17-101215 • Plumbing
Cmunity City°fevelFederalopment wayDept. Permit #:17-101215-00—PL
33325 8th om
Ave
Federal Way,WA k la Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 �' p q
Project Name: BROOKSTONE
Project Address: 501 S 336TH ST Parcel Number:926480 0240
Project Description: Adding(1)kitchen sink for associated tenant improvement
Owner Applicant Contractor
ROSEN PROPERTIES CITY PLUMBING INC CITY PLUMBING INC
P O BOX 5003 11432 47TH AVE NE CITYPI*955KJ(8/1/18)
BELLEVUE WA 98009 MARYSVILLE WA 98271 11432 47TH AVE NE
MARYSVILLE WA 98271
Sinks 1
PERMIT EXPIRES Monday, 11 September,2017
Permit Issued on Wednesday,March 15,2017
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 ac rdance with the laws, rules and regulations of the State of
Washingto nd the City of Federal Way.
Owner or agent: Date: I/5r ( /
' THIS CARD IS TO REMAIN ON-SITE
�' Construction Inspection Record
FeCieral Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101215 00 Address: 501 S 336TH ST Suite 100
Project: ROSEN PROPERTIES 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) El Rough Plumbing(4230) 0 Final-Plumbing(4075)
Approved to cover Approved Approved
.By � Date ''....\--(1..iC By IL Date 3.._14�17) , By WO Date +lyb 17
El Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date , By Date
0 -141-173 '-D
» ► PERMICc '1�APPLICATION
CITY OF
PERMIT CENTER+33325 8th Avenue South + 'Kt 6103-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permi cen e a ��oif-• . way.com
MAR 15 2017
PERMIT NUMBER l1 _ 1 O ) Z. 0 5- _ ► V
TARGET DATE CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
SITE ADDRESSSO ( S ,Y i � SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S/, ASSESSOR'S TAX/PARCEL# r/rvy�\)
$
TYPE OF PERMIT ❑ BUILDING gicLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT . or- xf.
PROJECT DESCRIPTION C 1 > �frAnn / ill L
Detailed description of work to
be included on this permit only
NAMER.f. ..k.) r 0PRIMARY PHONE
PROPERTY OWNER MAILI ADDRESS E-MAIL
Lo tR mi- 1, CA-4.--c Zv2
CITY STAT ZIPp
NAM /SCC fiv/Ifq/+ ^1 �� SO 1/1-1-/- o G U /
721172s:� 2� ` /�� E-MAIL
CONTRACTOR ,..z./..tr...
�y �r"
WA �CCONTRACTO LICENSE# T ZIPEXPIRATION /E F `r!BUSINESSAY LICENSE�
/ /
NAME
(95 L �4c7 ,A�Pi2,
t�? 1-r= H PRIMARY PHONE ....
APPLICANT MAI NG ADDRESS 1- �^i� E-MAIL
C� f_ l.Y �S�(( Cv IV TCSTATE>ZIP FAX
yie 12lLLA�.7 (.�. uis 3 3
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 ❑ 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 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 a city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this applicatioj '---j
SIGNATURE: DATE
PRINT NAME: J6w/4/ // . .W
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 offixture 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(car)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 3 SI)0
Indicate how many of each type offixture 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
DTSHWAST4F.RS RAINWATER SYSTEMS I IRINAT.S OTHER(Tlacrrihn)
DRAINS /SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS V SINKS 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) I EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
RESIDENTI A i - NFW 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 0 CARPORT 0
OTHER(describe)
................................................................................................................................................................................................
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
I
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts'\Pennit Application