19-103988 4116
Plumbing
City of Federal Way Permit #:19-103988-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Far.(253)835-2609
Project Name: BANK OF AMERICA
Project Address: 32011 PACIFIC HWY S Parcel Number: 150050 0130
Project Description: Installation of break room sink.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC WESTMARK CONSTRUCTION INC WESTMARK CONSTRUCTION INC
PO BOX 2708 6102 N 9TH ST SUITE 100 WESTMCI012D3(3/30/21)
PORTLAND OR 97208 TACOMA WA 98406
6102 N 9TH ST SUITE 100
TACOMA WA 98406
4,k;111, rvhiti613;')
Sinks 1
PERMIT EXPIRES Saturday, 15 February,2020
Permit Issued on Monday,August 19,2019
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
shington and the City of Federal Way.
Owner or agent: v .^. Date:
THIS CARD IS TO REMAIN ON-SITE
�mry� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103988 00 Address: 32011 PACIFIC HWY S
Project: HARSCH INVESTMENT PROPERTI FEDERAL WAY WA 98003-6001
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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
t❑ Plumbing Groundwork(4190) 1 ® Rough Plumbing(4230) EI Final-Plumbing(4075)
Approved to cover I Approved Approved
By Date By t Date ZI i - I By Date /
•
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
_4_. RECEIVED
CITY OF AUG1...i 19 2019
PERMIT APPLICATION
Federal WayPERMIT CENTER+ 33325 8th Avenue South+ Federal Way,WA 98003-6325
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
GOMMUNrTY DEVELOPMENT,
PERMIT NUMBER iq _ / 613 g g _ /04..... i." ----- --`)
TARGET DATE
SITE01ADDRESS N r\ 1 c ' 1 { '3 c I �tr` iti 9160 ` SUITE/UNIT#
$ PEDCT VALUATION ZONING ASSESSOR'S TAX/PARCEL# _ D
I X
TYPE OF PERMIT ❑ BUILDING (, PLUMBING ❑ MECHANICAL CI DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT '' .6.4 e _1 o �,� \c1 \,e u c-
fw
` kjctu �rPG..k--sP.O!( s, PC (C
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
g i O .- X,, . C
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
kkitko-
/
NAME 1
JfS 1 !-". Cc. c 'c .0/` PHONE
,LS .-&19—(1 /,?6.
MAILING ADDRESS /�(( c /�' E-MAIL
CONTRACTOR
6/02_ ' �' }1 S V ( le O
CITY V'
c CA,‘
_ - ! STP�TE ZIP 9,/�ti 06 FAX
WA STA'G'E CO IBACTOR'S LICENSE# 1 Jlrl�f1 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
U.'tS IMCaLUlmI)3 / /
NAMEPRIMARY PHONE
C c ^A•t-t5 c-.ie-k)-
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME 1.--"ICA,""-L" PRIMARY PHONE
PROJECT CONTACT �CrAA
(The individual to receive and MAILING ADDRESS E- L
respond to all correspondence I(1'ct.l1 'Ifidutik_ MLf.(t.--k
concerning this application) CITY STATE,. ZIP FAX
PROJECT FINANCING NAME, ( k N. 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 art f this application.
SIGNATURE: 9 ,.)... . DATE gql/ /r fi
PRINT NAME: 0 IAA T-1-0 h 1(
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application