15-1014691W
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: VANILLA SHELL SUITE C
Project Address: 1900 S COMMONS Suite C
Plumbing
Permit #: 15 -101469 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 762240 0010
Project Description: Extend sanitary sewer from adjacent suite B (Five Guys Burgers and Fries) to suite C
(Vanilla Shell). Connect (2) new water meter services to (2) tenant spaces.
Owner
Aoolicant
Contractor
A J WERFELMANN
LAKERIDGE PLUMBING & MECHANICAL
LAKERIDGE PLUMBING & MECHANICAL
COMMONS MALL LLC
INC
INC
1928-B S COMMONS
13508 NE 124TH ST
LAKERPM099RK (5/25/16)
FEDERAL WAY WA 98003
KIRKLAND WA 98034
13508 NE 124TH ST
KIRKLAND WA 98034
Plumbing Fbdums
Other Plumbing Fixtures ............... 2
PERMIT EXPIRES Tuesday, Sep,'701 5
Permit Issued on Thursday�rch16.,�P2Lfog�
I hereby certify that the above information is correct and that the�Waayntc
Ci
the occupancy and tt�use will be in accordance with the laws,
_ ^A /Ipd Aie City of Fe
Owner or agent:
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r
on the above described property and
ulations of the State of Washington
Date. oL►LC 2-&i W15
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CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQ TS: (253) 83-5-3050
15 -101469 -00 -PL Address: 1900 S COMMONS Suite C
Project: A J WERFELMANN 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
0 Plumbing Groundwork (4190)
Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By Pits -L,— Date 3 3,o _ I S
By Date
By Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
DVff
INSPECTOR
AREA ANDIATE OF INSPECTION
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Federal Way
ID 0
PERMIT APPLIG&UON
PERMIT NUMBER I S _ I 0 1409 -PL
MAR 2 6 2015
TARGET DATE CITY OF FEDERAL WAY
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SITE ADDRESSSUITE/UNIT
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PROJECT VALUATION[
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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
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NAME ��,, 11
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PRDLIRY PHONE
PROPERTY OWNER
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MAIL
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MAILING ADDRESS
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WA STATE CONTILACTOR'S LICENSE N
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ESPIRATI-'N DATE
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FEDERAL WAY BUSINESS LICENSE #
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NAME .�7 - V J'�
PRIMARY PHONE
MAILING ADDRESS
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E-MAIL
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APPLICANT
CITY
STATE
ZIP
FAX
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PROJECT CONTACT
NAME idi-ll (� S i� Y Y L� C✓ P��
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
Required value of $5,000 or more
MAILING 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 of and employees, upon the accuracy of the
information supplied to the city as athis application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
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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 tures 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
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
y-)
,
❑ Yes ❑ No
'VALUE
1,2x
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing
flxtures to remain.
BATHTUBS (or Tub/ShowecCombo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
t
OTHER (Describe`
DRAINS
SHOWERS
VACUUM BREAKERS
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
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application
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