03-101741 City or Federal Way
0, / Plumbing Perm#:03 - 101741 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: PAVILION CENTER II BUILDING B
Project Address: 31835 PACIFIC S Parcel Number: 082104 9126
Project Description: Install(1)4 inch main sewer line the length of the building and install water main in overload(3)wall
hydrants
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC MERIT MECHANICAL INC MERIT MECHANICAL INC
HARSCH INVESTMENT PROPERTIES LLC PO BOX 2109 PO BOX 2109
1121 SW SALMON ST REDMOND WA 98073-2109 REDMOND WA 98073-2109
PORTLAND OR 97205 (425)883-9224
Plumbing Fixtures
t—._ Description_ Quanfi Description EQuantityy Description irduantity
Other Plumbing Fixtures L 4
PERMIT EXPIRES October 29,2003.
Permit issued on May 2,2003
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 Wq.
Owner or agent: /Atli ja Date: C—; - 3
58ver ole , /c/_) _}
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• CONSTRU N PERMIT APPLICATION
`IGG
V
VV _ � APPLICATION NUMBER: C j - .10J _71.
G` APPLICATION NUMBER:
% 10?) APPLICATION
NUMBER: -
**The A➢fio�wiing if. iss��irr 'd nformation-Please print(in ink)or type**
Please note: Electrical, F t/F v `Systtems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: '318 3 S. 14'c i f) Nwy . 5, ASSESSOR'S TAX/PARCEL #: 0 $ 2 / Di-/ - S / 26,
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): /VLL,J Coll S Fitt(LI./ ON
31/4_ 11 P I Lt,.v,3 i 3 o 14li ,
:- • PROJECT INFORMATION
TYPE OF PROJECT(This application): El BUILDING [PLUMBING ❑ MECHANICAL El DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): H 541+0 C r, L/' I M a I H SCLJ„c. A.. // ,.K
'l&e &pig' o f 41.4.( it , /di li-i s f-t/ 1N i44-4 it 41 4 I I I r i DiJtAit -6 - (3 )
Lv,411 ray A vt�*rt5 , d
PA-t-)1 f 1 p /�� 1 1 �,
PROJECT NAME: u t.C.v►#4.-h. ,1�.. gill . g,
■ PEOPLE INFORMATION
1
PROPERTY OWNER: NAM : DAYTIME PHONE:
�t k' c 4 J1A ti-c s444.4.1.4,1 Pe op.,t.,11/..4.5 ( ) -
MAILING ADDRESS(STREET ADDRESS. -7.',STATE,ZIP):
I/24 gw 5ftli.44ot4 Sf, /1D0./ cl, Uj T/205
CONTRACTOR: NAME: • DAYTIME PHONE:
14444 tk IA 4CL404 t c..t-I (LZ,; ) bot - 4.315
MAILING ADDRESS(STREET ADORES CTy,STATE,ZIP): EVENING PHONE:
tb 50 l 5 3') AV O. t • 2e)i,t4NAVA A .cAt)1. (g42 ) 3 -5 22`
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
/q. - Los / oo - oo ( ) -
CONTRACTOR'S REGISTRATION NUMBER: �A►Y,1 .ff K L EXPI��,TION DATE:
(copy of card required) � e 1 7 I 1V, 3 C. rtt V / 0 / / 0 3
1 APPLICANT: NAME: i DAYTIME PHONE:
G6 /t Prg-Gtncc-4 ( ) -
MAILING ADDRESS(STREET CTI,TI,STATE,ZIP): EVENING PHONE:
► 152 '( 800; 5 t IL way ik) , Lc,/rf-f k titAk ilt/55 ( ) -
RELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT El CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: El LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE El PRIVATE(SEPTIC)
• S
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
•
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
••
FIXTURES •
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( 5.1k't L �' )
INTERCEPTOR(S) SUMP(S) 1„4 e-{',e.
■ DISCLAIMER/SIGNATURE BLOCK •
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 am 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 informatio
n supplied to the city as a part of
?ro &c
this application.
NAME/TITLE: 1l\ �• �i1 V�L ii(Kct <"c DATE: 6' 2-1)3
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
I FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR El TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? El YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
I PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES 0 NO
COMFI.N1^f DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEC€RAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129