07-104637 1�!'• y ,r
Cibjo(Federal Way • Plumbing Permitil, . 07-104637-00-PL
Ccmmugy Development Sen';es
P.O.Box 5,718
Federal Way,WA 98063-9713
Ph:(253)835-2607 Fax (253)835-2602 Inspection Request Line: (253) 835-3050
Project Name: WA STATL. DEPARTMENT OF REVENUE
Project Address: 501 S 336TH S T Parcel Number: 926480 0240
Project Description: Install new sink in breakroom.
Owner Applicant Contractor
FSP FEDERAL WAY CORP APLUS DBA PIPETECH APLUS DBA PIPETECH
401 EDGEWATER PL SUITE 200 4033 S UNION AVE APLUSPI938BT 1/30/2009
WAKFIELD MA 01880-6207 TACOMA WA 98409 4033 S UNION AVE
TACOMA WA 98409
Plumbing Fixtures
Sinks 1
PERMIT EXPIRES Friday, August 21, 2009
Permit Issued on Wednesday, August 22, 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 ace. dance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: t A. Dater --L 7 —
THIS CARD IS TO EMAIN ON-SITE 1
CITY OF tommunit Develo m nt Inspection Record
Federal WayIVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT #: 07-104637-00-PL
Owner: FSP FEDERAL WAY CORP
Address: 501 S 336TH ST
FEDERAL WAY, WA 98003-6328
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) 0 Gas Piping(4125)
pproved to cover Approved Approved to release test
By J C� Date e.-?7...;7By G to.) Date q1 - .6.--.. 07 By Date
0 Final-Plumbing(4075) /
Approved
By G: Date/0 ..1 ., 0 7
I
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
CflYDF RECEIVE. • - 0 L t3 —77
Federal Way PERMIT SF MF CO ME EL PL DE EN FP
COMMUMTYDEVELOPMENTSERVICF.AUG 2 2 20
33325 8TH AVENUE SOUTH•PO BOXy EDERAA P P L I C AT I O N TDAWA -�}�•�`
25383526FEDERL 07•Y,FAXWA 25383980635W�(&i QF / /
„nuiu,„h,ol(aderoh,m,t 2,n BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
r • PROPERTY INFORMATION
SITE ADDRESS_ )! ) • 530'
24( Si h PY4` W.. Wig tf a G SUITE/UNIT# ;I;I--
ASSESSOR'S TAX/PARCEL# ( C q 1 - 1. 2- '0 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING /PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oni()
041/ il(to- Zte ' ilorq siivk
PROJECT NAME(Name of Business or Owner Last Name) Degi Of. , , 1 it ✓
• PEOPLE INFORMATION
PROPERTY PRIMARY PHONE
NAME
OWNER f �dh a �� ( )
E-MAIL ADDRESSMAILING ADD $$$$S ( //tw a 4C e C41j a5
CONTRACTOR COMPANY NAME
APVNTIINIA/7(54)60Loyii
OFFICE HONE
_,4IUa 06 8/90_eC
MAI NG ADDRESSCITATE, 64/ �i-lo2
qo 7.3i0).,;277 i-�;1
CITY OF FEDERAL WA' 'B_�Uf(/SINESS LICEN NU ER EXPIRATION DA FAX NUMBE•R/✓�
3i -
�'/ El-REGISTRATION NUMBER
y EXPIRATION DATEE-MAIL � �
CONTRALTO
APPLICANT COMPANY NAIL-/pf 7 Z`�� APF'L e IC E n��� /��ki OFFICE PHONE -
MAILING ADDRESSD/ l CITY,STATE,1ZIP �(J` I CE).).717 E
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( 155 ) SS/ §3 r
PROJECT NAME PRIMARY PHONE (J I E-MAIL ADDRESS
CONTACT J ai�O 6. ( $57 - 17 1 ap
LENDER NAME Per RCW 19.27.095:
V S 9a�ev/� r?N Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
Ve F f- 0 f key ( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN n HIGHLINE ❑ PRIVATE(SEPTIC)
111
mioraimimithwhiamiaatie jmdimmimm
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST f 000
SECOND J
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING PROPOSED TOTAL ,TOTALE�/NG SF TOTAL PROPOSED SF TOTAL sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS 1t ESTIMATED SELLING PRICE $ ��11
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(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
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 licattion3441(
l
SIGNATURE: V( I4 / DATEPrope'rty Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION o REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application