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05-105562 anarA 4 -OS RECEIVE 5 - S -g_ _ ,0 Federalway PERMIT - �- - - COMMUM Y DEVELOPMENT SER17CES OCT 2 7 2 0 o,F MF CO ME ( )t,E EN FP 33325 81U AVENUE SOUR/•PO BOX 9718 � FEDERAL WAY, 930 -97183 A p p LI C AT I C� r !8383ALFAX 253-835-2609 unuw.dtuo/lede.IWOU. wq CI Y FEDERAL AY /l /© /OS BUILDING DEP M The ollowi - is • ired in ormation-an Inco ,lets . . -lioation will not be aces•ted. Please •Tint le, .i III PROPERTY INFORMATION or �� , SITE ADDRESS 3n <-111/ 1°4c;1 FIC f:11J(/ 5, -5-7. 13 sUrnwuR r• -977-&-- .p ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sJ LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Attach«porotePRO fir kfiehY legald.«+y+Na) ■ PROJECT INFORIIIATION TYPE OF PERMIT 0 BUILDING A PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) a •1't if .z" Z 6-'i- }},', G.-, c CR..0 F 1 :.<::A-N p S PROJECT NAME(Name of Business or Owner Last Name) Cf-- A. .F' C s9 j- ( V' f al PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER (A\ ‘ 1—i-7 p )-zq i C ) vb, (, C,C ( ) • MAILING ADDRESS CITY,STATE,ZIP PO gi) x 361(7 51A-) f (Sc, (A (3y (a6 .-6k6 - CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE b/ j�( 1� MAILING ADDRESS ( ) f/�/ /1� '1 M1L.6u.�"►� - CITY,SPATE,ZIP �+ CELL PHONE ` - a �,y:.�- -q ' r• i j1Q.\JI d l'74 k/3 l ( ) art f 11RAi,rAX lt)AUfIrsR,LR:RMBT>i NUMtiYk ,v� EXPIRATION DATE FAX NUMBER B L / / ( ) - DOMACTOR'S thTRATION NUMBER loopy e[Ned regnlred with each application) EXPIRATION DATE .E, 4R_ EtE .41aLPA 10 / s 'off CANT COMPANY NAME APPLICANT NAME OFFICE PHONE EN/2.A1 P la 11-r<i- 41 *7-C, Ivtc c a %2ev- (R641 ,4-6 - 5`?Cf . MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE — 5 -SW 4i...?'- --C, ,�_(4S 12 >Sr�r .Th..,1 / j ©� ( ) S 3� RELATIONSHIP TO PROJECT FAX NUMBER o Architect 0 Tenant 0 Agent 0 Other(Describe) PL v i. ( ) _ CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS N ( C(J (QcL) STo - S"? 4,) -- LENDER ? ?,) -- LENDER >_ ;',;1.. , e„fz --{,- -, 7,qr NAME N//9 MAIUNO ADDRESS CITY,STATE,ZIP • • • DETAILED BUILDING INFORMATION • EXISTING USE • f Z f l ( PROPOSED USE ,2L EXISTING ASSESSED/APPRAISED VALUE $ 7 VALUE OF PROPOSED WORK $ yGrz)- 65 SPRINKLERED BUILDING? 0 YES "ANO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES "'NO WATER SERVICE PROVIDERLAKEHAVEN a HIGHLINE a TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOT. SQ.FT. SQ.FT. .FT. BASEMENT FIRST • SECOND THIRD FOURTH • ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS o PROM= TOTAL �L "NEW HOMES ONL * MBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain. KCAL Value of Mechanical Work $ • AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commerews WOODSTOVES BOILERS • FIREPLACE INSERTS RANGES ' MISC(Describe) • COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orTub/stmwerC.mbo) SHOWERS WATER CLOSETS Rates MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS - SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(sassoomatnts VACUUM BREAKERS ' ELECTRIC WATER HEATERS DI:,CLAIMER/SIG';ATORE 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 claims,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 7)11. C(Af AN& DATE ( O — " B S- (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor ❑Architect ❑ Other .,i ._q)t)i.,(t);i ifi311,0i;ic. :i:t ti,c Ospb,F:, , f�. :s.v 1(r , t,t ^.4 '/,c) Pikfc` :)a lir) 4.'t'et,- -1,•c .i,` a r,:'i �F'✓}'!! .b[)D)�d y:l:} X5(9 t !;J�DY,) - :'i! ; .. . 1 f _ ? a :r?:i .(9i 1i);.,�:);>M;.�. �iir. '<:>'ti7 (ei N:••:c ,r,B(7�1cP:' �, • • Bulletin#100—January 7,2005 Page 2 of 4 lAHandoutsTermit Application City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-7000 Fax: (253) 835-2609 Plumbing Permit #: 05 -105562 00 - PL Inspection request line: (253) 835-3050 Project Name: CRAFT CARPETS Project Address: 32411 PACIFIC S SuiteB Parcel Number: 150050 0150 Project Description: Installation of (2) restrooms to include (2) lays, (2) water closets, and (1) electric water heater. Owner Applicant Contractor William R Kimball BYRNE PLUMBING & HEATING BYRNE PLUMBING & HEATING PO BOX 26867 330 SW 43RD ST 330 SW 43RD ST SAN FRANCISCO CA 94126-6867 UNIT K-145 UNIT K-145 RENTON WA 98055 (206) 550-5965 Plumbing Fixtures -Description Quanti Description Quanti Description Quanti LavatoriesT= Water Closets �2 Water Heaters Owner or agent: _ ��, fes_ Date: ( ( 6 S THIS CARD IS TAIN ON-SITE CITY OF fommunityDevelopmoirt Ins ection Record P Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05 -105562 -00 -PL Owner: WILLIAM R KIMBALL Address: 32411 PACIFIC HWY S Suite B FEDERAL WAY, WA 98003-8546 This card is part of your required inspection documents. 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) ❑ Rough Plumbing (4230) Approved to cover ^ _ I Approved B Date 6 B C W Date • Y Y �� ❑ Final - Plumbing (4075) Approved By di Date 3 • / e - Q By Gas Piping (4125) Approved to release test Date