02-100439City of Federal Way
Conmumity Development Services
Applicant
Plumbing Permit #: 02 - 100439 - 00 - PL
33530 1st Way S
ROCK OF AGES PLUMBING INC
ROCK OF AGES PLUMBING INC
Federal Way, WA 98003-6210
13527 SULTAN BASIN RD
13527 SULTAN BASIN RD
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: 7-11 STORE
Project Address: 104 SW 312TH Parcel Number: 072104 9219
Project Description: PLUMB - Install (1) floor sink and associated piping in existing commercial building.
Owner V
Applicant
Contractor
KWIK CHECK REALTY CO IND
ROCK OF AGES PLUMBING INC
ROCK OF AGES PLUMBING INC
13527 SULTAN BASIN RD
13527 SULTAN BASIN RD
SULTAN WA 98294
SULTAN WA 98294
(425) 308-5241
Plumbing Fixtures
'Description"
Quanti
Drains �1
PERMIT EXPIRES July 29, 2002, IF NO WORK IS STARTED.
Permit issued on January 30, 2002
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 W
Owner or agent:,rDate: Q✓ 3� p�
VRECEIED
:°r CONSTRUCTION PERMIT APPLICATION
JAN 3 0 2002
APPLICATION NUMBER: QZ_APPLICATION NUMBER: - q -
CITY OF FEDERAL WAY APPLICATION NUMBER:
**The f81�WRgNiG efired information – Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
ERTY
L O. O. 9 Q
MATZON
SITE ADDRESS: 1 O `�f �7 ���_ ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL X ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
jg HCl D F/c 0 R �S� ti K TP ®0.fi .l,, 44
PROJECT NAME: 7-1/
PROPERTY OWNER:
CONTRACTOR:
■ ` PEOPLE INFORMATION
NAME: DAYTIME PHONE:
7–ELeVQn _7_� C.190 ( ) -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
NAfA
DAYTIME PHONE:
1 .k
MAILING ADDRESS (STREET ADDR S; CITY, STATE, ZIP):
EVENING PHONE:
S2 SS _4W,
(f o) -. z
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
�1 ?�y/f
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
APPLICANT: NAMr.-) DAYTIME PHONE:
K��K 'eitz�_� 'A'zo r
MA UNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
Z3 S Z n Rj0 (36o ) -1,? -,?,72-1-
RELATIONSHIP T07 PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): �liu�frlD�y (S60) 7T - Q•Sg1l
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR p o�' Z.
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED.VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**—�
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNITS)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
-
PLUMBING
DECK
BATHTUB(S)
LAVATORY(S)
GARAGE
HOW MANY FLOOR57
WATER HEATER(S)
DISHWASHERS)
RAINWATER SYS.
TOTAL,
DRINKING FOUNTAIN(S)
SHOWER(S)
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of
Federal Way, 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.
NAME/TITLE: 6CK
&kr-VL�� �-
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE .USE ONLY:
DATE: 3C)
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-6661-4129
www.cjtvoffederalway.com
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
-
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
RAINWATER SYS.
VACUUM BREAKER(S)
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSETS)MISC.
�Y1
INTERCEPTOR(S)
SUMP(S)7�
- .
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of
Federal Way, 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.
NAME/TITLE: 6CK
&kr-VL�� �-
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE .USE ONLY:
DATE: 3C)
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-6661-4129
www.cjtvoffederalway.com