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02-103240City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: Project Address: WELLS FARGO -0 0 Plumbing Permit #:02 -103240 - 00 - PL 2505 S 320TH Suite530 Project Description: PLUMB - Install one new sink in break room Inspection request line: 253.835.3050 Parcel Number: 797820 05315 Owner Applicant Contractor PRIMESTAR INVESTMENT CORPORATION GRANDPAS PLUMBING AND REPAIR GRANDPAS PLUMBING AND REPAIR PRIMESTAR INVESTMENT 12825 12TH AVE S 12825 12TH AVE S CORPORATION BURIEN WA 98168 BURIEN WA 98168 2505 S. 320TH ST SUITE 101 (206) 246-2136 DERAL WAY WA 98003 Plumbing Fixtures Description Quant L. Description ' Quanti Dscri :tion, : 2uahti Sinks 1 PERMIT EXPIRES January 26, 2003, IF NO WORK IS STARTED. Permit issued on July 30, 2002 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: '-J Date: -> ' 3 <=,. 6 Z rOu5k1'11% 1?1uwN(a, & 1< -7 31 - oz C- C1.) �/idlov�x 111YY0 9 ?195- ,JECEIVED . �� G _ CONSTR ON PERMIT APPLICATION uV RY EI L J U L 3® 2002 PPLICATION NUMBER: O a- J Q Q - CITY OF FEDERAL WAY APPLICATION NUMBER: _ _ - BUILDING DEPT. APPLICATION NUMBER: - - **The following is required information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: 39-©1 L, �7l 4�0n ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PR03ECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING D( PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING I-] FIRE PREVENTION SYSTEM PROJECT DESCRIPTION description): go'til-3in *%--4- W-04-joe'a � '2 11 PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): NAME: �� jib �a� (; rTT jj� DAYTIME PHONE: y MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): ® EVENING PHONE: 19 01 7 ' 64. t W(P) ,11'6 - �-1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: n t� Ft A/ D EXPIRATION DATE: �C (cDPy of card required) NAME: MAILINC ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( RELATIONSHIP TO PROJECT:�/ FAX NUMBER: ❑ ARCHITECT 11 TENANT OTHER ( DESCRIBE): Co. Ilk CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT RCONTRACTOR l I DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED VALUATION FOR IMPROVEMENTS: $ ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTIO LY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: 7� ■ PR03ECT FLOOR AREAS _ FLOOR EXISTING SQ. FT. PROPOSED SQ. Fr. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILERS) THIRD RANGE(S) MISC. t COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHER(S) TOTAL: VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) 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 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 of Federal Way, but o ty where such claim arises out of the reliance of the city, Including its officers and employees, upon the accuracy of the inform " pplied to the d as a part of this application. ` NAME TITLE• DA ®7` 3 ®/©. / TE. ❑ PROPERTY OWNER ❑ APPLICANT NTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX 253-661-4129 www.dtyoffederalway.com Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. t COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) _ SUMP(S) 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 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 of Federal Way, but o ty where such claim arises out of the reliance of the city, Including its officers and employees, upon the accuracy of the inform " pplied to the d as a part of this application. ` NAME TITLE• DA ®7` 3 ®/©. / TE. ❑ PROPERTY OWNER ❑ APPLICANT NTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX 253-661-4129 www.dtyoffederalway.com