11-104642 4.
City of Federal Way • W.
Plumbing
Community&Econ.Dev.Services Permit #: 11 -104642-00-PL
33325 8th Ave S 012-2".17
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph.(253)835-2607 Fax (253)835-2609
Project Name: HUMANA CONTRACTING OFFICE
Project Address: 32125 32ND AVE S Suite 250 Parcel Number: 215465 0050
Project Description: Rough-in 1 sink, 1 floor drain
Owner Applicant Contractor
32125 NORTH LLC BOND PLUMBING BOND PLUMBING
32125 32ND AVE S 1630 215TH ST SW BONDP**098K1 (4/23/11)
FEDERAL WAY WA 98003 LYNNWOOD WA 98036 1630 215TH ST SW
LYNNWOOD WA 98036
Plumbing Fixtures
Other Plumbing Fixtures 1 Sinks 1
PERMIT EXPIRES Tuesday, May 15, 2012
Permit Issued on Thursday, November 17, 2011
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: /t, ' 7.11
lie4/12-
• THIS CARD IS TO MAIN ON-SITE - — -
CITY OF � Construction I> ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11-104642-00-PL Address: 32125 32ND AVE S Suite 250
Project: 32125 NORTH LLC FEDERAL WAY, WA 98003
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) 0 Rough Plumbing(4230) '❑ Gas Piping (4125)
Approved to cover Approved
i y� Approved to release test
By Date By , . Date .. .. By Date
0 Final-Plumbing(4075)
Approved
By Date 1— ZLk—t'Z
El Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
iA, • -illi- -Feway PERMIT SF MF Co � IOC"EitifED
COMMUNITY DEVELOPMENT SERVICES APPLICATION NOV ,�,
253-835-2607•FAX 253-835-2609
www.cttuoffederllwau.com I
.% '/"/—10'/75/g—: e__)
CITY OF SITE ADDRESS 175 00 SUITE/ r r- INA y
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING 3CPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) /144$1,70/VO
PROJECT DESCRIPTION C-'-' L—r 1` '''•••• ( A-
5:
.Nk I H F
Detailed description of work to
be included on this permit only
-
NAME t PRIMARY PHONE ....-
PROPERTY OWNER �"� I G$' /14,----t4 1/r , "-V
MAILING ADDRESS E-MAIL
CITY TATE ZIP /
NAME(1.1 p%s,-,6/,, Oc .-7,/ "'i�yy'/
CONTRACTOR MAILING AD S ,,-- p- s.'f4 E M`AtL / ei.64 C AI
CITY /1 5,TATE ZIP,.., FAX
L-y4,,r Liam. ' cA-,7 5c.LIC
STATEWA AC T.RA OR I� NtSE# EXPIRATION DATE ,�' FEDERAL WAY BUSINESS LICENSE#
NAME ;/JJ/` �'{.J (tV" l `^y' /!`r-y�` PHONE
<TN:-- -e.„..-,, ...6,t ,,,
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE ri-���
(The individual to receive and c�' t -7r)6-��
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
t%,y"t
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
El OWNER-FINANCED
Required value of$5,000 or more _ . . -._-_
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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.
Ifurther 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: - -- r - DATE 1/
• /7- Li,
PRINT NAME: IL.-f"i A . 79,tti.L.,. - ---�
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
• • •
N MECHANICAL FIXTURES
`
VALUE OF MECHANICAL WORK $ v V- ® (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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
PLUMBING FIXTURES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAYS(mod sinks) TOILEIS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
/ DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS(Kitchen/Utility) WATER HEATERS(Etrotrte)
HOSE BIBBS SUMPS WASHING MACHINES 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 0 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 ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application