02-105166City of Federal Way
Community Development Services
33530 lst Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Plumbing Permit #:02 - 105166 - 00 - PL
Inspection request line: 253.835.3050
Project Name: CAMPUS PARK BUILDING #200
Project Address: 1020 S 344TH SUITE210 Parcel Number:
Project Description: PL - New gas piping for existing fixtures.
Owner
Applicant
Contractor
CAMPUS PARK OFFICE WAREHOUSE
D&M PLUMBING INC
D&M PLUMBING INC
34310 9TH AVE S
D&M PLUMBING INC
D&M PLUMBING INC
FEDERAL WAY WA 98003
3211 CENTER ST
3211 CENTER ST
TACOMA WA 98409
1 (253) 627-3300
Plumbing Fixtures
cr►I?tivi k�� : .
Gas Pipe Outlets �l
PERMIT EXPIRES May 18, 2003, IF NO WORK IS STARTED.
Permit issued on November 19, 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 Wa
Owner or age Gi Date:�--
D/
;of G_ CONSTRUCTION PERMIT APPLICATION
VV F3Y L
APPLICATION NUMBER: -I b� L fe6 -
APPLICATION NUMBER: - -
PPLICATION. NUMBER: -
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
ho
SITE ADDRESS:r SSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTAC;t' ABATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING j F �G` �ftECHAli�l- ❑ DEMOLITION
❑ ELECTRICAL/ ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
-3 7AI
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RAM: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): I EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER!
❑ ARCHITECT ❑ TENANT Az
HER ( DESCRIBE): &QA.1j9&AV4.. ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
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)
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, ZIP):
EVENING PHONE:
STATE,
CI
CITY OF-FEDE WAY BUSINESS LICENSE NUMBER:
_ _, __ _ _ _ _ _ _
FAX NUMBER:
�3)Z7z-91 ell
CONTRACTOR'S REGISTRATION
UMBER:
EXPIRATION DATE:/
1'7,6 /
(copy of card required)
L (Z
RAM: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): I EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER!
❑ ARCHITECT ❑ TENANT Az
HER ( DESCRIBE): &QA.1j9&AV4.. ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
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 S . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND '
THIRD.
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate num p f fixture
LMECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S)
FAN(S) HOOD(S)
FIREPLACE INSERT(S) RANGE(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
REFRIG. SYSTEM(S)
WOODSTOVE(S)
MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S)
VACUUM BREAKER(S) ❑ ELECTRIC GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
■ ' DISCLAIMER/SIGNATURE 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 ere such claim arises grit of the reliance of the city, including its officers and employees, upon the accuracy
of the information supwhto the city as a parq of this application.
NAME/TITLE:
❑ PROPERTY OVV4" ❑
DATE: i --/ 7', b
ODMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 • 2S3-661-4000 • FAX: 253-661-4129
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