08-103335 City of Federal PlumbingPermi�r#: 08-103335-00-PL
Community Developme erwces
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: ADD(2)ADA compliant bathrooms on slab.Repipe water for the suite.
Owner Applicant Contractor
GLEN&PATHS FEDERAL WAY GRAHAM PLUMBING/MECHANICAL INC GRAHAM PLUMBING/MECHANICAL INC
TACOMA WA 19410 HWY 99 SUITE A-111 GRAHAPI948LO(6/20/2010)
98419-0164 LYNNWOOD WA 98036 19410 HWY 99 SUITE A-111
LYNNWOOD WA 98036
Plumbing Fixtures
Drinking Fountains. 1 Lavatories 2 Sinks 2
Water Closets 2
PERMITEXPIRES Wednesday, January 14, 2009
Permit Issued on Wednesday, July 9, 2008
1 _eb that the above information is corrthat he construction on the above;xde d n_a,
the occupancyand the use will b in accordance t ,, ,of V sin�--�_.
� wh =awl rules and rega fq�s of the�lt�''
8ri
Owner ora agent: Cate:
9 i
tJUL 2 22008
CI I kJ I I>1•s(4 4\41
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City ofFederal
lopmentS Plumbing Per it #: 08-103335-00-PL
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 13 will
Project Address: 2140 SW 356TH ST Parcel Number: 252103 9002
Project Description: ADD(2)ADA compliant bathrooms on slab.Repipe water for the suite.
Owner Applicant Contractor
GLEN&PATTIS FEDERAL WAY GRAHAM PLUMBING/MECHANICAL INC GRAHAM PLUMBING/MECHANICAL INC
TACOMA WA 19410 HWY 99 SUITE A-111 GRAHAPI948LO(6/20/2010)
98419-0164 LYNNWOOD WA 98036 19410 HWY 99 SUITE A-111
LYNNWOOD WA 98036
Plumbing Fixtures
Drinking Fountains. 1 Lavatories 2 Sinks 2
Water Closets 2
PERMIT EXPIRES Friday, July 9, 2010
Permit Issued on Wednesday, July 9, 2008
I hereby�i,fi {t the above tormaf• is constructscorreot�C !that gqpn Tie abo* wed pmt-arl� ;��"
the occupant* the us co=} w th law rum and re t ]s of **V shin ==
/
Owner or agent: / Date /'"A'
THIS CARD IS TO I. MAIN ON-SITE,rNIL
CITY OFA ommunity Developmrit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103335-00-PL
Owner:
Address: 2140 SW 356TH ST
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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By 1 , Date ()LC � By1LDate e _. ..4% By Date
❑ Final-Plumbing(4075)
Approved
By W Date,f„7_D8
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
a ,�, RECEIV 4V- .333
Felway
COMMUNITY DEVELOPMENT SERVICES
JUL 0 9 2008 ERMIT SF MF CO ME EtJ) DE EN FP
33325 D AVENUE,WA 9u�• 718 I DT,
CATION —L
FEDERAL WAY,WA 91063.9718
253435.2607•PAR ZS. OF FED •T L• __
The following is required infcrr ni afilon-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
� '
SITE ADDRESS 3 Cif(5- — id " L
n\ `'`�• __ SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL# 0)-- \ 2- \ O kk - / a 0 Z LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach a aa.nro•hr10a►wI d*.orrr.y
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING jPLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT` DESCRIPTION(ProvideC'detailed description of work included this roti. o Lb
Atpp0A pt - �nrory /r _ Fact,
trz-4Lir... ve',
ro - C S:S'�'S O r ;le 4— t 1 (au . 4p ,..;a•4 rs,
laftr, 5v;4-e- . Q vtmin f- i - 13r4.4C' 1(... I - ears 1<
PROJECT NAME(Name of Business or Owner Last Name) NO r'1 ..5 L&e.... UM l - -
• PEOPLE INFORMATION ', r
PROPERTY NANE / , k �� ' / ' c P" W PRIMARY( ,PEIONBOWNE -
Tb
O,L�D/�R x�/�r ` ' j ry ei... J- v""/ /i B MAiL ADDRESS
DRESS
CONTRACTOR COMP NAME V G"V NAI�[ME, I OFFICE PHONE
6raV�-r✓l f (ter ,1::,;rn kr. . (n f:4 1,-. .--r-in (216) 1,17 - Zj( /
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
174110 /(,..,X 9 g A O/// ,1/1‘.)bV98034 ( )Syn - `i I I
CITY OF FEDERAL W$YBUSINESS LIMN NUMBER TION D(.J�MS FAX NUMBER •Z
0 S— /0 - I 00 2_ (33I / ate (zt,7S)?7G -
CONTRACTOR'S RZOTZTRATION NUMSZRTION DMZ E-MAIL ADDRESS
U It A 1-( u PI q y$ LD l�2O- 10 eidiX.2`IO a , -1
APPLICANT COMPANY r(m1 7 APPLICANT NAME OFFICE PHONE
( I -
MARANO ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other ( ) -
PROJFCT NAME ... PRIMARY PHONE E-MAIL ADDRESS
CONTACT Coo^1 o.,' 1 -
LENDER NAME Per RCW 19.27.095:
Lender iare t f prefect value
MONO ADD Z�
• ( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PRO' • bi' USE
•
EXISTING ASSESSED/APPRAISED VALUE$ - VALUE OF PROPOSED WORK $
SPRINIQ.ERED BUILDING? a YES a NO ' '-'L 11 • • SION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVENid
HIGHLINE ----, a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAICEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
m PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
smTara PROfa= TOTAL TOTAL sasrmoer TOTAL PROVISO sr TOTAL IF
NUMBER OF FLOORS
"NEW HOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
1XTURES
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 poommi,4
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(scrub/show C.ob.) a LAVS(Bathroom amo URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
2 DRINKING FOUNTAINS —7�— SHOWERS d� WATER CLOSETS trm.q
ELECTRIC WATER HEATERS Alb SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my
knowledge, the Information submitted in support of this permit application is true and correct.I certify 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 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 Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the re •— city,including its officers and ertloyees,upon the accuracy of the information supplied to
the city as a part of this appli - 9
SIGNATURE: DATE v
_ l ,
Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION o REPAIR o.TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO IIP/SEPA/SII? a YES o NO
PLATTED LOT? o TES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application