
AY
,C�OF FEDEML-'
CDS L`
PERMIT NUMBER I _ / e (
0i4 LI — TARGET DATE
SITE ADDRESS SUITE/UNIT# /U` 3
3 % y (ci'� <S f l /t /7 ,L Lr, f��/ J
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ �v� & 09' Y3o - 0630
- )
TYPE OF PERMIT ❑ BUILDING .PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT // j 1( ' A'I RI-h vS
PROJECT DESCRIPTION —J " ' - -
Detailed description of work to t .r_..r.— .....-�
be included on this permit only .s--c4-L., j ft, . 1 1) S( C,.q t
NAME ^( I /} %__..` G1'" v- PRIMARY PHONE
PROPERTY OWNER X Imo'` (Jr/
MAILIN1 I AIDDoRr A --.. �C '-z 3? 6 E-MAIL
CITY CJ STATE ZI .ig 06 CJ
LiNAME `W, //^�1 PHONE
A7 b S 3 // �/b /I, C C/2 I-- &-�61'- � 7'e�(
MAILING ADDRESS �j , GL T
� ^- E-MAIL /
CONTRACTOR b ( ' /&.,// fs i 4Y/cam ' .5 / l')-7 O SJ 6,t2),,,i2A/Wc
CI STATE ZIP FAX
r rte/*4,4� L A 987s-z
WA STATE CONTRACTOR KENS # , 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME _ PRIMARY PHONE
/2o'i/r� ��4e.d�e
APPLICANT MAILING ADDRESS E-MAIL
‘/, t',/:.:4,-,./F .? C-/ ,72 OcS4S 417V)V47--- 1.#
CIT,/ Fjoie7 STATE ZIP bFAX
NAME - PRIMARY PHONE
PROJECT CONTACT
-- - -(The individual to receive and -_MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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 thecity as a part ofthis application.
�j�j/
SIGNATURE: / /i DATE `® - /
PRINT NAME: / 1.-/./(Pin i //
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
X3, 1)
Indicate how many of each type o f fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
_ _ BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
_ 1 DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS _ _ SHOWERS _ VACUUM BREAKERS
DRINKING FOUNTAINS _ ( _ SINKS(Kitchen/utility) _ _ WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 6 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 ❑ 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
**NEW 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