15-105283City of Federal Way "
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809 F-ILE
Project Name: LARKSPUR CENTER B-2
Project Address: 32411 PACIFIC HWY S Suite B-2
Project Description: Plumbing work for tenant improvements.
v& � .
• - Plumbing
Permit #: 15 -105283 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 150050 0150
Owner
ARLImcan
Contractor
WILLIAM KIMBALL
J J PLUMBING LLC
J J PLUMBING LLC
C/O CHERYL NICCOLI
4210 " B" ST NW SUITE K
JJPLUL*9830A (9/1/16)
PO BOX 1762
AUBURN WA 98001
4210 'B" ST NW SUITE K
SAN ROMON CA 94583
AUBURN WA 98001
Plumbing Fixtures
00
Laundry Washer Outlets 1 Lavatories.......................................S' ............................. 13
Water Closets ................................. 1 Water Heaters.............................
PERMIT EXPIRES Sunday.
Permit Issued on Tuesday, Nov r 10,
I hereby certify that the above i#formation is correct and
the occupancy and the�use W,0 be in accordance with 4
Owner or agent:
No
Coy,
construcJ114Mthe above described property and
rules andulations of the State of Washington
Date: J 1 1 n l 5
THIS CARD IS TO REMAIN ON-SITE -
cIry CW •
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -105283 -00 -PL Address: 32411 PACIFIC HWY S Suite B-2
Project: WILLIAM KIMBALL FEDERAL WAY, WA 98003-8546
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)
0
Rough Plumbing (4230)13
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
; s DateC i5
By
N Date y ��
By
Date
0 Final - Plumbing (4075)
Approved
By Date
1:1Right
Rough Electrical
Approved1:1
Final Electrical
Approved
of Way
Approved
By
Date
By
Date
By
Date
C1W OF
V:�A�L Federal Way
' Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: PERMIT#: \ 5 -1 zs52 % 3- f
IF YOU HAVE QUESTIONS CALL (253) 835-��,
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.
),i- \,4--\ �- O,N\,t�'
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
. yROEIVED PERMIPAAPPLICATION
0" OP V&
Federal Way 0 C T 15 2015
CITY OF FEDERAL WAY _
PERMIT NUMBER — / S V 3 TARGET DATE AS/
SITE ADDRESS PA G 1 C
:52/5M l I 5. 52_T6 _'_X -01Z-3Z-ill J
SMTEMNIT M
PROJECT VALUATION
ZONING JASSES7��
_ _.L L' - V J
TYPE OF PERMIT
❑ BUILDING 171fLUM13ING ❑1ME'CHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT
N 1 I75z, I.-�✓ S ,/ C�'V-,'�.i/
PROJECT DESCRIPTION��
Detailed description of work to
1
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
Jj _17"c b' G
PHONE
253.E i. t
MAILING ADDRESS C 'j
J N�
E_11AQ,
CONTRACTOR/�
CITY 4>uk/
STA
1,N+`
ZIP
z���1•
25J J 1 .
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY SUSUIESS LICENSE #
NAME
PRDtARY PHONE
APPLICANT
MAILING ADDRESS ,\
7
E -YAH.
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
^civ
PRIMARY PHONE
(The individual to receive and
MAILING ADDRESS J
E -WAIL
respond to all correspondence
VQ
CITYA
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
WONMR-FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILDIG ADDRESS, CITY, STATE, ZIP
PHONE
I Gerd, jy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(ry that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certVy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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
Wo.. tion supplied to the city as rt this application.
t/V -�
SIGNATURE II j� DATE (� • I5
PRINT NAME: V SS I Gt/1J 4 f K
Bulletin #100 –January 1, 2013 Page 1 of 3 UliandoutslPennit Application
+11'ef
VA
MECHANICAL PERMIT LUE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include e;dstingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (comm -dull
BOILERS FURNACES HOT WATER TANKS (clue)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VA LUE OF PLUMBING WORK
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
BASEMENT
Additional Information
Indicate how many of each type of
future to be installed or relocated as part othis project. Do not include ezistin res to remain
BATHTUBS (or Tub/shower combo)
LAVS (Hand sinks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)1
DRAINS
SHOWERS
VACUUM BREAKERS
MM K✓11e AY -e Z
DRINKING FOUNTAINS
SINKS (xttohm/utility) _�
WATER HEATERS (amttiq
(4GvtvC }Gl/I
HOSE BIBBS
SUMPS
WASHING MACHINEST6TAL
FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
BASEMENT
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (la Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
SECOND FLOOR
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
Additional Information
NEW BUILDING
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
DECK
OccupancyGrou a
Construction
Type
# of
Stories
GARAGE ❑ CARPORT ❑
TOTAL BUILDING '
OTHER (describe)
TENANT AREA ONLY
Area Totals
cusrua
PRaeosar
mrAc
**JYBwv HONES O)eY**
PROJECT AREA ONLY
ESTIMATED SELLING PRICE
I # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square FeetPl)
OccupancyGrou a
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING '
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Pemiit Application