17-102516 • Plumbing
City of Federal way ; ' Permit #:17-102516-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: FEDELTA HOME CARE
Project Address: 505 S 336TH ST I Od ParceI Number:926480 0270
Project Description: Rough-in and finish plumbing work.Tie new water and sewer lines into existing.Install new
plumbing fixtures.
Owner Applicant Contractor
RH FOUNTAIN PLAZA ASSOC LLC T&3 PLUMBING/MECHANICAL SUPERIOR BUILDERS INC
PO BOX 5003 317 153RD ST E SUPERBI112D2(3/4/19)
BELLEVUE WA 98009 TACOMA WA 98455 PO BOX 1849
MILTON WA 98354-1849
Sinks 3
PERMIT EXPIRES Tuesday,21 November,2017
Permit Issued on Thursday,May 25,2017
I hereby certify that the abov ormation is correct and that the construction on the above described property
and the occupancy an use will be ink✓ordance with the laws, rules and regulations of the State of
Washhi •n and the City of Federal Way.
Owner or agent: Date:
F i�4►k�
014THIS CARD IS TO REMAIN ON-SITE
Frl11Va Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102516 00 Address: 505 S 336TH ST Unit 100
Project: RH FOUNTAIN PLAZA ASSOC 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.
Q Plumbing Groundwork(4190) , LI Rough Plumbing(4230) 0 Final-Plumbing(4075)
Approved to cover Approved Approved
By Date BCS Date L- 12_ l7 By 4-,v Date tel&V/1 ,
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
21 77 /.(1
`
CITY OF ,./
PERMIT APPLICATION
CIT
Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenten%cityoffederalway.com
PERMIT NUMBER t _ D 51 6 _ P
- TARGET DATE li i
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING I ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT 0 BUILDING le PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT .C .-‘). , IA-0, 1T' j'
PROJECT DESCRIPTION ROLi�1N-1"t CI x f..\•-% 0`"^'`�'%� wu� �'
Detailed description of work to -'i Q_, ynIr,i,.., ,v
L0. 't-v 'd &-,1....,#a- 11 i i'u p .ex I Sd,►nn.
be included on this permit only
L. NAME
PRIMARY PHONE
PROPERTY OWNER MV 0 n Vim? '1c`-- A4�1 - - 0
SA LING ADDRESS y ` E-MAIL
-�D Y\ 44" / t. e_. 1 \r V_- . €"1. :__A �,, t• *`�1
C STATE IP Is
N �PH�O^NE ^7
S' a/'ib ,71,34.... 5 d`� a� - l���
ILING AQb.D,R�ESS E-MAILp
CONTRACTOR ' ' "��`'Y` 1 � V �� �1�� �rk�. �iti Z
CITY STATEZIP FAX
t"-A..'VV‘ LiA. ell-b 49€7,—aa-�---71 •?0
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
pe.Ae-b7k \A 2-l 'Aft /6 /L /La% , -(:).--OCA--1,0 t 3'-G'6o•.00 1
PRIMARY PHONE
APPLICANT
MAILING ADDRESS _ \ \- 1E-�L`
3l 1 ���YU a)-. STATE ZIP SFO J,p 6E\n.,eco t,�,
PRIMARY PHONE
N
PROJECT CONTACT ()_V\r' S`yv`p`N1.1Lca , ?]-1 g,-a(91-,
(The individual to receive and LING ADDTS q
respond to all correspondence \-0 . C 1\415 Li � L €,,-,i I' (_cx'Ino., b;►Z
concerning this application) CITY STATE tt,i. 4 FAX
NAME
PROJECT FINANCING ESIC OWNER-FINANCED
When value is$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 o such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim ' _ s out of tit). eliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t as a part ',z is application.
SIGNATURE: / ..-- r DATE L ) Ie) 1 1
i
PRINT NAME: , „„g•. J C.'
Bulletin#100-January 29,2016 Page 1 of 2 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(commrial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$ j i, 1 -0
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.
BATHTUBS(or Tub/shower Combo) LAVS(Nana sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS el
OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS t SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES S TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE fin 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)
ECONIJ FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER.(describe)
Area Totals EXISTING PROPOSED TOTAL
50NEW HOMES O1VLY*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING#;,
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION q Occupancy Group(s) Type Stories Additional Information
Square Feet
TOTAL BUILDING i ��4R
TENANT AREA ONLY I-
PROJEClc AREA ONLY I
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application