07-102208 •
City of Federal Way
Cornnunih Development Services Plumbing Perm #: 07-102208-00-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: GOLDENSTONE SUITE 202 7rt ,.
Project Address: 33400 9TH AVE S Suite 202 '',rw Parcel Number: 926501 0060
Project Description: Install sink-trim-out only,existing roug -in.
Owner Applicant Contractor
GOLDEN STONE LLC VERN HUBER HUBER'S PLUMBING CO
33400 9TH AVE S HUBER'S PLUMBING CO HUBERP*042M2(7/6/08)
FEDERAL WAY WA 98003 3420 C ST NE 3420 C ST NE
AUBURN WA 98002 AUBURN WA 98002
Plumbing Fixtures
Sinks 1
PERMIT EXPIRES Thursday, April 23, 2009
Permit Issued on Tuesday, April 24, 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
d the City of Federal Way.
Owner or agent: � � ) Date: l
a s ke--5-`e.)-7
THIS CARD IS TO *MAIN ONSITE -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102208-00-PL
Owner:
Address: 33400 9TH AVE S Suite 202
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) 0 Rough Plumbing (4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By Date 5-z:, ")
. ,
, A
OTT OF
IV EA° 11 7-_ i o d- 0 2
WallyRE PERMIT - - - - — �
COMMUNITY DEVELOPMENT SERVIC 2 4 200_
SF MF CO ME E PL DE EN FP
97pk
A PLICATION -
FEDERAL WAY,WA 98063-9718 �
253-835-2607•FAX 253-835-2609 (�j�
CITY OF FEDERAL AI
( L 6 �/
> ILDING DEPT•
The following is requi u;formation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
'' MI PROPERTY INFORMATION
//
SITE ADDRESS 3 3 7t2Q `?,,Ai//f SCI SUITE/UNIT# /1_12-
ASSESSOR'S TAX/PARCEL# 2 6' ,4-.;-- 6 il - O (1 6 (2 LOT SIZE(sl)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) S IC / 7 /2/ '7'
(Attach separate page for lengthy legal descriptioN
MI PROJECT INFORMATION
El /
TYPE OF PERMIT BUILDING /PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this it onl.�
PROJECT NAME(Name of Business or Owner Last Name) V b 14 tin—& Si`-'1/4 - c9--Os)—.
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY HONE
OWNER . /f/ S%r 2/C
-
MAILING ADDRESS cny,STYE,ZIP E-MAIL ADDRESS
3�7Oc2 -7--/.,./. <-/A Sn A-c/two/� /4,' /7
CONTRACTOR COMPE ' a APPLIC NAME �/ OFFICE PHONE
S �// 4/r ( ' /fsF�'C�a AZ 4 A (AS3) r(33 - 6Oa/
MAILING ADDRESSg C ST TE,ZIP ,�+ CELL PHONE
3 S%0 C TST /1/f h 3°/ e> fizi, 1/�iy �'��a� , we( ,s/0-�n6'�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION ATE FAX NUMBER
,o,40 /C O/%eIO-12(2/ /%y3/ n 7 ( ) -
COPY of earl required �..t� CONTR'ACTOR'S REGISTRATION NUMBER/ � � f� EXPI SON/D//ATE E-MAIL ADDRESS
with each application �—/j /%%, / l/ / y " ' / 0
0� i.' '/
APPLICANT COMPANY NAME O` 6 APPLICANT NAME �/ OFFICE PHONE
-S-fee-/9/06i// ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant o Agent o Other ( ) -
PROJECT NAME/ ��' PRIMARY PHONE E-MAIL ADDRESS
CONTACT !r,�4b« j� L€ (zoo ;/O - 30(2'
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE (944%C,A �(ef(/r PROPOSED USE `7"' '''A
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 4 YES 0 NO
WATER SERVICE PROVIDER 'LAKEHAVEN ❑ HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER XLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
■ PROJECT FLOOR AREAS
v
AREA DESCRIPTION EXISTING PROPOSED TOTAL
_____SQ.F . SQ.FT. _Ste.FT.
BASEMENT
FIRST
SECOND /� �
Or,- c,( /�.(,.'2a 7<
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
MATING ream® TOT
AL rorwr. sr nor'wr,rwawa®ev roretsr
NUMBER OF FLOORS
s•NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of thisprotect Do riotth
incb, 'existing fixtures to remain.
MECHANICAL
Valise of Mechanical Work$ (A COPY OF'BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOM
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
_ BOILERS FIREPLACE INSERTS HOODS(co
nu,rrcw(
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SE.I S REFRIG.SYS I i.MS
PLUM[BiNG
BATHTUBS(or'ntb/shorrcr combo) LAVS(Bathroom swim) URINALS MISC(Describe)
li DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(mm1e0
ELECTRIC WATER HEATERS / 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 inthe 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 /,
NAME/TITLE (_/,/ DATE /
(Signal 177Ue)
RELATIONSHIP TO PROJECT ❑�O%wiler ❑Agent rd Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ; ADDITION ALTERATION c REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? _YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES 72 NO DEMO PERMIT REQUIRED? o YES 0 NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application