09-101868 Plumbing
City of Federal Way - •
Community Development Services : Permit #: 09-101868-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Request Inspection Line:
Ph:(253)835-2607 Fax (253)835-2609 p (253) 835-3050
Project Name: MAKOTO SUGIUCHI DDS PLLC —11 q4
Project Address: 33720 9TH AVE S SUITE 1 Parcel Number: 926480 0140
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
SIMON &JOHNSON WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
HERB SIMON&THEODORE JOHNSON 1425 BLAINE AVE NE WASHICS055KC(5/4/10)
1019 PACIFIC AVE S SUITE 1119 RENTON WA 98056-2774 1425 BLAINE AVE NE
TACOMA WA 98402 RENTON WA 98056-2774
Water Heaters 1
PERMIT EXPIRES Tuesday, November 17, 2009
Permit Issued on Thursday, May 21, 2009
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
/ and_ilsority of Federal Way.
Owner or agent: /- ;,t,,l Date: S/
,. , 41446,
• THIS CARD IS TO•MAIN ON-SITE ,r
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
1
PERMIT#: 09-101868-00-PL
Owner: HERB SIMON & THEODORE JOHNSON
Address: 33720 9TH AVE S SUITE 1
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) ❑ 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
Date _ °---,-" -,-.
. Biti'
•
•
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
, 0 - 101. 87 &-,
- L-
ECEIV
illii
1 �a.arA ERMIT S F CO ME EI�P�" E EN FP
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COMMUNITYDEVELOPMENTSERVICESMAY 2 '1 APPLICATION /
253-835-2607•FAX 253-835-2609
wunu.atuoffederohuaucan
r. . r- I ! . 1L '
SITE ADDRESS
337, �/ S.
SUITE/UNIT i D ZONING
ASSESSOR'S TAX/PARCEL#
12 4 ' ° — 0l °
NABtE / �? �*�j /� Ft
orHomeowner Name) �l�/�(1?V S(s� l '`RC1/ D° t� LL G
0 BUILDINGUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION//❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
ef'( - _ W A7z 7 , T
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /(IKb7a 5 / U�4 i (ZS 3 )523 - 5 f 5 7
MAILING ADDRESS,CITY, ATE,ZIP E-MAIL
337&) Y v 5 . /
OWNER IS ALSO: p CONTRACTOR p APPLICANT 0 PROJECT CONTACT
7) NAM' 1 `J f4, CoIV a s/D'� 5�� ( )PRIMARY PHONE 7
l O` CO CTOR MAILING ADDREss,CITY,aT TE,ztF FAX
FAX
J
WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE e
f,Aii°S It 1C50kr .5-/ //�
NAME L',, PRIMARY PHONE c,
APPLICANT 3A .—) . 14,`7-,.s-- (`7— ) �1- /3/ 3
MAILING ADDRESS,CITY,STATE,/E,ZIP FAX
! �f-LS e (/1P .(/(LR ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
('The individual to receive and ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME
p OWNER-1PD ANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RC 19.27.095) ( ) -
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I.certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the
city, but only where such c ., arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli to / ty as a part of lication.
ifJ
SIGNA t - -•L DATE 52 Z i d S .
PRINT N t ThA_I 2) i f/�I!S
Bulletin#100 009 Page 1 of 4 k:\Handouts\Permit Application '
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) 4
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercj4
BOILERS FURNACES HOT WATER TANKS(6a.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
g & e.
igggkhgMgfak)A.;�. ." 3 z+a :_ 9 ;.r$ d^'l j.�v _ n'- S ` ,,, ¢ +1 -'' Y° �'p
wm:: .p a, ��s'°.9.Aai ti k RR .2a t
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAYS(Hand Sink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Eiabsn/uniity) f WATER HEATERS(Electric(
HOSE BIBBS • SUMPS WASHING MACHINES '1•4t"A1( ",
E12ALQnT
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMEIFPS
EXISTING/PREVIOUS USE LOT SIZE IIs Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
• 4
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
9y,o,�"3�3 h 3 { p app 3 l 3 ; �i'� '�gR 3'
i a3 ,00 ,a h3 Yalltr y?�ikfl�'�l'
.i1 i�I33�� � �:.� • i.�...�.�.
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
1
its 3 3 31
atilleSSEMEMESERNMINEME11111•1111121 111$1110111111111N11
GARAGE 0 CARPORT 0
Area Totals a>ar,>,e 'ROPOSED "`
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
AREA DESCRIPTION Construction #of
IFFIRMI
Occupancy Group(s) Stories Additional Information
: 3 33 VI1:. R344,r ,73 4 ;;',:a. `- 3 , l,y °3 }Y, '' pi 4 3 3�y3 p3. . I �' j
m.,,l� :�� .. ,s�" ,�33�aa=>�..... -. m. �gg_ �.,:,3,.2� .��I.3N� ,.� ��� � x..,�> It ,��':.,. �3�` : r �i� ,_ '. �.` ,.
ADDITION
AREA DESCRIPTION Construction #of
FEHR
Occupancy Group(s) ,e Stories Additional Information
v l va 0 N i3y rk5I I
31* is1 4 ak, 5 A ix :
' 4i0JA
b4. �� ._ g Z,Ageoffdj
TENANT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application