The URL can be used to link to this page

08-100109City of Federal Way Corrlmuni Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: MI PUEBLO MARKET Plumbing Permit* 08-100109-00-0L Project Address: 31007 PACIFIC HWY S Suite A Inspection Request Line: (253) 835-3050 Project Description: Install two floor sinks, one floor drain and one grease trap. Parcel Number: 082104 9061 Owner Applicant Contractor ROBERT TJOSSEM J J ROOFING INC J J ROOFING INC PO BOX 908 3204 S 296TH PL JJR00R1938MR (7/19/09) KIRKLAND WA 98083-0908 AUBURN WA 98001 3204 S 296TH PL AUBURN WA 98001 PlumbingFixtur8s Drains ............................................. 1 Other Plumbing Fixtures................ 1 Sinks............................................... 1 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 Wa ington and the City of Federal Way. Owner or agent: Date: 3A!��Z�<�" THIS CARD IS TO MAIN ON-SITE CITY of ommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08 -100109 -00 -PL Owner: ROBERT TJOSSEM Address: 31007 PACIFIC HWY S Suite A. FEDERAL WAY, WA 98003 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) ❑ Gas Piping (4125) Approved to cover Approved Approved to release test 11 By Date d By C C� Date 3- Zd „ By Date ❑ Final - Plumbing (4075) Approved %aL(yo 1 f�By Date T v For in_pector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date i 4MV4W *A C Fedm Y ^ I' PERMIT C MWfflTYnsVea AKWSsaVlces SF MF CO ME EL &E EN FP 3332S Sri AVENUE SOM - PO BOX 9718 5 WAY, �,.V 2W9 APPLICATION / The following is required information -an incomplete application will not be accepted Please print legibbj (in inlq or type. ASSESSOR'S TAX/PARCEL 0 t5 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) TYPE OF PERMIT ❑ BUILDING GrPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ PROJ 9T DESCRIPTION (Provide tailed description of work included on this permit onlul PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER SUITE/UNIT i .yam NAME NAM5__ _ 6r�J/� aGZ[Pl �:�z� PRIMARY PHONE MAILINGDR ,ZIP CITY, STA', °lkU�3 E-MAIL ADDRESS COMPAW NAME i2o k2-uG. NAM5__ _ 6r�J/� aGZ[Pl �:�z� OFFICE PH 09:5 O) Fr�Z I73d. MAILING LIN�O�ADDRE33 -Elz �AT� p / Lr � pie(. 1 C ELLGO/ NE� CITY OFF FEDERAL WAY BUSINEW79 NUMBER EXPIRATION DATE FAX NUMBER ) CONTRACTOR'S RZG1WrRATlO -7 L-) I it/ ?ION ATiG E-MAIL#DDRESS CM APL> CdANT NAME �,OFFICE PHONE ) - MAll1NO ADCrl f`4G ! cy� Y, 3TA�E, ZIP ('.� �G Ui �t- CELL PHONE RELATIONSHIP PROJECT FAX NUMBER ❑ Architect 41 Tenant ❑ Agent ❑ Other NAME P RY PHO EhE-MAIL ADDRESS �>G,� ,� C� c �C E NAME Per RCW 29.27.095: — Lender d{formation is required i/project value exceeds $5,000 O ADDRESS 7 CnY, STATE, ZIP PHONE E ) - EXISTING USE CG N PROPOSED USE EXISTING ASSESSED/APPRAISED VALUES VALUE OF PROPOSED WORK SPRINKLERED BUILDING? ❑ YES ;(NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 110 WATER SERVIC)3 PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE ISEPTICI AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS FIRST COMPRESSORS FURNACES RANGES ' SECOND GAS LOG SETS REFRIG. SYSTEMS a YES o NO THIRD o YES a NO PLATTED LOT? ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? o YES a NO DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS s>Qervio rxoroaso TOTAL M"xZ18"Wer turarRON&Mar Tw"ar "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work $ to COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLINO UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (cemma,d„q COMPRESSORS FURNACES RANGES ' DUCTS. GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or Tub/shower Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS LAVS (eeehreem s wo URINALS RAINWATER SYST VACUUM BREAKERS SHOWERS WATER CLOSETS (roseq SINKS WASHING MACHINES . SUMPS ZONING DESIGNATION N TTTL MISC (Describe( I cerft under penalty of perjury that I am the property owner or authorised agent of the property owner. I eertVy that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I car ft that I will comply with all applicable City of federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit does not remove the ownWe responsibility for compliance with loan, state, or federal laws regulating construction or environmental laws. I further agree to hold harm[ the City of federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and d4fsnse of such