19-100413 2
Plumbing
City of Federal Way Permit #:19-100413-00-PL
Commmity 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: SEATTLE PAIN RELIEF
Project Address: 35002 PACIFIC HWY S � Parcel Number: 185295 0050
Project Description: Installing 3 wall-hung restroom sinks and 2 break room sinks.
Owner Applicant Contractor
FEDERAL WAY CROSSINGS STATE MECHANICAL CO STATE MECHANICAL CO
10655 NE 4TH ST SUITE 700 8706 S 22ND ST STATEMC141C7(9/1/19)
BELLEVUE WA 98004 KENT WA 98031
8706 S 22ND ST
KENT WA 98031
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Lavatories 3 Sinks 2
PERMIT EXPIRES Tuesday,23 July,2019
Permit Issued on Thursday,January 24,2019
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
J� Washingtonn and the City of Federal Way.
to /2f717_,010.?
Owner or a ent: ' "
in-mor1 i V Date: '
9
1M� THIS CARD IS TO REMAIN ON-SITE
a
Construction Inspection Record
emr
Ell INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100413 00 Address: 35002 PACIFIC HWY S Unit A-105
Project: FEDERAL WAY CROSSINGS FEDERAL WAY WA 98003
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) 0 Rough Plumbing(4230) 0 Final-Plumbing(4075)
Approved to cover Approved Approved
By , Date (. 11 j• By Date By Date /b/
K)X— pt.N. 1 e› 1414j411
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rial — eh I oic Ar' al'
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0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
•
RECEIVED PERMIT APPLICATION
CITY OF
Federal Way JAN 2 4 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcentevi cityoffederalway.com
CITY OF FEDERAL WAY
PERMIT NUMBER _ iF _, TARGET DATE
SITE ADDRESS ( ---111--- SUITE/UNIT#
35002 Pacific Highway South Suite A-105
Federal Way, WA 98008
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 6, 750.00 1 8 2 _9_ - 8
TYPE OF PERMIT 0 BUILDING ® PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT To plum and install per code three wall hung sinks and two break room sinks.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Seattle Pain Relief 253-944-1289
PROPERTY OWNER MAD,ING ADDRESS E-MAIL
35002 Pacific Highway South, Suite A-105 tara@seattlepainrelief.com
CITY - STATE ZIP
Federal Way WA 98008
NAME PHONE
State Mechanical 206-575-7527
MAILING ADDRESS E-MAIL
CONTRACTOR 8706 South 222nd Street michelleastatemech.net
CITY STATE ZIP FAX
Kent WA 98031 206-575-7529
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
STATEMC141 C7 9 / 1 / 19_ 2071Q:4010.50-00-81.
NAME PRIMARY PHONE
Michelle Trumble 206-575-7527
MAILING APPLICANT 8706 South ADDRESS
Street m E-MAILelle@statemech.net
CITY STATE ZIP FAX
Kent WA 98031 206-575-7529
NAME PRIMARY PHONE
PROJECT CONTACT Michelle Trumble 206-575-7527
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 8706 South 222nd Street michelle@statemech.net
concerning this application) CITY STATE ZIP FAX
Kent WA 98031 206-575-7529
NAME
PROJECT FINANCING 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 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 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 ap (cation.
SIGNATURE: �� /Z.l� ..... DATE `
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PRINT NAME: �I ��7 e l/(" Trc yr, LI rf
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
4 t
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or tub/shower combo) 3 LAVS(Hand Sulks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 2 SINKS(Kitchen/Shifty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 5 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE Da 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
BAS��1T
FIRST FLOOR(or Mobile Home)
SECOND F R,
COVERED ENTRY
A
GARAGE ❑ CARPORT ❑
_. EXISTING PROPOSED AL -----------------------------------------
Area Totals
**7J 1V oat?"
ESTIMATED SELLING PRICE$^ #OF : DROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
ADDITION
COMMERCIAL-REMO i L/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occu Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL- I
TENAN, ` ONLY
p r_l'ARIrn Y
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application