08-104773 Plumbing
City of FederalWay Permit #: 08-104773-00-P L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: NORTHSHORE VILLAGE
Project Address: 35415 21ST AVE SW Parcel Number: 252103 9002
Project Description: Groundwork plumbing for sewer main&grease line with exterior grease interceptor
Owner Applicant Contractor
GLEN&PATTI'S FEDERAL WAY LLC GRAHAM PLUMBING/MECHANICAL INC GRAHAM PLUMBING/MECHANICAL INC
DAVID'S FEDERAL WAY LLC 19410 HWY 99 SUITE A-111 GRAHAPI948LO(6/20/10)
PO BOX 8164 LYNNWOOD WA 98036 19410 HWY 99 SUITE A-111
TACOMA WA 98418 LYNNWOOD WA 98036
PitnnbTqfP\CP4W,
Waste Interceptors 2
PERMIT EXPIRES Tuesday, April 7, 2009
Permit Issued on Thursday, October 9, 2008
I hereby certify that the above informatio is cor�ct and that the construction on the above described property and
the occupancy and the use will be . ac •.- ce-with the la - es and regulations of the State of Washington
- "1 = ederal Way.
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Owner or agent: � Date: /Q---
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4111\1k. THIS CARD IS TO REMAIN ON-SITE
CITY OF ' --` Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-104773-00-PL
Owner: GLEN & PATTI'S FEDERAL WAY LLC
Address: 35415 21ST AVE SW
FEDERAL WAY, WA 98023-3058
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.
El Plumbing Groundwork(4190) Ei Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date //7 ac:P By Date By Date
0 Final-Plumbing(4075)
Approved
By Date
•
•
• For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
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253435-2607.PAX 253-835-2609 / /
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Ifo:� TY OF FEDERAL WAY
required inf ion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORIIIATION
•SITE ADDRESS s �" SUITE/UNIT i
ASSESSOR'S TAX/PARCEL 9 Z Z / O , - 7 O 0
LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
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• PROJECT INFORIIIATION
TYPE OF PERMIT 0 BUILDING .UMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D9CRIPTIOF(Provide detailed description of work included on this permit only)
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PROJECT NAME(Name of Business or Owner Last Name) I\i t5kL S Lor- k.),‘I ( — . — —
NI PEOPLE INFORMATION ,
PROPERTY NAME
PRIMARY
OWNER )PHONE -
MAILING ADDRESS CRY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME II I APPU / OFFICE PH(
T7„.../7
f?� -v✓1 airvl t� �'Uk� C r��n?✓,. (02 moo) - Z.L((
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
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CITY OF FEDERAL WAY�gINESS LICENSE NUMBER EXPIRATIbN DATE FAX NUMBER
( 25 3& I :24'21
CONTRACTOR'S RZOIBTRATION IIUImER EXPIRATION DATE E-MAIL ADDRESS
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APPLICANT COMPANY APPLICANT NAME / OFFICE PHONE
[,,ra Ina/w1 19("►nbi� c�..a-e-. C sra t.li. (2"6) 947 - 2'-ii
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
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i FAX NUMBER
0 Architect 0 Tenant a Agent ttsOther Cc—.44" L},,,r (L0-51%( -Z
PROJECT NAM> PRIMARY PHONE E-MAIL ADDRESS
CONTACT V \toe k (aa..,) (---71 - 57.4.1
LENDER NAME Per RCW 19.27.095:
Lender information is required 4 fproject value exceeds*5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
. ( ) —
INFORMATION
DETAILED BUILDING INFORATION i
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
it PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDMONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
=STING PROPOS= TOTAL TOTAL ssR T1NO SF TOTAL PROPOS=al TOTAL Sr
NUMBER OF FLOORS
*'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL •
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS Ic..araq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING 1 1%1e'S
BATHTUBS(erne/She omit* LAVS( URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Mai •
1:22CCTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I cues(fy under penalty of pal that I am the property owner or authorised agent of the property owner.I corgi's that to the best of my
knowledge,the bifor nation submitted in support of this permit application is true and correct.I certuj that I will comply with all applicable
to the work authorised the issuance of a permit.I understand that the issuance of this permit
City of notrem Federal Way regulationsr's pertainingconstruction or environmental laws.
doss rrrnove the owner's responsibility for compliance with local,state,or federal laws regulating
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, but only
where such claim arises out of the re -, - the city,including its officers and employees,upon the accuracy of the information supplied to
the city as apart of this app -,„on.
e11'�— DATE �C) -08
SIGNATURE:
rPro. ' Owner and/or Authorized Agent
■
a NEW a ADDITION a ALTERATION a REPAIR a,TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application