07-103352 R
r City
ityDev eraentS Plumbing Per t #: 07-103 52-O0-PL
.ommuniry Development Services
i P.O.Box 9718
Federal Way,WA 98063-9718
�1: (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)435-3050
Project Name: NORTHSHORE VILLAGE
Project Address: 35415 21ST AVE 4%41
Parcel Number: 252103 9002
Project Description: Installing new underground plumbing enn outs and 16 stub outs for lays & toilets.iit
,tlit
• Owner Applicant Contractor
ROYAL PLAZA ENTERPRISES INC PIONEER CONSTRUCTION PIONEER CONSTRUCTION
509 S 63RD ST 30414 SR 9 NE PIONEC*963LB 06/16/08
TACOMA WA ARLINGTON WA 98223 30414 SR 9 NE
98408-6325 ARLINGTON WA 98223
Plumbing Fixtures
Lavatories 8 Other Plumbing Fixtures 2 Water Closets 8
CONDITIONS:
Subject to field inspection. .
PERMIT EXPIRES Friday, June 19, 2009
Permit Issued on Wednesday, June 20, 2007
I hereby certify that •- -•••- .• ormation V corr,et and that the construction on the above described property and
the occupancy - d the us- will b-i acccrdan(e with the laws, rules and regulations of the State of Washington
r • i e G% if Federal Way.
Owner or age lt: A —_ `7�, Date:— b col __
iPI:I ;1rrt,4uIds
Si•
THIS CARD IS TO WAIN AIN ON-SITE- -
CITY OF A.p.. ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103352-00-PL
Owner: ROYAL PLAZA ENTERPRISES INC
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.
Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover 017, Approved Approved to release test
By ` te By L Date/- 3/..063 By Date
❑
F&11- Plumbing(4075)
Approvgd
By C., LADDate r .i- D 8
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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CITY Of 4
Federal way RECEIVE, PERMIT
COMMUNITY DEVELOPMENT SERVICES
SF MF CO ME EL�DE EN FP
33325 8Te AVENUE
FAXWA .PO BOX 9718 p p L I C AT I O N TD
FEDERAL253-835- 6W0A7 ,WA 938063-97]8 /
2 •FAX 253 835-2609)U N 2 0 20
—
www atuoffederalwau•com
The following isi�pl •• ^ `oiti >,In incomplete application will not be accepted. Please print legibly(in ink)or type.
CC • PROPERTY INFORMATION
SITE ADDRESS_ 7•c I I Z ..T t 5 W SUITE/UNIT# /`
ASSESSOR'S TAX/PARCEL# 2 5 2- l O 3 - g O 0 2- LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING WiLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
CI-(0•b, g ucjo ft( V Lu v tAi?1 7i z $ T e s t t vti T-S
1
PROJECT NAME(Name of Business or Owner Last Name) ! c .r'TN S n.^-4 __ : % l i Crj_s_._ *
• PEOPLE INFORMATION
PROPERTY NAME // PRIMARY PHONE
OWNER DA/1 o 1-7ZD O/L (Zo(e)[o7q - stow
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
'C. 6 O) T! 9 -r-A-60‘4,--L t iv4- 1)of 1
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
?I tCN-e-cr 66 N'.;17". e em,)LS (263) SZ4q--g?83
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
LI
jBUSINESS rEQJw1AT� Dh0,I3 ( 1 — 3
CITY OF FEDERAL WAY IICNE NUMBER EXPIRATIN FAX NB-
0 0'-- I Oc Oek -oo (2-31 - o7 (Z53) Las - 3y73
COPY of card rgai,.a CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application
powo�ic Qcs.3Lb Li/c.) ,
APPLICANT COMPANY NAME eO, APPLICANT NAME OFFICE I/ 5-.4
w PHONE,G C `
CITY, ZIP� H
' O Ad-' -t 5` P1 /Je_$ (25" ) , o 75 3
MAILING ADDRESS
r^ -Nv77�
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant ,ent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT >J '13/24h-,I .--. (2”) SCoc/ - 5'71.3
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ 5 wit L•- . VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? *TES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDERAKE
�L HAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER WLAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED. TOTAL
SQ.F. SQ.FT. SQ.FT.
BASEMENT • • • •
FIRST
SECOND
•
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
DECK.(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS rOLIenBlO PROPOSED TOTAL TOTAL sm711I
+o IP TOTAL TOTAL e'
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
U FIXTURES
•
Indicate number of each type of fixture 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(comme,ci
COMPRESSORS FURNACES RANGES '
DUCTS " • GAS LOG SETS REFRIG.SYSTEMS
•
PLUMBING
BATHTUBS(or Tub/Showsr Combo) 7S LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rosy
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS •
•
SIGNATURE
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 claim,*attic _ •e made by any p on,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the liance - inc ng its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
• (' —+
NAME/TI : ,1 .T DATE e- - 6-7
(Sign ture (Title)
•
RELATIONSHIP TO PROJECT 0 Owner gent ❑ Contractor 0 Architect 0 Other
•
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? , • o YES n NO
ZONING DESIGNATION CHANGE OF USE?
RYES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES 'o NO DEMO PERMIT REQUIRED? b YES o NO
•
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Bulletin#100—April 2,2007 Page 2 of4 k\Handouts\Permit Application