17-104876 t
t � '
Plumbing
City of Federal Way Permit #:17-104876-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fair(253)835-2609
Project Name: DR JULIA FREDERICKS
Project Address: 33516 9TH AVE S Parcel Number:926925 0060
Project Description: Install new plumbing fixtures for associated tenant improvement.(1)toilet,(1)tank less electric
water heater,(5)sinks,(1)washer box(1)RPBP(1)floor sink,(5)air outlets and(4)vacuum
outlets
• Owner Applicant Contractor
EILEEN MARIE WEILL STAUSS STATE MECHANICAL CO STATE MECHANICAL CO
32636 7TH AVE SW 8706 S 22ND ST STATEMC141C7(9/1/19)
FEDERAL WAY,WA 98023 KENT WA 98031
8706 S 22ND ST
KENT WA 98031
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•
Laundry Washer Outlets 1 Lavatories 3 Other Plumbing Fixtures 11
Sinks 3 Water Closets 1 Water Heaters 1
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Sunday,8 April,2018
Permit Issued on Tuesday,October 10,2017 •
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 the City of Federal Way.
Owner or agent: '/ Date: /0°,7/7
F1?IALE-D
. l
THIS CARD IS TO REMAIN ON-SITE
`��` Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104876 00 Address: 33516 9TH AVE S Bldg 6
Project: EILEEN MARIE WEILL STAUSS FEDERAL WAY WA 98003-6322
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.
El Plumbing Groundwork(4190) El Rough Plumbing(4230) al Final-Plumbing(4075)
Approved to cover Approved Approved
By Date Date lo ?v( C-) it:By___i C S Date c t S (77
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
Alik,
PERMIT APPLICATION
CITY OF
h +� PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way 253-835-2607+FAX 253-835-2609+ 44E0- : A ' '•i ay ralway.com
PERMIT NUMBER I _ 1 `C)Zr-- `-�B _ I OCT 10 2017
_ _ TARGET DATE CITY OF FEDERAL WAY
COMMU YDEE/VDE�LLOPMENT
SITE ADDRESS 33516 9th Ave S.,Building 6 ft
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 25,760.00 9 2 6 9 2 5 - 0 0 6 0
TYPE OF PERMIT 0 BUILDING M PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Dr.Julia Fredericks TI
To plum and install: 1 toilet,1 lavatory, 1 tankless water heater,5 sinks,1 washer box,1 RPBP
PROJECT DESCRIPTION 1 floor sink,5 air outlets and 4 vacuum outlets.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Fredericks Properties,LLC 253-836-2659
PROPERTY OWNER MAILING ADDRESS E-MAIL
33519 9th Ave S., Building 6
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
State Mechanial 206-575-7527
MAILING ADDRESS E-MAIL
CONTRACTOR 8706 South 222nd Street michelle@statemech.net
CITY STATE ZIP FAX
Kent WA 98031 206-575-7529
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
STATEMC141C7 9 1 19 20-10-101050-00-BL
. NAME PRIMARY PHONE
Michelle Trumble 206-575-7527
MAILING ING ADDRESS IL-MAIL
8706 South 222nd Street michelle@statemech.net
CITY STATE ZIP FAX
Kent WA 98031 206-575-7529
NAME J PRIMARY PHONE
PROJECT CONTACT Same as applicant
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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: 7) p ^ DATE 10/6/17
PRINT NAME: Michelle Trumble
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many 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)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 25,760.00
Indicate how many 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) 3 LAVS(Hand sinks) 1 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS 1 OTHER(Describe)Floor Sink
DRAINS SHOWERS VACUUM BREAKERS 5 Air Outlets,1 RPBP
DRINKING FOUNTAINS 3 SINKS(Kitchen/ut ity) 1 WATER HEATERS(Electric) 4 Vacuum Outlets
HOSE BIBBS SUMPS 1 WASHING MACHINES 20 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
THER.(describe)
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
Square Feet Tppe Stories
TOTAL." G
TENANT AREA ONLY 1490
F'IOJECT AREA.'(iNLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application