16-103637City of Federal Way
Community & Econ. Dev. Services
. 33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
•
• ` Plumbing
Permit #: 16 -103637 -00 -PL
w� Inspection Request Line: (253) 835-3050
Project Name: I LOVE *IC"(iVR4*`-3
Project Address: 1320 S 324TH ST Unit A-04 Parcel Number: 150050 0070
Project Description: Relocating (2) toilets, (3) sinks and remove (4) drains for associated tenant improvement
work
Owne
JIM & DEBBIE HARRER
AURllsant
BLACKSTONE CONSTRUCTION
Contractor
BLACKSTONE CONSTRUCTION
6601 CASCADE AVE
4616 35TH AVENUE CT NW
BLACKCL866NK (8/12/16)
GIG HARBOR WA 98335
GIG HARBOR WA 98335
4616 35TH AVENUE CT NW
GIG HARBOR WA 98335
Plumbing fixtures
Drains............................................. 4 Sinks............................................... 3 Water Closets................................. 2
PERMIT EXPIRES Sunday, January 22, 2017
Permit Issued on Tuesday, July 26, 2016
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 ance with the laws, rules and regulations of the State of Washington
and the Ci of Federal Way.
Owner or agent: Date: 7ZZ6ZI6
f errr er ,
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE ,
Construction Inspection Record
INSPECTION REQUESTS: (253) 835.3050
16 -103637 -00 -PL Address: 1320 S 324TH ST Unit A-04
JIM & DEBBIE HARRER 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
ughoPlumbing
4
Final Electrical
Approved
as pm 1
(e
Approved to
Approved
Approved
Date
Approved to rel test
Date
By
M Date
�l s� 1--
y
1BY
Date
❑ Final - Plumbing (4075)
Approved
By VA Date Oil M4(l,
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
❑
Right of Way —^
Approved
By
Date
By
Date
By
Date
4
CITY OF
Federal Way
PERMIT NUMBER Cp _
46 PERM IPAPPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + perm li' ECEY) EDway.com
I ()-,A J U L 2 6 2016
_ — _ TARGET DATE
rTTY r1F F:Fr)FRAI WAY
SITE ADDRESS
SUIT #
\37-0 s 3Z-txit A -O q
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ ZSbO !-r--
-1- -0- Q �&- o - _a o a 0
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
F-0 L) e
PROJECT DESCRIPTION
Detailed description of work to
M�or11
,`
re ` r -" 'On > ti
ti
be included on this permit only
PROPERTY OWNER
NAME
b�or-
PRIMARY PHONE
MAILING ADDRESS
�6a1 Crti Ave-
E-MAIL
CITY^V`L
�q
$TAT
ZI4 V 3 3 5
NAME \9- �(c^, WWW �i�I VI ♦
PHONE
''
-L-L.S`7 0-24
MAILING ADDRESS C
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E-MAIL
n b�cor,
CONTRACTOR
CITY
STATFr _
W �[N]
ZIP
FAX
n n w cv w�
WA STATE
/,/CONTRACTOR'S LI E SE #
00�►��TcrCG
EXPIRATION DATE
/ ( Z
FEDERAL WAY BUSINESS LICENSE #
k10 ^ kga Gels
NAME ISR m a
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME ^ , f
�rL
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.
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 cita part application.
SIGNATURE:, DATE 6 ( L Z
PRINT N �6
LU
Bulletin #100 - January 29, 2016 Page I of 2 kAHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
Is
Indicate how ntany of each type of
fixture to be installed or relocated as
part of this project. Do not include existing res to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commercial)
BOILERS
FURNACES
HOT WATER TANKS (cas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
TOTAL BUILDING
GENERAi. INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Sq-a=e Feet)
$
Indicate how many o each type offixture
to be installed or relocated as part o this project. Do not include existing res to remain.
BATHTUBS (or Tub/Shoo Combo)
LAVS (Hand Sinks)
�_ TOILETS
WATER PIPING
TITSHWASHFRS
RATNWATFR SYSTEMS
URINALS
OTHER fT_lP_e_r__r:_h_P_1
DRAINS
SHOWERS
VACUUM BREAKERS
Additional Information
TOTAL BUILDING
DRINKING FOUNTAINS
SINKS (kitchen/Utilit)l
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAi. INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Sq-a=e Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ 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)
.............................. ....................................................... ..............................._................ ................._......................
.............._
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
_T
Bulletin #100 -January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application