04-104172 . •
City of Fettral Way
Communityity Development Services Plumbing Permit #: 04 - 1041112 - 00 - PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: HOYT ROAD SHOPPING PAD B
Project Address: 34024 HOYT SW Parcel Number: 308900 0320
Project Description: Supply and install plumbing fixtures.Permit to be applicable for Suites B,C,D,E,&F.
Owner Applicant Contractor
HOYTIE TOYTIE,LLC*DAN TAYLOR* STATE MECHANICAL CO STATE MECHANICAL CO
HOYTIE TOYTIE,LLC 600 INDUSTRY DR SUITE 8 600 INDUSTRY DR SUITE 8
2333 CARILLON POINT TUKWILA WA 98188 TUKWILA WA 98188
KIRKLAND WA 98033 (206)575-7527
Plumbing Fixtures
Description lduantity Description Quantity Description ; Quantity
Lavatories 2 Water Closets 2 Water Heaters 1
PERMIT EXPIRES April 26,2005.
Permit issued on October 28,2004
I hereby certify thatthe 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:_____1 ,e --. Date: /0/// 2Slro'y
THIS CARD IS TO MAIN ON-SITE
CITY OF ,,ommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104172-00-PL
Owner: DAN TAYLOR
Address: 34024 HOYT RD SW
FEDERAL WAY, WA 98023
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.
❑ uPl mbing Groundwork(4190) Rough Plumbing(4230) ❑ Gas Piping(4125)
A roved to cover Approved Approved to release test
By Date D•Z . V B wit Date l\, \ 0 Byaz
•
�❑ Final-Plumbing(4075)
proved
By Date /2 iJ...oesdice
11/29./00 WED 13:24 FAX 2536614129 _QITY OF FEDERAL WAY 1,4)1.)0.3
N • • 71)''' \SO/°Ci
• l
CONSTRUCTION PERMIT APPLICATION
7�
R C E I VE D PPLICATION NUMBER: D U 2.2.-.i;~SG
41--Q:=1E.r<i=i1.._
�f PPLICATION NUMBER: _ -, — —,: , - _
T 1 2 2004 PPLICATION NUMBER: _ — -
"The foci is required information-Please pHnt(in ink)or type**
?�UF EDER
Please note: Electrical,Fire Pre rOF FI 6#0'urngineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 34024 Hoyt Road SW SlijiMe ASSESSOR'S TAX/PARCEL.#: 1 21 F 2_0_0 - 0 3 2_0—
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• IN PROJECT INFORMATION -
TYPE OF PROJECT(this application): 0• BUILDING
ELCTRICAL 0 ENGNEERING❑ FIRES PREVENTION SYSTEM
HANICAL 0 ION
PROJECT DESCRIPTION(Provide detailed description):
Su. .l and install p lumbin: fixtures Ep✓ 114.4iB 1 C) L"/
Eloy+ 4' 541V, IV1
PRO)ECT NAMES = •.• •
■ PEOPLE INFORMATION ,
OA tlrtiC PHONE:
PROPERTY OWNER: N^
Hoytie To tie LLC c/o Nicholson Investment Properties ( ) _..—
MALUMG AD•• • PEe7 •• 44.;QTY,STA .MY
2333 Carillon Point Kirkland Wa 98033
�.--� OAYTJM6 Matt
CONTRACTOR: NAME
State Mechanical Co � ( •) 5
MAIUMG ADORIMS(STREET ADDRESS:CITY,,STATE,n•- ��
) I �
-
600 Industry Dr #8 Tukwila Wa • 98188 _ ( ) —
cn r of fEOEWk WAY ousrMeSs uceHsa WUAIDER: FAX*dimwit
- - ( 206) 575 - 7529
--
e1�sRA ON°ATE:
--E—'t1 IRACToas REGISTRATION Nieuwe: / p / 05
S T_ A T E M C 1 4 1 C 7
oAr,IMT_`ntoME:
APPLICANT: NAMe: ( )
Same as above _
MAI.UNG AOORC55(STREET ADDRESS; ,STATE,gP): ' wENING PMONE: .
(
SAX NUM6ER;
RttATtbp49 UP TO PRDJE.CY:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) ..
e.MAff,A
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT Ii CONTRACTOR
N DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ _-
PROPOSED USE:
°POSED VALUATION FOR IMPROVEMENTS: $ 9,000.00
SPRIt4KLEREO BtlXL.DLNGI /Pi"`S 0 N• FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: .rd- ' . .. VEN Ir HIONLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDE• LAKEHAVEN 0 MIGHLINE 0 PRIVATE(SEPTIC)
11/29/00 13:26 TX/RX NO.4964 P.003 III
11 ,',29/00 WED 13:23 FAX 2536614129 CITY OF FEDERAL WAY �t uuz
tt...._
"NE�yRSIDENTZAt.COtSTRL1GTCON ONLY,‘,
NUMBER OF BEDROOMS: ESTIMATED SELLING PRISE:
■ IPROlECT FLOOR AREAS
_ FLOOR . EXISTING SQ.VT.
PROPOSED S•.FT. TOTAL
BASEMENT
-
FIRST _
SECOND r
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: ----+-
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
AIR HANDLING UNIT(S) HOOD(S) wOODSTOVL•(S)
BOILE FLREP '— RANGE(S) MISC.(
60ILER{S) FIR6pLACEINSERT(S)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
tr�p LAVATORY(S) _ URINAL(S) 101F6WATER HEATER(S)
DVACUUM BREAKER(S) t ELECTRIC 0 GAS
DISHWASHER(S) RAIN WATER SYS. VACUUM
DRINKING FOUNTAIN(S) � SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) eatiebt WATER CLOSET(S) MISC.
INTERCEPTOR(5) SUMP(S)
$ DISCI.AIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of maisd knowledge, Ind
further, that I am authorized by the owner of the above premises to perform the wont for which the permit _
further agree to hold harmless the City of Federal Way as to any daim(including
coIncludsts,
ex undersigned,ss,,and aand y 'fes Incurredagainste City of
In the
Investigation and defense of such daim),which may be made by any pe including Itse officers and andyee Filed agar d accuracy
of
Federal Way,but only where such daim arises out of the reliance of the city,
of the Information supplied to the city as a part of this application.
e DATE; /6 / <2/
2 G N
NM1 Ef TTTLF� � `� —'
O PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
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COMMUNITY DEVELOPMENT seRv10ES•33570 FSRST WAY SWTYI•P.O.810X 9718•F1:DFRAL.WAY,WA 98063-9718•253-661-1000•FAX:253-661-412.9
11/29/00 13 : 26 '1`X/RX NO. 4964 P.002 II