17-104222. r
Plumbing
City of Federal way Permit /stUine:
4222-00-P4
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 I ion R253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: EVERGREEN EYE CENTER ,
Project Address: 34719 6TH AVE S Parcel Number: 202104 9178
Project Description: Install drinking fountain rough -in and re -instal ex room sinks at finish for associated
tenant improvement �
Owner
Applicant
Contractor
GUARDIAN CAPITAL MANAGEMENT
BEST CHOICE PLUMT
BEST CHOICE PLUMBING
34719 6TH AVE S
4306 E "C" ST
BESTCCP932KP
FEDERAL WAY WA 98003
TACOMA WA 984
4306 E "C" ST
TACOMA WA 98404
Drinking Fountains
1 hereby certify that the above W%rmai
and the occupancy and the useWil
Owner or agent:
4 March, 2018
kember 5, 2017
Jthe construction on the above described property
h the laws, rules and regulations of the State of
of Federal Way.
Date: 9- S 1
*v
-'THIS CARD IS TO REMAIN ON-SITE
Feder Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 17104222 00 Address: 34719 6TH AVE S
Project: GUARDIAN CAPITAL MANAGEME FEDERAL WAY WA 98003-8714
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) JID Rough Plumbing (4230) 0 Final - Plumbing (4075)
Approved to cover Approved Approved
By Date By Date q I Ito 11 By Date
Rough Electrical
E]
Final Electrical
0
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
41k
CITY OF
Federal Way
PERMIT NUMBER ( 7—
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South8003-6325
253-835-2607 + FAX 253-835-2609 + permi i�t�alway.com
1C742ZZ �L
AUG 31 2017
TARGET DATE CITY OF FEDERAL WAY
CO (TY DEVELOPMENT
SITE ADDRESS
SUITE/UNIT #
3 19 6�`�i/� S
PROJECT VALUATIO
$ 3, 6W
ZONING
ASSESSOR'S TAX/PARCEL #
Z O Z ( O+- - -
TYPE OF PERMIT
❑ BUILDING gPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
ve! C
PROJECT DESCRIPTION
Detailed description of work to
AV_�
be included on this permit only
l�
NAME � [
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME � � j O � ,
1Vn� -TQC- .S3
PHONE
-d Sly-/L�--73
CONTRACTOR
MAILING A/D/DRESS
Ub ad-
E-MAIL
CITY -17—
uC uwv6i
STATE
(� ti
—4
ZIP Uo
V l
F
WA STATE CONTRACTOR'S L ENSE #
651 G� X13
EXPIRATION DATE
i i
FEDERAL WAY BUSINESS LICENSE #
NAME �1qg
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME c A , I /
PRIMARY PHONE
PROJECT CONTACT
•J%1fM,�/
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME S V
❑ 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 clainy, 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 a application.
SIGNATURE: DATE (J 31-17
PRINT NAME:
Bulletin #100 -January 29, 2016 Page 1 of 2 kAHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing ures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OFPLU 0,v
PLUMBING PERMIT
# of
Stories
Additional Information
EXISTING/PREVIOUS USE
LOT SIZE (In Squwre Feet(
$
Indicate how many of each qjpe offixture
to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
nISHWASHF.RS
RATNWATF.R SYSTEMS
URINALS
OTHER (DescrihPt
DRAINS
SHOWERS
VACUUM BREAKERS
TOTAL BUILDING
DRINKING FOUNTAINS
SINKS (Kitchen/ Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL 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 Squwre 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)
............................ _..... ......... _............ ..................... _............................ ................... .............. .......................
........_................
EXISTING PROPOSED TOTAL
Area Totals
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE I # 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
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application