19-103605 w '
Plumbing
City of Federal Way Permit #:19-103605-00-PL
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: CONFLUENT DEVELOPMENT
Project Address: 33650 21ST AVE SW Parcel Number: 930100 0020
Project Description: Installation()Chose b'
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Owner Applicant Contractor
PACIFIC RAINIER STEVE CARNEYSTATE MECHANICAL STATE MECHANICAL CO
PO BOX 11628 8706 S 222ND ST STATEMC141C7(9/1/19)
TACOMA WA 98411 KENT WA 98031
8706 S 222ND ST
KENT WA 98031
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Other Plumbing Fixtures 1
CONDITIONS:
PERMIT EXPIRES Wednesday,22 January,2020
Permit Issued on Friday,July 26,2019
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.
Owner or agent: Date: 7/ 2 f /g
r& THIS CARD IS TO REMAIN ON-SITE
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Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103605 00 Address: 33650 21ST AVE SW
Project: PACIFIC RAINIER FEDERAL WAY WA 98023-7762
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections arc 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.
t❑ Plumbing Groundwork(4190) Z❑ Rough Plumbing(4230) 0 Final-Plumbing(4075)
Approved to cover Approved Approved
By Date By Date By fr vJ Date 9 j Sr°
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
ti
RECEIVED
PERMIT APPLICATION
CITY OF 1o'' 2 6 2019
Federal Way JUL PERIUT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcentercityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT -
PERMIT NUMBER ✓ Co L
- ODEV TARGET DATE �,�
SITE ADDRESS SUITE/UNIT#
33650 21st Ave SW
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$5,980.00 9 3 0 1 0 0 - 0 0 2 0
TYPE OF PERMIT 0 BUILDING IBI PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Confluent
To plumb and install:1 Hose bib
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
UMPQUA BANK
PROPERTY OWNER MAILING ADDRESS E-MAIL
33653 21ST AVE SW
CITY _—... STATE ZIP
Federal Way WA 98023
NAME PHONE
State Mechanical 206-575-7527
MAILING ADDRESS E-MAH.
CONTRACTOR 8706 S 222nd St stevec@statemech.net
CITY STATE ZIP FAX
Kent WA 98031 206-575-7529
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
STATEMC141C7 9 / 1 / 19 20-10-101050-00-BL
NAME PRIMARY PHONE
Steve Carney 206-575-7527
APPLICANT 8MAILING S 222ADDRESS St �Mstevec@statemech.net
CITY STATE ZIP FAX
Kent WA 98031
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 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 authorized 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 may be made by any person,including the undersigned,and filed against the city,
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.
SIGNATURE: - DAv',I DATE 7/26/19
PRINT NAME: Steve Carney
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type off xture 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(CommerdN)
BOILERS FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $5,980.00
Indicate how many of each type of fixture to be instilled 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(itchen/uhiey) WATER HEATERS(Electric)
1 HOSE BIBBS SUMPS WASHING MACHINES 1 TOTAL FIXTURES
GENERAL INFORMATION
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR.; --_
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
IaIBTING PROPOSED TOTAL
Area Totals
**NEW mom*mix*.
ESTIMATED SELLING PRICE$ I *OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction f of Additional Information
Square Feet Type Stories
NEIN BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY =
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application