08-104752 • .
City of FederalWay • • Plumbing
#: 08-104752-00-PL
Community Development Services Permit 1.
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: EUROPE EYE CLINIC
Project Address: 32020 32ND AVE S SUITE 103 Parcel Number: 215480 0030
Project Description: Adding(5)hand sinks
•
Owner Applicant Contractor
CRANE RE INVESTMENT LLC PRIME CONSTRUCTION&DEVELOPMENT PRIME CONSTRUCTION&DEVELOPMENT
24437 RUSSELL RD SUITE 220 7728 228TH ST SW PRIMECD955RR (12/19/09)
KENT WA 98093 EDMONDS WA 98026 7728 228TH ST SW
EDMONDS WA 98026
Sinks 5
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, April 6, 2009
Permit Issued on Wednesday, October 8, 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
and thee • f Federal Way.
Owner or agent: Date: lc9/®/t2
THIS CARD IS TO KMAIN ON-SITE ,
CITY OF "ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104752-00-PL
Owner: CRANE RE INVESTMENT LLC
Address: 32020 32ND AVE S SUITE 103.
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.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By 0/ .- - Date /O /// By A.-- ----Date J0/// By Date ,
- 0 Final-Plumbing(4075)
Approved
By ate ////c i
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
urro► pm.c., _ 1 1
IT
COMMINIYDEVELOPMENTSERVICES SF MF CO ME PL DE EN FP
33325 Wil AVENUE SOUI•'PO BOX 9718 ��� FTL 1 1 TONFEDERAL WAY,WA 98063-9718Ellysffifiri
253.835-2607•FAX 253.895.2609
1uwm.atuofedermlwauoom " 201)
?
Thef siting is ollo required informnF•• . ,,omplete application Will not be accepted. Please print legibly(in ink)or type.
• iROPFF.TY INFORMATION
SITE ADDRESS 3 2-o 3..)_ e Av5 -4,----n30,- SUITE/UNIT# /L/c'
ASSESSOR'S TAX/PARCEL# _- —— — LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(tom mixings Pail* len901116901
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING .,2 UMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(vide detailed description of work included on this hermit only)
Lich:c( tt..t(cs-
PROJECT NAME(Name of Business or Owner Last Name) 'L'L $ '
C�`''"'l [.,
4
IN PEOPLE INFORMATION
PROPERTY NAME �/}
C_
OWNER �i� & /
f PHONE
O .L
MAILING ADDRESS CrrY,STA ZIP E-MAIL ADDREBS
CONTRACTOR COMPANY NAME . 1 �T
OFFICE PHONE
MAILING ADDRESS / CITY,STA ,ZIP LL PHONE
-�'-12?. -rif'7: S L•4) � obi.dC a c�z - 6f/ v
/G'I1 Y OF FEDERAL WAY SINESS LICENSE NUMBER EXPIRATION TE FAX NUMBER
O 5D SbU e.O U ( . ) -
CONTRACTOR'S„qa,� TION NUMBER TI DATE E-MAIL ADDRESS
T^ir`iii t I
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Z-1144>” (tea 60.--- ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER -
a Architect a Tenant ❑Agent a Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Z-4/ ''.7,-,4 ..„ ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ .7, cAu 0
SPRINKLERED BUILDING? r\TES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN a HIGHLINE a PRIVATE(SEPTIC)
i 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 0
SIISIIO PROPOB TOTAL TOTAL ZIIBFDni 87 TOTAL PROPOS=O sr -TOTAL SF
NUMBER OF FLOORS
*'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.
MECUANICAL
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(cods
COMPRESSORS FURNACES RANGES
DUCTS. GAS.LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS MISC(Describe)
BATHTUBS(orn,b/shower combo► LAVS(Bathroom shy
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(romp
ELECTRIC WATER HEATERS S SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 hue and correct.I certify that I will comply with all applicable
City of Federal Wag 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 Wag 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. 1�-%�-'
BIONATURE: !�'
DATE l%/Cf
pro.a • . and/or Authorized Agent
•
o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application