11-102445 City of Federal Way 411 Plumbing
Community Development Services Permit #: 11-102445-00-P L
P.O.Box 9718
Federal Way,WA 98063-9718 FILE
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DAWSON,DAVID R,MD
Project Address: 720 S 320TH ST Suite G Parcel Number: 082104 9266
Project Description: Adding(2)sinks and (1)funnel drain
Owner Applicant Contractor
CAPITOL SQUARE LLC SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC
PO BOX 18194 PO BOX 1849 SUPERBI112D2 (3/4/12)
SEATTLE,WA 98118-0194 MILTON WA 98354-1849 PO BOX 1849
MILTON WA 98354-1849
Other Plumbing Fixtures 1 Sinks 2
PERMIT EXPIRES Sunday, December 18, 2011
Permit Issued on Tuesday, June 21, 2011
I hereby certify that the above information is correct and that the cons ruction on the above described property and
the occupancy and the use will • . •ante with the laws, r -s and regulations of the State of Washington
;�• the Ci e• al Way. /�
Owner or agent: Date: � /
PtMU. b4W//
- .444LTHIS CARD IS TO MAIN ON-SITE
Crile OF • Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-102445-00-PL Address: 720 S 320TH ST Suite G
Project: CAPITOL SQUARE 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) 0 Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
Approved
By"---z,,- Datez/ir
Rough Electrical Final Electrical Right of Way
I=1Approved ❑ Approved ❑ Approved
By Date By Date By Date
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CITY OF
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Federal WayJIJN 2 1 2'j11 PERMIT - -
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL �I E EN FP ,�q,�"
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FEDERAL ' 0• �:' 1=EDERA To
253-835-260 4 253-835-2609
wuno.cityoffederalwau.corn C D S
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 720 S. 320th St., Federal Way,WA 98003 SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 0821049266E _ __ LOT SIZE(sf 36,751 SF
LEGAL DESCRIPTION LOT 2 OF KCSP NO 582078 RECORDING NO 8209140579 SD SP DAF S 1/2 OF S 1/2
OF SE 1/4 OF SW 1/4 LESS W 590 FT THOF & LESS S 50 FT
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING EI PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Adding(2)sinks and (1)funnel drain.
PROJECT NAME(Name of Business or Owner Last Name) Dr. Dawson T.I. -Plumbing
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Capital Square LLC 43S030 ( 253) 224 - 4381
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
P.O. Box 18194 Seattle, WA 98118
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Superior Builders, Inc. John Schweitzer ( 253 ) 573 - 1698
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 1849 Milton, WA 98354 ( 253 ) 224-4384
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-00-101346-00-BL 12/31/11 ( 253) 573 1797
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
SUPERBI112D2 03/04/12 jschweitzer(asuperiorbuilders.org
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Suerior Builders, Inc. John Schweitzer ( 253) 573 -1698
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O.Box 1849 Milton, WA 98354 ( 253) 224 -4384
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant o Agent N Other Contractor ( 253) 573 -1797
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT John Schweitzer ( 253) 224 - 4384 • , ,-• . n ,.;, • . ,- •
LENDER NAME Per RCW 19.27.095:
Cash Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
DETAILED BUILDING INFORMATION
EXISTING USE Office Building PROPOSED USE Office Building
EXISTING ASSESSED/APPRAISED VALUE$ 1,467,600.00 VALUE OF PROPOSED WORK $950.00
SPRINKLERED BUILDING? ❑ YES [K NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES E NO
WATER SERVICE PROVIDER E LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER g LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 1,997 SF N/A 1,997 SF
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL Tarwc F.7p8TDvo sF TOTAL PROPOSED SF TOTAL sF
1 n/a 1 1,997 SF N/A 1,997 SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL N/A
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING 1
BATHTUBS(or'nib/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS Funnel Drain
DRINKING FOUNTAINS SHOWERS WATER CLOSElb(Toilet)
ELECTRIC WATER HEATERS 2 SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner.I cert(fy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I cert(fy 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 a _ aim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by • person, including the undersigned, and filed against the city, but only
where such claim arises out o e. e of the city, includ its officers and employees, upon the accuracy of the information supplied to
the city as a part of pl •
SIGNATURE - ,,- �� DATE
J
Property'. er and/or Authorized Agent
•FORbICE USE ONLY
o NEW ❑ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application