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13-105299Plumbing Cityof& Econ. al Dev. y Permit #: 13 -105299 -00 -PL Community &Econ. qev. Services 33325 8th Ave S Federal Way. WA 98003 Inspection Request Line: 253 835-3050 Ph: (253) 835-2807 Fax: (253) 835-2809 p Project Name: VALLEY HARVEST MARKET Project Address: 28855 MILITARY RD S Parcel Number: 042104 9037 Project Description: Install (1) backflow preventor and trim finishes to complete the work of permit #13-102741-00 PL 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*** 12/10/13 - Add prep sink. Owner AR12lican Contractor EXECUTIVE HOUSE INC STAR PLUMBING & MECHANICAL STAR PLUMBING & MECHANICAL 7517 GREENWOOD AVE 3939 S GRAHAM ST STARPM'994NW (10/1115) SEATTLE WA 98103 SEATTLE WA 98118 3939 S GRAHAM ST SEATTLE WA 98118 Plumbing Fixtures Drains ............................................. 1 Other Plumbing Fixtures................ 1 Sinks............................................... 11 Water Closets ................................. 1 Water Heaters................................. 1 PERMIT EXPIRES Sunday, May 25, 2014 Permit Issued on Tuesday, November 26, 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 will be in accordance with the laws, rules and regulations of the State of Washington andCity of /Federal Way. Owner or agent Date: FINALE0 t Plumbing City of Federal Way Permit #: 13- 105299-00— PL Community &Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Request R Ph: (253) 835-2607 Fax: (253) 835-2809 Inspection eq Line: 25 3) 835-3050 Project Name: VALLEY HARVEST NIARKET Project Address: 28855 MILITARY RD S Parcel Number: 042104 9037 Project Description: Install (1) backflow preventor and trim finishes to complete the work of permit #13-102741-00 PL (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***) ot- Owner Al2RIican Contractor EXECUTIVE HOUSE INC STAR PLUMBING & MECHANICAL STAR PLUMBING & MECHANICAL 7517 GREENWOOD AVE 3939 S GRAHAM ST STARPM•994NW (1011115) SEATTLE WA 98103 SEATTLE WA 98118 3939 S GRAHAM ST SEATTLE WA 98118 Plumbing Fixtures Drains ............................................. 1 Other Plumbing Fixtures............... 1 Sinks............................................... 10 Water Closets ................................. 1 Water Heaters................................. 1 PERMIT EXPIRES Sunday, May 25, 2014 Permit Issued on Tuesday, November 26, 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 will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent 9/-1 Date: 1 v y1�~` THIS CARD IS TO MAIN ON-SITE F F Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 13 -105299 -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. Final - Plumbing (4075) Approved Date`3,'7_ Plumbing Groundwork (4190) Rough Plumbing (4230)Gas Final Electrical Approved Piping (4125) Approved to cover By Approved Approved to release test By Date By Date By Date Final - Plumbing (4075) Approved Date`3,'7_ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CITY OF Federal Way PERMIT NUMBER ( -/ � PERM IT*,PPLIFk��N 10 5 0 Iq J-1, NOV 2-6 2013 TARGET DATE CITY OF FEDERAL WAY CDS SITE ADDRESS _ _ SUITE UNIT # PROJECT VALUATION W /,5� ZONING ASSESSOR'S TAX/PARCEL # O4- 0 -� TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT V (-U H--NZU ,:j j PROJECT DESCRIPTIONnn 1 Detailed description of work to J I:W a ' —.4 4Lni— be included on this permit only 'V NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY TiT� P NAME '4 1ZVI 1_ 1 "l>�l_ • ) PH (� C� MAILING ADDRESS �• �y ^ 3139 S G� f A `�' E-MAIL ( S lef -70 CONTRACTOR U h Cnlil CITY STATE i,� ZIP s (1 FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # 2 q4 N �t) 1 NAME yPRIMARY PHONE MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT MAILING ADDRESS E-MAIL - -(The-individual-to-receive anct- 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 officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATURE: /. Wiz' ` DATE /�;^� PRINT NAME: / V A /� a� ZAi Bulletin #100 — January 1, 2013 Page 1 of 3 k:\-Iandouts\Permit Application MECHANICAL PERMIT Indicate how many of each type AIR HANDLING UNITS AIR CONDITIONER BOILERS COMPRESSORS DUCTING to be installed or relocated as FANS _ FIREPLACE INSERTS — FURNACES — GAS LOG SETS — GAS PIPING VALUE OF MECHANICAL WORK Fthis project. Do not include GAS PIPE OUTLETS _ HOODS (commercisl) HOT WATER TANKS (Gas) REFRIGERATION SYST WOODSTOVES q fixtures to remairL OTHER (Describe) GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT FOR OFFICE USE BASEtYT' AREA DESCRIPTION % /l EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) $ Indicate how many of each type offixture to be installed or relocated as part o this project. Do not include existing,ftxtures to remain. BATHTUBS (or Tub/shower combo) LAVS (Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS �_ OTHER (Des 'be) DRAINS SHOWERS VACUUM BREAKERS f / 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 FOR OFFICE USE BASEtYT' AREA DESCRIPTION % /l EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? in Square Feet ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEtYT' AREA DESCRIPTION % /l Occupancy Group(s) _....................... ...-------------- FIRST FLOOR (or Mobile Home) Additional Information in Square Feet SECOND OR Stories NEw BUIWING COVERED ENTRY A ADDITION -DECK GARAGE ❑ CARPORT ❑ Area Construction ,OTHER (describe) AREA DESCRIPTION _..._..__......... _....... ............ ._...... ..... _.... Area Totals EXISTING PROPOSED TOTAL in Square Feet **mw FIOMFi$ 01&Y"' Stories ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW/ADDITION Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information in Square Feet Type Stories NEw BUIWING A ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information in Square Feet Type Stories TOTAL BUILDING i' TENANT AREA ONLY PROJECT AREA ONLY Bulletin 4 100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application