08-103517 a• �. -
City of Federal WayytZ
Community Development Services Plumbing Permit #: 08-103517-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 [ "z
z `•
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: COMMUNITY HEALTH CENTERS OF KING COUNTY
Project Address: 33431 13TH PL S Parcel Number: 768190 0070
Project Description: ALT/ADD- (2)sinks and (1) floor drain. **This permit covers what is not permitted under
the TI permit,08102896-00**
Owner Applicant Contractor
KING COUNTY AUBURN MECHANICAL INC AUBURN MECHANICAL INC
500 4TH AVE 2623 W VALLEY HWY N AUBURMI163BA 9/12/08
SEATTLE WA AUBURN WA 98001 2623 W VALLEY HWY N
98104-2337 AUBURN WA 98001
Plumbing Fixtures
Drains 1 Sinks 2
PERMIT EXPIRES Monday, January 19, 2009
Permit Issued on Wednesday, July 23, 2008
I hereby certify that the above inform- is correct and-That the construction on the above described property and
the occupancy and the use(ll b- accorclarrce �uthe-1'aws, rules and regulations of the State of Washington
- an tit of-Eederal Way.
Owner or agent: --- , Date: 4 .5/C i
bl
VI
•
DATE INSPECTOR AREA AND TYPE OF INSPECTION
1 i/Of 11 I' � r own' r„, ar -- 11.01\ 1Q )r -For kdoeri 10
4 ��-- a Q-
• THIS CARD IS TO REIN ON-SITE -
•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103517-00-PL
Owner: KING COUNTY
Address: 33431 13TH PL S
FEDERAL WAY, WA 98003-6357
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.
EJ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved, to cover iitat
Approved Approved to release test
y / c �0(403 ��- Com/ By
B Date ( /�� Date
t0//e501
El Final-Plumbing(4075)
Approved
By if Date /177/07
Wate6
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIVe.
041111±
• Federal aik
way ��� 2 3 2008 PERMIT
SF MF CO ME a,®DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325,! AVENUE SOUTH•PO BOX 97F F E D E R.IALI C AT I O N 'E.
FEDERAL WAY, 1371$1 / - _---� /
253-83b2607•F 2
www.cltuof(ederatwaq.corn CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS u 4-J ( ‘3.-A P(Yl 1 \3 ��Exa I W . LAA SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 tD 8 1 9 0 - U 0 1 C.) LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) t� a I,�Iy a L�nf)
(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 onlu)
�,� ii • . i i. In tr ' is a
a. ' 14 / I' 1Ln /���1,.1M1I / /-�+� I r./. —I I .
_'I A I / a - I/ l�7// MMI
PROJECT NAME(Name of Business or Owner Last Name) --r1 1-1-h PO(r)+ F 7 I l/v a(j CII n)L-
II PEOPLE INFORMATION
PROPERTY NAME ! __ PRIMARY PHONE
OWNER �1 fli i C}?ux11 ( )
G RESS CITY.STATE.ZIP d E-MAIL ADDRESS
Soo I-01 -At/ _ �5.-a'4•t)�, 18 t 34
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Pi tkb(.4 n f Y ru I Ce51 I C.11(1-- -F 1()cc_ J a iV'I roorI (-Lc,--.3) S'38 -`11
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P. D . box 9,4 9 -4(,d9 LAY r; I (,tom 18001 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
0- UJ- 10-2-41 -'i - lam - b L-• 12 • , 1 • t• ( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
-A UBL)2M`1_11v36f) 1 • I2• b�
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Aubtill n ill'a lani(A l Cho f)rtL- J Ohr)Son (27.3)638 - '-;
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
i2, 1),.:. 6 at /0 bu_vr),iit,�l4 'ern 1 ( ) -
RELONSHIP TO PROJECT I,,' FAX NUMBER
0 Architect ❑ Tenant ❑Agent e'Other �i0V"1+✓I (----1-DV ( ) -
PROJECT �E y� PRIMARY PHONE E-MAIL ADDRESS
CONTACT ►I Y l I fl`� J �n6Ji I / ( ') 6 'D 82)
LENDER NAMEh� ��/�,.�. Per RCW 19.27.095:
VIa 19 Ni/I f I l Lender information is required(f project value exceeds$5,000
MAILING DRESS J CITY,STATE,ZIP PHONE
• DETAILED BUILDING INFORMATION
// �
EXISTING USE in`t4 I (.-Ei t (4 f 1 1(., ,,/%/ PROPOSED USE e.c/I( ,.lJ
/ 4 YI`+a
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
ir • PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE ❑ CARPORT 0
EXISTING PROPOS® TOTAL TOTAL EXISTING Sr TOTAL PROPOSE)SF TOTAL Sr
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offvcture 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(orTbb/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
II-
rloo.• OrQIin
DRINKING FOUNTAINS SHOWERS +" WATER CLOSEib(Toilet)
ELECTRIC WATER HEATERS 2'-IT 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: 0. 1L)L1A�`-^"^� 4eN,. DATE —1. �-1 ' b
Pr Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 IdHandouts\Permit Application