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05-105855 • FILE City of Federal way Plumbing Permit #: 05-105855-00-PL Community Development Services 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: KOVALIK Project Address: 33506 10TH PL S Parcel Number: 926501 0030 Project Description: Plumbing in connection with interior alterations to existing building for tenant improvements. Owner Applicant Contractor SUSKA LLC KELLY CHERRINGTON PLUMBING SOLUTION,THE 17051 SE 272ND ST SUITE 17 PLUMBING SOLUTION,THE PLUMB**972R3 12/23/05 COVINGTON WA 98042 2805 92ND ST E 2805 92ND ST E TACOMA WA 98445 TACOMA WA 98445 Plumbing Fixtures Dishwashers 1 Lavatories 1 Sinks 1 Water Closets 3 CONDITIONS: PERMIT ECJ ES Wednesday, I vert 14, 2007 Permit Issued on Monday,.November 14, 2005 I hereby certify that the above information is ••rrect and •-t the construction on the above described property and the occupa•cy an. -- use w be in ac • dance w' • e laws, rules and regulations of the State of Washington and t - ity • • --I Way. Owner or agent: Date: )A O 11111I - T �4. THIS CARD IS TO ' .i AIN ON-SITE •- CITY OF 1 me CbmmunitY P Inspection Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-105855-00-PL Owner: SUSKA LLC Address: 33506 10TH PL S FEDERAL WAY, WA 98003-6306 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. O Plumbing Groundwork(4190) 0 Rough Plumbing(4230) 0 Gas Piping(4125) Approved to cover Approved Approved to release test By Date By Date By Date O Final-Plumbing(4075) Approved By v l Date 4 2*, ill _ CtlY OFA 'RE... 9 Federal Way {V 411) Q - . 0 7 PERMIT COMMrn DEVELOPMENTSERV(CF�s,OV •� 4 2005 SF MF CO ME EL SE EN FP 333258TM AVENUE,WA 9•p0 BOX 9 glf) LICATION FEDERAL WAY,WA 98063-9718p /253 835-2607•FAX 253-835-2609 f -{lTY OF F5DER P0 ( , BUILDING DEPT, The ollowi • is re• fired in ormation-an i . •lete a••lication will not be acce•ted. Please •rint le,ibl in in or PROPERTY INFORMATION SITE ADDRESS 3 3 //5 0 (P /or-- FL 5 SUITE/UNIT ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(s,/) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desaipyon) Iv/ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING "I/PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRI ION(Provide detailed description of work included on this permit only) 1-�� ? € , s Pi~- • b R "J s ,/ 4_,,/4.�„rte PROJECT NAME(Name of Business or Owner Last Name) Cl/li dt. I'1 PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 57-k_Stttl •• -o,)0.`\ 1 k_ ( ) - MAILING ADDRESS CITY,STATE,ZIP 36 0 ` (oma pc_ S Fed ? t-oct 9gao3 CONTRACTOR COMPANY NAME A P CANT AME }� OFFICE PHONE -C"�-e.-A� .6/4 So/u.--II -- STAC ZIP }'�c(/pion (253 .)538' - I/ MAILING ADDRESS CITY, CELL PHONE 270 5.2 ci S+- L- t ctcoinlcl 1.,9c ` g`fYS (::253) Z I- -5770 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER — - / / (x.53 )53s' - // B L CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE ? LA. b Yg2)Z-- _ /2 / 23 / o APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 51 -'2. QSJ t . ( ) _ MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER o Architect o Tenant o Agent ❑Other(Describe) ( ) _ CONTACT NAMEI r AGr r� PRIMARY PHONE E-MAIL ADDR t C I A 40 a53 ) 2-1-9 - 5330 pK5O @ca ncksi, ve+ LENDER a, ;4,1y. r••,,-/exx,-1 rrgtrYa-tC➢XXnitr_. t :r, NAME •F:4t''' 4 •'-''',C .°f'+.a }fit-4,1 -'1,,or.,. MAILING ADDRESS CITY,STATE,ZIP • 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 Cl NO WATER SERVICE PROVIDER ❑ LAKEHAVEN Cl HIGHLI NE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION I EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST : SECOND • THIRD FOURTH • ADDITIONAL FLOORS(DESCRIBE) • DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS =STING PROPOSED Toret R Roeosw 3r av errs... ��r� ._ � . i.,�, �.. �.- • **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installe, or r ocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Z"y p00 Value of Mechanical Work $(3" • AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commerda) WOODSTOVES BOILERS FIREPLACE INSERTS .. RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orrub/ahowerCombo) SHOWERS / WATER CLOSETS crone) MISC(Describe) DISHWASHERS l SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS f LAVS(Bathroomstnkol VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnishe by me is true and correct to the best of my knowledge,and further,that I ant authorized by the owner of the above premises to perfor .. work for which the permit application is made. I further agree to hold harmless ny the City of Federal Way as to any aim(includipg'` sts, expenses, and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any p 'rn,includes wide •• -- • d filed against the City of Federal Way,but only where such claim arises out of the reliance of the •. t,i • •ing its o s an• ployees, •on the accuracy of the information supplied to the city as a part of this application. / ( NAME/TITLE DATE C (44— ignature) (Title) RELATIONSHIP TO PROJECT Owner ❑Agent 0 Contractor ❑ Architect 0 Other •3i 4 -A".- , x . , � P � -14-63-114D .fir€ E e 3�(*) 14,4z) ,dd� � � wb ya r(n @lce ® �' a {/oJ ` C� Ir5e , �!©r gat k,Veiefo33i.�} ,leo e( 1 p •��.A rt Ce 'O �Lo �.. :?' e�a?*OD i. o �tg� � 161 - - - . �,_- ,.,.�,�_ .,t..• 0 � Bulletin#100—January 7,2005 Page 2 of 4 k\I-Iandouts\Permit Application