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02-102982City of Federal Way Community Development Services 33.530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Plumbing Permit #:02 -102982 - 00 - PL Inspection request line: 253.835.3050 Project Name: TACOMA GOODWILL INDUSTRIES Project Address: 32521 PACIFIC S Parcel Number: 172104 9083 Project Description: PLUMB - Relocate and/or add new plumbing fixtures for new tenant. Owner Applicant Contractor TACOMA GOODWILL IND.REHAB CTR TACOMA PLBG/HTG INC TACOMA PLBG/HTG INC 714 S 27TH ST PO BOX 44601 PO BOX 44601 TACOMA, WA TACOMA WA 98444 TACOMA WA 98444 98409-8193 Water Closets (253)531-3444 Plumbing Fixtures w„� De'sc�i�ti©n�-{Qti esri'ptlon.'-. Quant€t : Dsclpt�pn,Quantity Lavatories 4 Drinking Fountains 2 Sinks Water Heaters 1 1 Urinals 1 Water Closets PERMIT EXPIRES January 18, 2003, IF NO WORK IS STARTED. Permit issued on July 22, 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 Way Owner or agent: Date: �' d co � 07-, C--r-J T7 0 RECEIVE!? 'CONSTRUCTION PERMIT APPLICATION VV F3Y PPLICATION NUMBER: - Lay, a a 2 - _ PPLICATIONNUM BER: - - 1 b 2002 - — — PPLICATION NUMBER: tWAS (in. ink) fol %w' htiation —Please print (in ink) or type** R Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: �� C I / G Ni-�t/ .ifs ASSESSOR'S TAX/ PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): =■ PR03ECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING gPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): „C !-4J 4 -TL' A- xtr— 9.1, PROJECT NAME: CONTRACTOR: ■ PEOPLE INFORMATION NAME: DAYTIME PHONE: - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): NAME: 4, DAYTIME PHONE: (53) 531 -3 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): +-1(00 1 . Tip �- �-e� cj�yg4/ EVENING PHONE: 5'1 ) (P6(a - y 39 1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I — — - — — — — — — - — — FAX NUMBER: (.Z3) 537 - o3g z CONTRACTORS REGISTRATION NUMBER: Q f ► 1 '— EXPIRATION DATE: / / (copy d card required) — I L� APPLICANT: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: � FAX NUMBER: ❑ ARCHITECT ❑ TENANT irOTHER ( DESCRIBE): �� �X1T ii. ( ) - CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR 1 ■ DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: PROPOSED VALUATION FOR IMPROVEMENTS: FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ 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 _ FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) 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) J- URINAL(S) WATER HEATER(S) -� DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S)_ WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) •BLOCK 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: /i�QI��T�/f G�'e DATE: �/ S ❑ PROPERTY OWNER ❑ APPLICANT JVCONTRACTOR ODMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 •253-661-4000 • FAX: 253-661-4129 www. dtvof FedM [way.COM