13-100373 %
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Plumbing
City of Federal Way
Community&Econ.Dev.ServicesPermit #: 13-100373-00-PL
..
33325 8th Ave S . , fi
Federal Way,WA 98003 u --
Ph:(253)835-2607 Fax (253)835-2609 r
_� Inspection Request Line: (253)835-3050
Project Name: WORLD VISION BUILDING 2- 1ST FLOOR LUNCHROOM
Project Address: 3455 S 344TH WAY Parcel Number: 222104 9006
Project Description: Install new plumbing fixtures for associated tenant improvement work
OwnerApplicant Contractor
WORLD VISION US M T S PLUMBING CONTRACTORS INC M T S PLUMBING CONTRACTORS INC
PO BOX 9716 PO BOX 517 MTSPLCI164D7(7/6/14)
FEDERAL WAY WA 98063-9716 AUBURN WA 98071 PO BOX 517
AUBURN WA 98071
•
Plumbing Fixtures
Lavatories 2 Sinks 2 Water Heaters 1
PERMIT EXPIRES Monday, July 22, 2013
Permit Issued on Wednesday, January 23, 2013
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 •_ '- -ccordance with the laws, rules and regulations of the State of Washington
anti the..City of Federal Way.
Owner or agent: Date: 7I � �3 i3
Ft NI4j9 4/g/!3
411,
THIS CARD IS TO MAIN ON-SITE
CITY of , •
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100373-00-PL Address: 3455 S 344TH WAY
Project: WORLD VISION US FEDERAL WAY, WA 98001
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) ❑ Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By ., Date k,..„..1,1,1V17.5 By Date 2—h_�3By Date
0 Final-Plumbing(4075)
Approved
By ill Date ii-f_4
•
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
TPP ON
CITY OF PERMI ����'��
Federal Way
JAN 23 2013
PERMIT Plums= 1 0 V 373 _0 0 CITY OF FEDERAL WAY
_ TARGET DATE CDS
SITE ADDRESSSUITE/UNIT
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ C7C,0-? - - - - -
TYPE OF PERMIT ❑BUILDING MPLUMBING ❑MECHANICAL 0 DEMOLITION ❑ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT (it#43P 1� )i f Q.),J C ,
PROJECT DESCRIPTION [/C) /4 l 7 C/a cc;
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
G'r�6iNG' IeAc-gyres /AJ c Z53 &3�3/3/zZ
mimu„CONTRACTOR fC11"� Q �1 AOR, (7//��S/ tiff Att24#jy4)C,Co)
STATE FAX
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
TS P/c i /6 if
PRIMARY PHONE
.,�4//o,i R
APPLICANT
MAILING ADDRESS r E-MAIL
zb5 &E 4.2 5(
CI STATE ZIP FAX
£/L.'vrv�ci &rn '
NAME PRH/ARY PHONE
PROJECT CONTACT /,41 lJ /IS A(3o V i_
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME 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 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 true and correct.I certify that I will comply with
all applicable City of Federal Way 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 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 suppli ty as a part of this application. � ��
SIGNATURE: DATE t l 'j�cr— 2 3 /
PRINT NAM : 47 /4
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
r •
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)comm)
BOILERS FURNACES HOT WATER TANKS pee)
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) -4" LAVS(Heed sem) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS `Z SINKS)Kicehre/utility) WATER HEATERS(0eeo-he)
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❑ No ❑Yes 0 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 0
OTHER(describe)
mono PROPOS® 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 OccupancyGroup(a)a Contraction #of Additional Information
in Square Fee1 Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\HandoutsTermit Application