01-103978City of Federal Way 0
Community Development Services Plumbing Permit #: 01 -103978 - 00 - PI,
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: DOLLARWISE/PACIFIC SERVICES
Project Address: 3455 S 344TH Suite204 Parcel Number: 222104 9006
Project Description: PLMB - Plumbing for tenant improvemnt. Includes (2) WC's, (2) lav's, (2) sinks, (2) dishwashers, (1)
HWT and (1) interceptor.
Owner
Applicant
Contractor
DOLLARWISE/PACIFIC SERVICES
SUMNER PLUMBING AND HEATING INC.
SUMNER PLUMBING AND HEATING INC.
3455 S 344TH WAY SUITE 204
P.O. BOX 884
P.O. BOX 884
FEDERAL WAY WA 98003
SUMNER WA 98390
SUMNER WA 98390
(253) 863-6974
Plumbing Fixtures
Description nti
QuaDescription
)w3escri tion Quanti -t-
Quanti
Lavatories 2
Dishwashers 2
Sinks
Watd- Heaters 1-11
Waste Interceptors 1
Water Closets
PERMIT EXPIRES May 5, 2002, IF NO WORK IS STARTED.
Permit issued on November 6, 2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us� be in�cordance wl� ows, rules and regulations of the State of Washington and
the Ci of Federal Way. z
Owner or age Date: ZS 40-' —e
Rot4g, 11// -�i /��
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Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application.
II __.,.ERTY O.
MATION
SITE ADDRESS: 5 S , J°N' ",I G►!,kzD I' ASSESSOR'S TAX/PARCEL #: 2• Z- Z J ®1{
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ : PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ®FF7lC _
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE
0600 T oQ ( ) —
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP): /
NAME: \a �``
i
/DAYTIME PHONE: p �a C/
L M�iW l"T C e
lZ5.7) �16 4T>
MAILING ADDRESS (STREET ADDRESS; QTY, STA P):
®� s �LA
EVENING PHONE:
/ pp
\,nv) zo-e— -
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
— — — — — — — — — —
CONTRACTORS REGISTRATION NUMBER:
tnA i t
EXPIRATION DATE
%
(copy of card requked)
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBERRO.-w%6 Q -0C4, o
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 11PROPERTY OWNER 11APPLICANT '1;41CONTRACTOR
EXISTING USE:
PROPOSED USE:
:-:DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
_ BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTF,M(S)
FAN(S) HOODS)WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
]TCCI ATMFR 7CTf.NATIIRF RI C
I WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 only where such claim arises out f the reliance of the city, including its officers and employees, upon the accuracy
of the information suppli tod s a t this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER ❑ APP CANT LXCONTRACTOR
-NFOROFFICE USEbNLY E
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718. 253-661-4000 • FAX: 253-6614129