15-106532 .City of Federal Way .
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Community&Econ.Dev.Services Perlmit #: 1 - 1 06532Pl1um00bing.L--
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: TESORO
Project Address: 3450 S 344TH WAY Suite 135 Parcel Number: 222104 9040
Project Description: Replace existing sink in breakroom.
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Owner Applicant Contractor
LBA REALTY JOHN KILDARE PLUMBING EXPRESS INC
600 UNIVERSITY ST SUITE 3025 PLUMBING EXPRESS INC PLUMBEI98600 9/20/16
SEATTLE WA 98101 813 ACADEMY ST 813 ACADEMY ST
SUMNER WA 98390 SUMNER WA 98390
Plumbing Fixtures
Sinks 1
PERMIT EXPIRES Saturday, June 25, 2016
Permit Issued on Monday, December 28, 2015
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 C.. "F-•er-I Way.
Owner or agent: :!i-- _ Date: I 2-- a 1 S
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0 THIS CARD IS TO MAIN ON-SITE _ .
CITY OF 44,....
` Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-106532-00-PL Address: 3450 S 344TH WAY Suite 135
Project: LBA REALTY 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.
Plumbing Groundwork(4190) 0 Rough Plumbing(4230) "0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date Date 12_. _ By Date
0 Final-Plumbing(4075)
Approved
B c Date `_ 'z„- t G.
El Rough Electrical 1 P Ill Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
-_.., ♦ ♦ ___.
CITY OF = ..� .,.. PERM ('. '; .PLICATION
Federal Way
DEC 282015
5 - ( ( z P j CITY OF FEDERAL way l ZI Z�
PERMIT NUMBER "lt DATE
SITE ADDRESS SUITE/UNIT#
3 14 56 S 7 sco,Tc ! 35
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
-��G�- Z 2- 2- l D y - 1 0 ' V
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT gyp'! l�®,0
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L&\ P.,EA.L 1
MAILING ADDRESS E-MAIL
(9 0 0 (A,—
CITY J STATE ZIP O
SYa.-I-�Ic wv+
NAM PHONEPres
MAILING�►DI)RESS � � E-MAIL
CONTRACTOR of (t ®.�17/, 22'
CITY STAT ZIP FAX
n /y SuMh w - '(!33- q
If� �/ L( /, STATE'm CONTRACT(210 LICENSE Mck. D� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
JJJ Q r v NAMEV y`,b�J PRIMARY PHONE
John 1aC"
APPLICANT MAILING ADDRESS E-MAIL
Q• 0. $ox Z
37- 15-1
" j' -J CITY STATE ZIP FAX
J J nc.� wM i f 2A 0
NAME PRIMARY PHONE
PROJECT CONTACT
(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
Required value of$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: DATE S
PRINT N J d L1A/ r 11^d 6f
Bulletin#100—January 1,2013 Page I of 3 k:\Handouts\Permit Application
S
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 $
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) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS � SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 1 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 ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEV/HOMES ONLY*"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application