10-103247 * , - I" •�lu,tnbing
City of Federal Way • •
CommunitgDevelopment Services Permit #: 10-103247-00-PL
P.O Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILEp Q
Project Name: NATIONAL TRANSPORTATION SAFETY BOARD
Project Address: 505 S 336TH ST Floor 5 Parcel Number: 926480 0270
Project Description: Plumbing for tenant improvement
`
Owner Applicant Contractor
FSP FEDERAL WAY CORP D&M PLUMBING INC D&M PLUMBING INC
401 EDGEWATER PL SUITE 200 3211 CENTER ST DMPLUI*081L9(6/26/12)
WAKFIELD MA 01880-6207 TACOMA WA 98409 3211 CENTER ST
TACOMA WA 98409
Sinks 1 Water Heaters 1
PERMIT EXPIRES Tuesday, January 25, 2011
Permit Issued on Thursday, July 29, 2010
I hereby certify that the above info - ation is ca rect and that the construction on the above described property and
the occupancy and the = ,ill • n accor•-nce with the laws, rules and regulations of the State of Washington
nd the Pity of Federal Way.
� ill
Owner or agent: i' ' Date: 7'24---
FtNPL fc4/is
4 THIS CARD IS TO AIN ON-SITE '
CITY OF 0 Construction Ins ction Record .
Federal,Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-103247-00-PL Address: 505 S 336TH ST Floor 5
Owner: FSP FEDERAL WAY CORP FEDERAL WAY, WA 98003-6328
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 Date .By VC5 Date 7.�cl—(0 By Date
.El Final-Plumbing(4075)
J
Approved
5 Datee— ,/O
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
`0 - /D_c77
C•+t to %:.'''',....... PERMIT -saliF CO MEL DE EN FP
F+ d ral Way
CO5DEVELOPMENT SERVICES APPLICATION •�
2 ,3-835-260 .FAX 253-835-2609 it0 /5,1tL,‘7e
e o
,,.0 ,,k,.mpa,,Pr..
ve •
SITE ADDRESSki J�r 3U TE/U1rIT#
5oc- SO - v(7 � r- - CITY V` 20
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# Op F'
,.6-e2e---
TYPE OF PERMIT ❑ BIIILDING PLUMBING 0 MECHANICAL
❑ DEMOLITION ? GINEERING 0 FIRE PREVENTION
•
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
NIE
PROJECT DESCRIPTION '"Kvr ffe:/ot f"--_, - . .
Detailed description of work to
be included on this permit only ? jpj /_ ,
PROPERTY OWNER NAMEgrm41)l/ J ``'A' v rR>t[ART PaoNE
MAILINGSS/vl/ E-MAIL
CITY STATE ZIP
MAILING ADDRESSE-MAIL
/ / 1 E-NA
CONTRACTOR /✓JJ<rJ/�L/ lG�j�J
it9—V. r-i,e10404 i;ix....., z Fr,le i
[ii 4 WA STATE CONTRACTOR'S LICENSE# DATF`, FELIX- "AT BUSINESS LICENSE#
` ZWP . ' 0?/•Z‘? 67 Q Yis �,9_". 797(
NAIL 71O _ / �� PHONE
APPLICANT E-MAIL(G( /✓S
CITY STATEZIP FAX
PROJECT CONTACT NAM& 61/4/401:7, ettife.4.."„,„,..-
PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
\
Required value of$5,000 or more
(RCW 19 27 095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
V) all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
N 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 may be made by any person, including the undersigned,and filed against the city,
but only where such claim arises out of t - reliance of the city, including its officers and employees, upon the accuracy of the
information suppli-• -• ci -art• this application.
SIGNAT I • . // �� 0- DATE s" 6
PRINT N ,. ' � I. ��
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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VALUE or MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) _
AIR CONDITIONER FIREPLACE INSERTS HOODS)commcm.p
BOILERS FURNACES HOT WATER TANKS)Gm)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
...............
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Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS ! SINKS(I(itchen/utility) / WATER HEATERS(iskctoc)
HOSE BIBBS SUMPS WASHING MACHINES
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑Yes ❑ No
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Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
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#of Additional Information
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Perrmt Application