13-102347 • Plumbing
G;ty of Federal Way
Community&Econ.Dev.Services Permit #: 1 3-100347-00-PL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KOHL'S
Project Address: 2101 S COMMONS Parcel Number: 762240 0010
Project Description: Sewer lateral into building.- �-�S {� 1 p v1
Owner Applicant Contractor
STEADFAST COMMONS LLC STEADFAST COMMONS LLC S D DEACON CORP OF WASHINGTON
1928 S COMMONS 1928 S COMMONS SDDEACW108NT(6/20/14)
FEDERAL WAY WA 98003-6013 FEDERAL WAY WA 98003-6013 2375 130TH NE SUITE 200
BELLEVUE WA 98009
Plumbing Fixtures
Other Plumbing Fixtures 1
PERMIT EXPIRES Monday, November 25, 2013
Permit Issued on Wednesday, May 29, 2013
I hereby certify that the ab. - information I, .rrect and that the construction on the above described property and
the occupancy and th- u-- ill be in acc.,rd,:nce with the laws, rules and regulations of the State of Washington
-nd the Cit of Federal Way.
Owner or agent: \ A A Dater l S
FINALED
CITY OF - Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-102347-00-PL Address: 2101 S COMMONS
Project: STEADFAST COMMONS 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.
El Plumbing Groundwork(4190) 0 Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By" CC Date 30—( 3 By Date By Date
0 Final-Plumbing(4075)
Approved
$' Date �*Z ,
0 Rough Electrical CI Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
•
.. -, RECEIv ED - 16 3 `` 7
CITY OF -- - APP
PERMIT SF MF COMCOMMUNELOPMENTSERVIC '1LICATION
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wuw.cihrof(ederalmau.co� OF FEDS Vv
SITE ADDRESS
SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# \
$ k b0 , DAD '1_ lg '1_ 't_ t'` - L c k C
TYPE OF PERMIT
E BUILDING LUMBING 111MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ``
(Tenant Name/Homeowner Last Name) V-04-L' C "]0,(, r-
PROJECT DESCRIPTION
Detailed description of work to 1 t *L- ` ' ,jam j8. t -,
be included on this permit only j----t-4-0--1
_ Ui s r—ux-_ 11 C.�'A,��, , 'ti
NAME PRIMARY PHONE 'y
PROPERTY OWNER ,
MAILING`ADDRESS r`, E-MAIL 'b.���GJ ,.
T),v V'97 Fes► •ice=C-st%1.� . �J �v _a'is'- �as-�7���VV14A k'r
CITY X N� m JE ZIP 1'Z._, ,,
NAME
C PHONE
MAILING ADDRESS / l'� E-MAIL,„VI f!,
CONTRACTOR Ll2, l ? ‘17j0-14-t4 CAA;EE VI F. 1L - i b*--1dGf� C..6 r'''‘
CITY ?�_�i�"CsiV S _� ZIP/� b v S FAX
4�c- tibt-\---- ik't SS
WA STATE CONTRACTOR'S�`C%IVS;��� \ /RAPS N O/ % FEDERAL k 1.-S�BUSINESS LICENSE1
NAM a..�..� PHONEJ ��L7•�
S .t-..Vtt S :)?_____ ?
APPLICANT MAILING ADDRESS 0 l7•• [ ._s�-b J 1 E-MAIL
CITY ``'\T 1Tl— ®rSSTTATE ZIP FAX
PROJECT CONTACT NAME PHO` EC, p
(The individual to receive and O -5' HON `' �gry'"
respond to all correspondence MAILING ADDRESS E-MAIL " L s �-
concerning this application) ' 4'E-- b.5 p T'4 01i'�I - - l f.S k___S.
CITY SATE ZIP FAX C
ALTERNATE CONTACT NAME: PHONE E-MAIL `
PROJECT FINANCING NAME
eVC.OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 deral Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim),w 'ch may be made by any person,including the undersigned, and filed against the city,
but only where such c aim arises out of the ettance of the city, including its officers and employees, upon the accuracy of the
information supplied t, the ity as a part of thit pplication.
SIGNATURE: I _, � DATE 1 ` 1 b5
PRINT NAME: l r S -
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
• •
EC�'Y HAI,Ci' +IA
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14311 €
VALUE OF MECHANICAL Woxx $ (a copy of bid or estimate must be provided)
Indicate how many of each type offurture 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
�,, t,1 . ‘p� ./
i r"
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) TOILEIb WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utatty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
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 ci No ❑Yes D No
; ADEN;. NE'WO ,. ,u. '
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT •
t
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
Ys 'rte^ i ' ., ............................................................_._........._.._.._.........................................
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
y; **AIOW HOMES
ESTIMATED SELLING PRICE 8 #OF BEDROOMS
COMMMIi AL—NEW/ADDITION
AREA DESCRIPTION Area OccupancyGroup(s) Construction #of
in Square Feet Type Stories Additional Information
NEW BUILDING
ADDITION
CIA'—RENIQI? 11TENANT INIPRQ . 4TS A,� :
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in ware FeetJ.• Stories
TCYFAL BUILDING \
TENANT AREA ONLY
'KiF
PROJECT AREA ONLY ,; ✓'a �� '�.
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application