18-102778City of Federal Way
Community Development Dept.
33325 8th Ave s
Federal Way, WA 98003
Ph: (253) 6355-2607 Fax: (253) 8352609
Project Name: RUSSELL PLAZA
Project Address: 33600 6TH AVE S
Project Description: Relocate (1) sink in existing conference room.
Plumbing
Permit #:18 -102778 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0205
Owner
Applicant
Con ctor
RUSSELL PLAZA LLC
KEVIN SAASENRADIANT PLUMBING &
RADIANT PLUMBING & HEATING INC
112 THIRD PKWY ST
HEATING
RADIAPH874OF (9/6/19)
LAKE OSWEGO OR 97304
1423 E 29TH ST #336
1423E 29TH AVE S
T
TACOMA, WA 98404
TACOMA WA 98404
Sinks 1
PERMIT EXPIRES Saturday, 22 December, 2018
Permit Issued on Mondav, June 25, 2018
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:
FINALED
Aw THIS CARD IS TO REMAIN ON-SITE 4'cffv or ��&
d '
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102778 00 Address: 33600 6TH AVE S
Project: RUSSELL PLAZA LLC FEDERAL WAY WA 98003-6743
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)
Fal
Rough Plumbing (4230)
3❑
Final - Plumbing (4075)
Approved to cover
Approved
Approved
3y
Date
By
Date
By
joDate i — /g
By
Date
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF RECEIVED PERMIT APPLICATION
JUN 2 5 20RMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + perrilitcenter@cityoffederalway.com
CITY OF FEDERAL WMENT�
CC'MMUN
PERMIT NUMBER 1 _ ' O 2L- _
— ` TARGET DATE
SITE ADDRESS ADDRESS
SUITE/UNIT 2.,�.
332, t �P'o
4ve
PROJECT VALUATION
$ 21, D a
ZONING
L # � r
ASSESSOR'S (TAX/PARC//' E-- (
� 'L. 1 �
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
sse/` _4Qz
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
3.?,!'oaa - AAA e.,S
E-MAIL
CITY
e
STATE
ZIP
NAME/
ped/�•, 1&41 /�p�{
PHONE
ZS3• S�&'6723
MAILING ADDRESS
7 f8 S{
E-MAIL
,IS� ®i►t�LVGs
CONTRACTOR
CITY /
STATE)
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
.A AMfh87 F
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
4o%ia.,
PRIMARY PHONE
MAILING ADDRESS
'�/S/6 Sg S�
E-MAIL
.�S�t �oirlai�cc
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME �
/�LY��-��
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $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.
1 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 apart of this application.
SIGNATURE:
// DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application