08-103006 /
City of Federal Way Plumbing Permi•: 08-103006-00-PL. •
Community Development Services
I P.U.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: SEATTLE MORTGAGE
Project Address: 33400 9TH AVE S Suite 204 Parcel Number: 926501 0060
Project Description: Rough-in and install kitchen sink.
Owner Applicant Contractor ,
GOLDEN STONE LLC HUBER'S PLUMBING CO HUBER'S PLUMBING CO
33400 9TH AVE S 3420"C"ST NE SUITE 305 HUBERP*042M2(7/6/08)
FEDERAL WAY WA 98003 AUBURN WA 98002 3420"C"ST NE SUITE 305
AUBURN WA 98002
Plumbing Fixtures
Sinks 1
PERMIT EXPIRES Sunday, June 20, 2010
Permit Issued on Friday, June 20, 2008
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
an, Ci f Federal Way. ,
/F
Owner or agent: !.---'�l ...4--.7:',..-- Date: 6:. l✓'.
i
•
• THIS CARD IS TO WAIN ON-SITE
CITY OF f �- Community Develo m it Inspection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103006-00-PL
Owner: GOLDEN STONE LLC
Address: 33400 9TH AVE S Suite 204
FEDERAL WAY, WA
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) Ei Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By 4,,L,) Date -2_s-.,0Es By Date
Final-Plumbing(4075)
Approved
By C Dateg . 63
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
irk
CITY OF 91 ECE istVI ,�� 1 \i,�+ — / v ] CO
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Federal Way . (— — y.0
COMMUNITY DEVELOPMENT SERVICES
JUN 2 0 1-', E R M I T SF MF CO ME EPL E EN FP
33325 8r'I AVENUE SOUTH•PO BOX 9718 MaLWAT I O N
FEDERAL WAY,WA 98063-9718 TD
253-835-2607•FAX 253-835-260j OF / /
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ 1�'c..?7 e70 9,11.x'Sj d SUITE/UNIT# _2 C)'''
ASSESSOR'S TAX/PARCEL# , 2 6 ..5... O 1 - 006 d LOT SIZE NO
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING „PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descriptionriof work included on this permit only)
�iVA /f9 /J1//J�57e0/71f/,�Gl/ 2yt..00, 4 ‹..q/c.1- ,.,
PROJECT NAME(Name of Business or Owner Last Name) J,-ara9 � , O�/-y /le
• PEOPLE INFORMATION V
PROPERTY NAME / PRIMARY PHONE
OWNER SCP,//7/,// ! er/l hits ( )
MAILING ADDRESS CITY,ST E,ZIP E-MAIL ADDRESS
3(7/ I9 .7/01,Z "5° 74,;(e/e,.//1 ' $4/
CONTRACTOR COMPANy,�E ,! ,C//} �/ o�/ /may APP�LICApVf`NAgME 7�� OFFICE,P�ONE y
MAILING ADDRESS 7'''',. 0-S-*
fes••_/ C A ZIP CELL PHONE
yz r 17 �, :- 30S Z, v/.,e4 Gill, lfaO/ ( ) _
CrrY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION ATE E-MAIL ADDRESS
/141/(R ,,,f ag2/19.2 07/f.0',9 fl
APPLICANT COMI;AX NAME APPLICANT NAME OFFICE PHONE
",h , i,/x, CZ.2 l.`) ''Y� - .34.(-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other ( )
PROJECT NAME //�� �� PRIMARY PHONE E-MAIL ADDRESS
CONTACT !/i�/0// N�1 Z (,.-;,", ) /"/o - 3 2 0 7
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE el -/e/L PROPOSED USE /}�jC./C/C cam/
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ ,�7 ,
'
SPRINKLERED BUILDING? L)7 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER f LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER `19 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION 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 ❑
NUMBER OF FLOORS EXISTING
PROPOSED TOTAL TOTAL=STENO ST TOTAL PROPOSED Sr TOTAL Sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS 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 MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(co...mh)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/shower Combo) LAVS si ko) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS frouey
ELECTRIC WATER HEATERS / SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 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, 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. /
SIGNATURE: ��r'' `� DATE vtS e1/� O 13
Property Owner and/or Authorized Agent
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application