07-103244 1/111
Cityof Federal Way
Community Development Services Plumbing Perm #: 07-103244-00—PL
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: SHANNON & COMPANY
Project Address: 33507 9TH AVE S Bldg C Parcel Number: 926500 0020
Project Description: Installation of new plumbing tenant improvement.
Owner Applicant Contractor `
SOUTH THREE THIRTY SIXTH,LLC BULLDOG PLUMBING BULLDOG PLUMBING
1611 9TH AVE N 5218 S THOMPSON AVE BULLDPD93ICZ 2/9/2009
EDMONDS WA 98020 TACOMA WA 98408 5218 S THOMPSON AVE
TACOMA WA 98408
Plumbing Fixtures
Lavatories 4 Sinks 1 Urinals 1
Water Closets 3 Water Heaters 1 Hose Bibbs 2
PERMIT EXPIRES Saturday, June 13, 2009
Permit Issued on Thursday, June 14, 2007
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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO EMAIN ON-SI`T L • "'
CITY OF ', t4 ,.s,-` tommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-103244-00-PL
Owner: SOUTH THREE THIRTY SIXTH, LLC
Address: 33507 9TH AVE S Bldg C
FEDERAL WAY, WA 98003
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.
•
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing (4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
• By — Date By Date— i - - -By — Date
- ❑ Final-Plumbing(4075)
Approved
By C Date t1_ =--�'�-1
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
I
RECEIV •
�ir� '2102-y O_O_—__1. - _.I. 62 z *
Federal WayJUN 1 4 2001 P EM IT SF MF CO ME EL PL DE EN FP
COMMUMTY DEVELOPMENT SERVICES
33325 BTHAVENUE SOUTH•PO BOX9718
-p LI CATION �°
FEDERAL WAY, XW 53-83��Jp� OF FEQER -
253-835-2607•FAX 253-83- _ i_= '---.._" /
www.cituoffederalway.com 9BU)LDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 5c'- c)(-4^A-._ i n nn y- �G> WSJ C2 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# cig co /D- 0D -V - ((�� 0 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page jar lengthy legal description)
III PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING A PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work incbided on this permit onlu)
Teo.it,vi, 1 vi,t pY rnr2 -f- Ail iii,14 ti a -a ._,; ices-t 3 vv-t.3
C,v_c. G(- yi,eek,te-. {t vt, Sit-(k
PROJECT NAME(Name of Business or Owner Last Name) (4 Art iii.Ovi Li' (3,U a l ctl l
• PEOPLE INFORMATION
PROPERTY PRIMARY PHONES'qqWnOWNER
( ) NiDi -
MAILING ADDRESS CnY,STATE,ZIP E-MAIL ADDRESS
7c) S - S"1- f;P-A.S2/V4. ()1L 4 UP clke0A N A
CONTRACTOR COMPANYl APPLICANT NAME OFFICE PHONE
"LA,✓)1 s bl, ?,t Oh,i)i A. G263 )' 2- - -li 0
LING ADDRESS CITY TATE,ZIP CELL PHONE
111 �S 12cQ 6 -t,9 n W f( ���t ( )
OF EDERAL WA BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
01- t c)Z•52`—( ^ � (2-a \.- 7 ( 53) i - r(c�
COPY of calyd CONTRACTOR'S REGISTRATI• ON3 NUMBER EXPIRATION DATE E-MAIL ADD eta)
with each a ; ( l V y{��1/'� Y � �1,,,��,,` a— "t s h( N'��
PP '/� M. 1�1 7�'l.! \ �llJ{\ ( ` ""� Y/t Vl/.l d, (A),,,Yt1i `•
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONEJ
-00.111,41/4-n Pty )Cvr1�Y SI(ghI , ihti>n CV-el"- (:rs3) t:7�- - I/u 0
MAILING ADD CITY,STATE,ZIP CELL PHONE
tLc, WAIS etk. E sic,) P fie. - fl 6e y ( ) -
RELATIONSHIP TO PROJECT p� _y,_ FAX NUMBER
o Architect 0 Tenant ❑Agent X(Other I ttiv14 t✓Ui Q.(�Vv"I YU- Nr- ( '6.j)q<9-.._D- - 1(0
PROJECTN PRIMARY PHONE E-MAIL ADDRESS
CONTACT ) ( J )q2 -)/CO 6tAn0 bil1G1_le(w4,47,t,,,,.
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
II DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE N SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN IIIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN; 0 HIGHLINE o PRIVATE(SEPTIC)
4 14,
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
e SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND \ !'
THIRD \ ` /
ADDITIONAL FLOORS(DESCRIBE) /
DECK(❑COVERED OR 0 UNCOVERED?) "
GARAGE ❑ CARPORT 0 '-
NUMBER OF FLOORS �'�" PRo�A9 TOTAL TOTS sF TOTAL rxoros®sr TOTAL SF
**NEW HOMES ONLY** N.......„.„)Z7''
ER OF BEDROOMS ESTIMATED SELLING RICE $
• 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
Value of Mechanical Work$ ' -OPY OF BID OR ESTIMAT�yF MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EV ,'ORAT1VE„GOCILERS GAS PIPE OUTLETS WOODSTOVES
BBQS F•. GAS WATER HEATERS MISC(Describe)
BOILERSFIREPLA . NSERTS HOODS(commerwal)
COMPRESSORS FURNACES �a, RANGES
DUCTS ` GAS LOG SETS
' ---, REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) 'l LAVS(Bathroom Sinks) i URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS 3 WATER CLOSElb(Toilet)
I ELECTRIC WATER HEATERS I SINKS WASHING MACHINES
A. HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. l `
NAME/TITLE d /� �ll�,�t(, 16' 7 M�j(,i/1(t( � DATE Vi I i3)07
(Signature) (Title)
RELATIONS O PROJECT ❑ Owner o Agent 0 Contractor ❑Architect Other 4 1/1/ 1:11 bi\r-
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application