13-102741qW.1
tom. ,r
'Plumbing
City of Federal Way
Community & Econ. Dev. Services Permit #: 13 -102741 -00 -PL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253} 835-2607 Fax: (253) 835-2809 �C q
Project Name: VALLEY HARVEST MARKET
Project Address: 28855 MILITARY RD S Parcel Number: 042104 9037
Project Description: Installing a new floor drain, (4) hand sinks, (1) mop sink, (1) utility sink, (1) toilet, and
moving the electric water heater.***REVISED 10/11/13 TO ADD (3) FLOOR SINKS AND
(1) PREP SINK AS PART OF ORIGINAL SCOPE***
Owner
A n�R
Contractor
EXECUTIVE HOUSE INC
LAKEMONT PLUMBING
LAKEMONT PLUMBING
7517 GREENWOOD AVE
PO BOX 1128
LAKEW1895LB (6/18/15)
SEATTLE WA 98103
ISSAQUAH WA 98027
PO BOX 1128
ISSAQU WA 98027
Plumbing Fixtures
Drains............................................. 1 Sinks............................................... , r Closets................................. 1
Water Heaters ................................. 1
,I �
PERMIT EXPIRES
Permit Issued on TI
I hereby certify that the above yryFormation is correct
the occupancy and the t�se y/V be in accordancgyi
Owner or agent:
Of
;June
18,
on on the above described property and
regulations of the State of Washington
Date: jb — 1 i 1�
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
l Ph: (253) 835-2607 Fax: (253) 835-2609
0 RECEIVED
NOV 01 2013
CITY OF FEDERAL WAY
f
Plumbing
Permit #: 13-102741 -00-PL
Inspection Request Line: (253) 835-3050
CDS
Project Name: VALLEY HARVEST MARKET
Project Address: 28855 MILITARY RD S Parcel Number: 042104 9037
Project Description: Installing a new floor drain, (4) hand sinks, (1) mop sink, (1) utility sink, (1) toilet, and
moving the electric water heater.***REVISED 10/11/13 TO ADD (3) FLOOR SINKS AND
(1) PREP SINK AS PART OF ORIGINAL SCOPE***
Owner
Alaplican
Contractor
EXECUTIVE HOUSE INC
LAKEMONT PLUMBING
LAKEMONT PLUMBING
7517 GREENWOOD AVE
PO BOX 1128
LAKEMPI895LB (6/18/15)
SEATTLE WA 98103
ISSAQUAH WA 98027
PO BOX 1128
ISSAQUAH WA 98027
#,01
y . �lt1ililblitg libttures NINN
,.<
Drains............................................. 1 Sinks.................................--............ 10 Water Closets................................. 1
Water Heaters ................................. 1
PERMIT EXPIRES Tuesday, April 8, 2014
Permit Issued on Thursday, June 20, 2013
1 hereby certify that the abovearmation is correct and that the construction on the above described property and
the occupancy and the e l ' be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ZDate:
; � 5\12
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City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
r �
•Pldmbing
t
Permit #: 13-102741 .00 -PL
3;
N - Inspection Request Line: (253) 8353050
Project Name: VALLEY HARVEST MARKET
Project Address: 28855 NMITARY RD S Parcel Number: 042104 9037
Project Description: Installing a new floor drain, 4 hand sinks,1 mop sink,1 utility sink,1 toilet, and moving the
electric water heater.
Owne
EXECUTIVE HOUSE INC
AURlicant
LAKEMONT PLUMBING
Contractor
LAKEMONT PLUMBING
7517 GREENWOOD AVE
PO BOX 1128
LAKENT1895LB (6/18/15)
SEATTLE WA 98103
ISSAQUAH WA 98027
PO BOX 1128
ISSAQUAH WA 98027
Plumbing Fhctures
Drains............................................. 1 Sinks............................................... 6 Water Closets................................. 1
Water Heaters ................................. 1
PERMIT EXPIRES Tuesday, December 17, 2013
Permit Issued on Thursday, June 20, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wI be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent Date: G - ZO — k
THIS CARD IS TO REMAIN ON-SITE 1 `
CITY OF +N�4�4 Construction Inspection Record
Federal
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #:
13 -102741 -00 -PL Address: 28855 MILITARY RD S
Project: EXECUTIVE HOUSE INC FEDERAL WAY, WA 98003-7912
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)
❑ Rough Plumbing (4230)
❑ Final - Plumbing (4075)
Approved to cover
Approved
Approved
BX::v: � —6 CJ DateB_ (_L3
By W fit,! VjDate �4
By ' Date
Rough Electrical
Approved
1:1Approved
Final Electrical
11
Right of Way
Approved
By
Date
By
Date
By
Date
i 1 i
s r
CITY OF
Federal Way
Building [,vision
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: '%irVS,5 "Allo+cwPERMIT#: 13 - lbsl 4I o
I • 'Gv
Wv( C&+ ""cs r &t2` 'CU1126 VlE WOYI'-. WVV�- "_� Ove, W VV,4
eez5 avt M jd•
Z,) MOG 103.5-.L,+) — Whzvc, 4vetjn s is aI-I-� {d i �- s In,aU b+
3-) -4-Q �1 w. c i vis,A(r�„ o Ycs a +�►�><-4 s �I��c�u l,e 4 t�gprltr b>" 1
IF YOU H E QUESTIONS CALL m&+'� (253) 835- ZV 23
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
loth (3
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
16
My OF A�
Federal Way
RECEIVE
JUN 2
013
Cr" OF F�`
EDS� w AY
PERMIT APPLICATION
GD
PERMIT NUMBER
- to_��341
` - L TARGET DATE
SITE ADDRESS
SUITEMNIT #
wilt,
PROJECT VtALrUATION
ZO
ASSESSOR'S TAX/PARCEL #
'!jNG
TYPE OF PERMIT
❑ BUILDING *PLUMBING 1] MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
` w ? - ;Vj YN LLtA M&kt
PROJECT DESCRIPTION
Detailed description of work to
i �, S �� S �' t T C- _ ": '
( ( flA d"- 10 - \ - \ S
be included on this permit only
\ C SL \A \e-,.
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRE33
E-MAIL
CITY
STATE I
ZIP
NAME r
PHONE,
(�
MAILING ADDRESS
P ) �5(U \ 1..Z t
E-MAIL
CONTRACTOR
CITY
aN,,-1
STATE
ZIP
"1%0 C.."j
FAX
WA STATE CONTRA�CTOWS LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
t` T7a
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E MAH.
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
1
MAHJNG ADDRESS
IZ&401�IZ- \
E -MAH,
(The individual to receive and
respond to all correspondence
CITY
2010 -, 'Ni s
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
MAUJNG ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 city as a part of this application.
-23
SIGNATURE: DATE {e" 'Z-� -
PRINT NAME' 'A W- VA
Bulletin #100 —January I, 2013 Page 1 of 3 k:\Handouts\Permit Application
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remain..
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (cummerci4
BOILERS FURNACES HOT WATER TANKS (c.4
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VA LUE OF PLUMBING WORK
PLUMBING
.PERMIT
MaSTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type offixture
to be installed or relocated as art
o this project. Do not include existingfixtures to remain.
BATHTUBS (o Tublsho combo)
�_ LAVS (H�a sink* T
TT
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
�— SINKS (wccmn/unvty)
WATER HEATERS (eleca;q
HOSE BIBBS
SUMPS
WASHING MACHINES
\ TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF E%ISTDIG IMPROVEMEIITS
s
MaSTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EMSTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin # 100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application