05-105560City of Federal Way
Community Development Services Plumbing Permit #: 05 - 105560 - 00 - PL
P.O. Box 9718
v..
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609 Inspection request line: (253) 835-3050
Project Name: KIMBALL - VACANT RETAIL
Project Address: 32411 PACIFIC S SuiteB-2
Parcel Number: 150050 0150
Project Description: Installation of (1) Bathroom to include (1) water closet, (1) lav, 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 - Quantity DescriptionDescription Quantity
Lavatories 1 Water Closets 1 ^i Water Heaters 1
I
ti
tl
PERMIT EXPIRES November 9, 2007.
Owner or agent:
THIS CARD IS TO MAIN ON-SITE '
CITY OF tommunity P t P Develo m Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -105560 -00 -PL
Owner: WILLIAM R KIMBALL
Address: 32411 PACIFIC HWY S Suite B-2
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)
Approved to cover
By
❑ Final - Plumbing (4075)
lApproved
By �. C-4.) Date
U Rough Plumbing (4230)
Approved
By LA) Date
❑ Gas Piping (4125)
Approved to release test
By Date
.:
HECEIVEt6�-
1�_�
` - c -
CELL PHONE
Federal Way
P E R M I C T
_L 5
OOYNUMlYUBVBLOPYEKrSBRVKZ+S
A/ P06pX 9713
33325 dTM AU WAY,
FEDERAL WAY, WA 98062-9718
2SJ435,M7•PAX 2S3 -83S-2609
`"" 2 7 2005 SF MF CO
A P P L I C A F ERAL WA
ME E PL
E EN FP
U DNDEPT.
The following is required information -an incomplete =11cation will not be accepted Please
Print legibbitin
or type -
•0 •• •
BITE ADDRESS
p
[ h c i r 1
BVITs/UMrr
ASSESSOR'S TAX/PARCEL #I
-
-'---- ----
LOT SIZE (s
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaad+��P9�Ia Iegmy ►eat desoipatary
TYPE OF PERMIT ❑ BUILDING "U zING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detaaUd description of work included on this o_n(ut
PROJECT NAME (Name of Business or Owner Last Name) A L 4 -
PROPERTY
PROPERTY NAME
OWNER (, ) L L I A vt� /� i/ , � A L L PRIMARY PHONE
1`
MAILING ADDRESS (xTY, SPATE, ZIP •
eq
a �� g�7 �MCi56 CA_ 94112_G—GX7
CONTRACTOR COMPAI
fl_r_
UAIUNC
CONM
}'Z&dt"i
APPLICANT
T
FA
E X NUMBER
Iv / 5 /o ff
COMPANY NAME APPLICANT NAME
ZZd,_j P
OFFICE PHONE
MAILING ADDRESS CITY.OfAfE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
13 Architect o Tenant ❑ Agent ❑ Other (Describe)1 L✓' -e �C
FAX NUMBER
( � _
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED7)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EEtara 0
PROPOSED
Toru
"NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be installed or relocated as part of this project. Do not
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS p ehroonswo
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
to remain.
GAS LOGS REFRIG. SYSTEMS
HOODS (Commordaq WOODSTOVES
RANGES' MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (mita MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cert(fy 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 authorised 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 irnformation supplied to the city as a part of
this application. ,p
NAME/TITLE n4 iiJ' i. r1 Q v"r GJ [Svl-- �( �'� DATE
(Signature( (Titie)
RELATIONSinp TO PROJECT ❑ n 1,114contractor ❑ Architect ❑ Other
Bulletin 11100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application