05-103105 City of Federal Way Plumbing Permit #: 05 - 103105 - 00 - PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-305C
Project Name: ANIMAL SUPPLY
Project Address: 32001 32ND S Suite320 Parcel Number: 215465 0010
Project Description: Addition of sink,dishwasher and to tenant space
Owner Applicant Contractor
FOSS REDEVELOPMENT COMPAN SAGER MECHANICAL INC SAGER MECHANICAL INC
PO Box 94449 8425 219TH ST SE 8425 219TH ST SE
WOODINVILLE WA 98072 WOODINVILLE WA 98072
PO Box 94449 !Seattle,WA 98124-6749 (425)402-1930
Plumbing Fixtures
Description Quantity r Description Quantity Description Quantity]
Dishwashers 1 Sinks 1
PERMIT EXPIRES July 5,2007.
Permit issued on July 5,2005
I hereby certify that the above inforr ation is correct and that the construction on the above described property and
the occupancy and t use will be in accordance with the aws, r les and regulations of the State of Washington and
the City of Federal ay.
Owner or agent: 110111..- ` ( ,/J Date:7`j USS
THIS CARD IS TOSMAIN ON-SITE
CITY OF ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103105-00-PL
Owner:
Address: 32001 32ND AVE S Suite 320
FEDERAL WAY, WA 98001-9625
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) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By 41,.() Date. ( , Q. By Date
❑ Final-Plumbing(4075)
Approved
By Date 117/111,!:•.
urr of s / ® ' V
Federal Way SUN 9 20p5 PERMIT JJLL / V
SF MF CO ME EI�YI'L`pE EN FP
COMh1G:V'ITY DEVELOPMENT SERVICES �� ��
33325 JD8 AVENUE I SOLTH•PD BOX 9718 p PLICATION z
FEDEft4Lµ'AF'.µ:4 98063-4ip Y O F F E D E R b TD
253wine 60otTede itcati orn BUILDING t D a
uasu�.�:itual fede�uitcau��'�m
The otlowin. is re.uired in ormation-an incom.lete a..lication will not be acce.ted. Please .rint le.ibl (in ink)or . .
PROPERTY� INFORMATION J
SITE ADDRESS -)2C c/ 3z/tib r4 t'b ,5 / a tett -L LdA`'( ,)A SUITE/UNIT# J 2
ASSESSOR'S TAX/PARCEL# C / 6 Gl & - C' C) / ( LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates.Lot I)
(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)
"1P S/3 )/50 k.,14 e) �2_ A-v(--) 6A-t2A 467L_ 4)>5-P- ?) f,JA :S PAC-L._
PROJECT NAME(Name of Business or Owner Last Name) /(14..)1/0‘4 L 41.OPPL i.)J
• PEOPLE INFORMATION /
PROPERTY NAME \ PRIMARY PHONE
OWNER IR/ 5� A) aJ.45 W_ (IV ( ) -
MAILING ADDRESS CITY.STATE.ZIP "
CONTRACTOR COMPANY NAME APPLICANT NAME O FICE PHONE
5A Zs r/o2
MAILING ADDRESS
E
p /z s. - /-11G9.---54) /02_ Ca-A,o t--)viLC C LLJ ,(&?WJ )ITY,STATE. IP CELL NZ` (/ c3 G 7 /
CITY OF
WA
(L-FEDERAL h-- 0BUSINESS [e SE NUMBER EXPIRATION L /1/ ✓ 3DATE/ O/' r (AX L L02 4 /
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) / J t EXPIRATION DATE
:� C € C1 L Oct & / /0 /0S APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
e D/U`-(ZikCTO ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT -r�y,E PRIMARY PHONE MAIL ADDRE r'
q�On3 W yCQ.Gi ( 7cv)L 00 - 37,-/ 9 )w} /c4FF t, <4( Z.itcc/,‘,tr/c4,
LENDER Per RCW 19.27.095: Lender information is NAME •C0/1
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK S
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
•
' . •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. Sly. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE 5
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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS 1Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS lorrub/Shower Combo)
SHOWERS WATER CLOSETS ITouet) MISC(Describe)
DISHWASHERS ( SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of F Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which y be made by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the r iance of e city,including its o Le rs -nd employees, upon the accuracy of the information supplied to the city as a part of
this applicatio j ^7/
NAME/TITLE / `�`� DATE L� r2 . occ—
(Signature) / (Title)
/Contractor TO PROJECT ❑ Uwn;' 0 Agent ,ei Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ADDITION c ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑ NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES c NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—January 7,2005 Page 2 01'4 k\Handouts\Permit Application