la&N, which may be made by any person, including the undersigned, and Plod against the city, but only where such claim arises out of reliance of the cttl/, Including its officers and employees, upon the accuracy of the Information supplied to the city as a part of this oppiieatickh. r SIGNATURE:i r' DATE Pr6perty Owner /or Authorised Agent a NEW o ADDITION a ALTERATION a REPAIR o• TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SII? o YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO Bulletin #100 —January 1, 2008 Page 2 of 4 k\HandoutslPermit Application A RECE� crcr or kS-—-1-LDL2T Feftmlfty RRMIT COYY0SF MF CO ME EIOP DE EN FP 7V:7YDEVELOPMENT 36RV/CBS 3332S 8M9�3LWAY,WA9 PO9718 8 MARX PLICATION S343S-L WAY, X 53435.260 ITY OF FEDERAL WAY The following is required inforintify97� an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS ASSESSOR'S TAS/PARCEL # _ -_ _ _ _ ,,_ - _ _ _ _ LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) ■ PROJECT INFORMATION SUITE/UNIT # 4 LOT SIZE (s,) TYPE OF PERMIT O BUILDING WiLUMBING ❑ MECHANICAL O DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) PROJECT NAME (Name of Business or Oumer Last Nam el ro 0 AIX k�-15� PEOPLE•• • PROPERTY NAME PRIMARY PHONE OWNER �?at�C CONTRACTOR APPLICANT PROJECT CONTACT LENDER T�STINO USE f�� "'C� 4z.-- -� Vit-✓► c i C _ OSS{-( (��,�) ��t _ `ZIP MAILI O ADDRESS CITY, STATE, ZIP E-MAIL ADDRESS zj COMPANY �N'AM D i�/ )� � APPLICANT NAMEi,�. 11 f f� ��.� �� OFFICE �- PHONE �� -C+ (---35 MAILING ADD TATE, ZIP e-1 CELL PHONE�l " CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER COMPANY �N'AM D i�/ )� � APPLICANT NAMEi,�. 11 f f� ��.� �� OFFICE �- PHONE �� -C+ (---35 MAILING ADD TATE, ZIP e-1 CELL PHONE�l " CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER 7" K6fC!t EXPIRATION DATE E-MAIL ADDRESS COMPANY NAME APPLICANT NAME OFFICE PHONE MAILINO ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT o Architect o Tenant o Agent o Other FAX NUMBER ( ) - N /Y)/:5 r PR/I�M/ARfY PHONE Ire MAIL ADDRESS NAME Per RCW 19.47.096: Lender information is required {/project value exceeds $6,000 MAQ1NO ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? o YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES o NO WATER SERVICP PROVIDER o LAKEHAVEN a HIGHLINE o TACOMA o PRIVATE (WELL) SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o PRIVATE (SEPTICI AREA DESCRIPTION EXISTING SO. FT. PROPOSED $ . FT. TOTAL 8 . FT. BASEMENT o YES a NO BASIC PLAN? o YES FIRST ZONING DESIGNATION CHANGE OF USE? SECOND o NO NEW ADDRESS REQUIRED? o YES o NO THIRD o YES a NO PLATTED LOT? ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? o YES o NO DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS nwrao rRc�sss MAL gar's saraw sr Toru rsaroessu TOTAL er "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate. number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain. Value of Mechanical Work AIR HANDLING UNITS BNS BOILERS COMPRESSORS DUCTS. BATHTUBS (or T b/sho combq DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS _(ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATTON) EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES FANS GAS WATER HEATERS MISC (Describe) FIREPLACE INSERTS FURNACES GAS LOO SETS LAVS Moo .m SWO RAINWATER SYST SHOWERS SINKS SUMPS HOODS ICemmndq RANGES REFRIG. SYSTEMS URINALS VACUUM BREAKERS WATER CLOSETS lr.&# WASHING MACHINES . MISC' (Describe) I cert{ jy under penalty qj peywy that I ani the property owner or authorised agent of the property owns. I corto that to the best of my knowiedgo, the b{ formation submitted in support of this permit application is true and correct. I cert(M that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Waal as to any claim /including costs, expenses, and attorneys' fees incurred in the investigation and dtfwwe of such which may be made by any puson, including the undersigned, and filed against the city, but only when such claim anises out ntiann of the city, including its oaicers and employees, upon the accuracy of the information supplied to the city as apart of thil!r app SIGNATUM. DATE -- 1 / , 1hnnerfv Awns ■nA/..r Au.h..4A As f o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SII? o YES a NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 —January 1, 2008 Page 2 of 4 MHandoutsTermit Application