05-100290 • •
City of Federal Way Plumbing Permit #: 05 - 100290 - 00 - PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: FEDERAL WAY ANIMAL HOSPITAL
Project Address: 1700 S 305TH SuiteA Parcel Number: 255817 0130
Project Description: Install a sink and a washing machine in connection with TI.
Owner Applicant Contractor
JOSEPH SAITTA SERVICE TOWN INC SERVICE TOWN INC
1700 SW 305TH PL SUITE A 8012 SOUTH TACOMA WAY,#B-11 8012 SOUTH TACOMA WAY,#B-11
FEDERAL WAY WA 98023 TACOMA WA 98499 TACOMA WA 98499
(253)475-1786
Plumbing Fixtures
Description JQuantity I Description jirQuantity Description l(Quantityy
I Laundry Washer Outlets 1 i Sinks 1 1
PERMIT EXPIRES January 24,2007.
Permit issued on January 24,2005
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 Washington and
the City of Federal Way.
ti1� 'Owner or agent: Date: i / L
D s
/0 :04'.%v\°
THIS CARD IS TO PEVIAIN ON-SITE
CITY OF -
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100290-00-PL
Owner: JOSEPH SAITTA
Address: 1700 S 305TH PL Suite A
FEDERAL WAY, WA 98003-4814
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 Date By 1140 Date , By Date
►.�, Final -Plumbing (4075)
Approved
•
By , �� Date
Am
an.Of
E .- - - . O .2. n
Federal Way) CEIV
PERMIT SF MF CO ME EL(LE EN FP
COAf6fUNITY DEVELOPMENT SERVICES //
3332FEDE58*"AVENUEWAYSOUTHWA98063971•PO BOX8971� 20'2oAPPLJ CATI O N TD
RAL
253-835-2607•FAX 253-835-2609 / /
€ unuw.ah/ofjede"`"r.fgf�T OF FEDERAL RAL ,r
The following is rgAlitQJNGfEeffigtition-an incomplete ap.lication will not be accepted. Please .rint legibly(in ink)or type.
: . •:PROPERTY INFORMATION .
SITE ADDRESS /77(),0 s' - e� �" L _ - 4 SUITE/UNIT#
J
ASSESSOR'S TAX/PARCEL# _ - LOT SIZE (s4)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal desorption)
. . . .;. a.. _ ■ PROJECT INFORMATION •
TYPE OF PERMIT ❑ BUILDING U PLUMBING ❑ MECHANICAL
i ❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) A,,--,,,,,,..A. 0`,5 p,'f�I
'` •_;. U PEOPLE INFORMATION
PROPERTY NAME
� J / PRIMARY PHONE ,�
OWNER TLS EssC S4 ��C/�t �� , u ,6 ) z' F c �-,rJ
MAI NG A CITY,STATE,ZIP -
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5 ' j/i— Tk)M ( -e4-
MAILING ADDRESS / CITY,STATE,ZIP t-� CELL PHONE
1 6/(4 /4iYV / ttl -5*GIZ'f r'/)e iti-;+,, Ar/ ("•"t( ) -)-)Y - i rt-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L I
/ ( )CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
_5` E r 2: -±- % _ la /. / l •t
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS - CITY,STATE,ZIP - CELL PHONE
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
.Tay /3e2 «- ( 'c'e) )_ f- /civ,
LENDER Per RCW 19.27.095: Lenderinformation is NAME
required f pro eci reke a ceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
--,',:;-7, ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
r SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
' WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS _ .
-------------
AREA DESCRIPTION EXISTING SQ.FT. PRO' - -ED SQ.FT. TOTAL
BASEMENT
FIRST /// S
,7--/ ,
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to bet installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS V S
BIIQS
FANS HOODS(commorct I
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shoa<rCombo) SHOWERS WATER CLOSETS troika MISC(Describe)
liK DISHWASHERS ) SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
1 WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bauvooms*j VACUUM BREAKERS ELECTRIC WATER HEATERS
_' _ '- x ` .:inSCI,AIBIE t/SIGNATUREBLOCK _ _ -
• 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
ant 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),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
• this application.
.-
NAME/TITLE - ...'c.:-.3 I"`l`;C'C= _ �
e ' a � /:
DATE 1 •j •
1 (Signature) (Title)
1 , RELATIONSHIP TO PROJECT D Owner 0 Agent Contractor 0 Architect 0 Other
FOROFFICENSE NL t.
? - o HEW -.o ADDITION J a ALTERATION ❑REPAIR ti TENANT IMPROVEMENT
I
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
I -ZONING DESIGNATION; CHANGE - -.----__.
OFUSE? -�~ o YES o NO
t NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? - a YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
,
t Bulletin 11100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
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