07-103088 t
City of Federal Way •
Community Development Services Plumbing Perm#: 07-103088-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax:(253)835-2609Inspection Request Line: (253) 835-3050
Project Name: DEMERS& GAGNIER INC
Project Address: 33507 9TH AVE S Bldg F Parcel Number: 926500 0020
Project Description: Installation of plumbing for a new Ti office building.
Owner Applicant Contractor
TRAVIS GAGNIER DEAN SAFFLE SAFFLE COMPANY
DEMERS&GAGNIER INC SAFFLE COMPANY SAFFLC*001P1 10/21/08
P 0 BOX 3949 7350 CIRQUE DR 7350 CIRQUE DR
FEDERAL WAY WA 98063 TACOMA WA 98457 TACOMA WA 98457
Plumbing Fixtures
Dishwashers 1 Lavatories 5 Showers 1
Sinks 2 Water Closets 4 Water Heaters 1
CONDITIONS:
SUBJECT TO FIELD INSPECTION
✓
PERMIT EXPiRE.Friclay, June x 2-009
Permit Issued on Wednesday, June 6, 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 ora Date: 4-4/x,
THIS CARD IS TO MAIN ON-SITE '
CITY OF -- communityDevelopment Inspection Record
Federal
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103088-00-PL
Owner: TRAVIS GAGNIER
Address: 33507 9TH AVE S Bldg F
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.
`0 Plumbing Groundwork(4190) )4Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover fff-
Approved Approved to release test
Date By Date 1/5707 y ate
0 Final-Plumbing(4075)
Approved
By G fdj Date 6-429—, o7
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A RECEIVED.. 4110
Federal Way uN zaa7 PERMIT �� ` (D.__ `' tit 8
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718
FEDERALWAY, XSr*-83 FEDERAL wAPPLICATION ,o _
273 /
D - -e3 DING DEPT,
www.cihlaffederaltUatl.c
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS- 4452,7 At. 5. 044..
�. fas SUITE/UNIT#,
ASSESSOR'S TAX/PARCEL# / ,2. T.Q ) - (3 a I Z,. e) LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING )(PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJEC .DESF .IONN'((Provide detailed description of wort included on this .-rmit on - � •
_iaezI - ��> Jjf
PROJECT NAME(Name of Business or Owner Last Name) 2,C re.-
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER '�r�a v/s (St%pi►/ef- ( )
MAILING ADDRESS CITY STA ZIP •-• -MAIL ADDRESS
3• s
CONTRACTORCOMPANY N
APP�r/ LICANT NAME,.�`� OFFICE PHONE
•
:....,,.I:, � Cam�x_•
'Zeck," L e.-- ( ..583"tis
CITY,STATE,Z ELL PHONE
i � . /. • X10 y!� ) -
C F FEDERAL WAY SIN S LICENSE NUMBER EXPIRA ON DATE FAX NUMBER Q
.Z0'e`/633 'a._dp" 2,7 („ r ).5 'V.d,/
COPY.( rd requirsd CONTRACTORS REGISTRATIONGIRANUMBER ) E RATI DATE E-MAIL ADDRESS
ca
with each application 6 ^C*e o, Jo/ /b/
1/46' deasee211.0 CM
APPLICANT COMPANY APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT .��,,,�-, � FAX NUMBER
❑Architect o Tenant ❑Agent Other ardr.//'GLe. ( ) -
PROJECT NAME P'l PHO E-MAIL ADDRESS
CONTACT rt_s_-.1 AI Jh 4C.- !•i - t r S
LENDER NAME Per RCW 19.27.096:
er information is required((f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP YHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES > NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES Ni0
WATER SERVICE PROVIDERLAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER LARE.HAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA.DESC- S ION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXIST/MG PROP TOTAL TOTAL E6'S'•,o SP TOTAL PROPOSED SP TOTAL Sr
**NEW HOMES ONLY** NUMBER OF B ODMS 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
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS •: • OOLERS GAS PIPE OUTLETS WOODSTOVES
BBgS FANS • GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSE` HOODS(Commercial)
COMPRE a' FURNACES RANGES
D GAS LOG SETS v -._, . STEMS
PLUMBING
BATHTUBS(or Thb/Shower Combo) Orb LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS j SHOWERS WATER CLOSETS(row
/ ELECTRIC WATER HEATERS P! SINKS WASHING MACHINES
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.
OPP-
NAME/T( '
4111111111W1(
(Signature) DA Sv7
(Title) ✓
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor ❑Architect o Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application