10-104860 A
City of Federal Way • Plumbing
Community Development Services Permit #: 10-104860-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: NEW YORK VI 'S
Project Address: 2132 SW 336TH ST Parcel Number: 242103 9113
Project Description: Install underground,rough-in and trim out plumbing
Owner Annlicant Contractor
TLR LLC LAW PLUMBING LAW PLUMBING
804 W LK SAMMAMISH PKWY NE 8310 SW 366TH ST E LAWPLPI956RA(12/1/11)
BELLEVUE,WA 98008 EATONVILLE WA 98328 8310 SW 366TH ST E
EATONVILLE WA 98328
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Drains 2 Lavatories 2 Sinks 3
Water Heaters 1
PERMIT EXPIRES Tuesday, May 17, 2011
Permit Issued on Thursday, November 18, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w- 'be in accordance with the laws,rules and regulations of the State of Washington
�� and the City of Federal Way.
Owner or agent: / / Date: 'i&
PNALL 1 31 1/
0 THIS CARD IS TO ' ki AIN ON-SITE
CITY OF40"4
Construction Ins b tion Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 10-104860-00-PL Address: 2132 SW 336TH ST
Project: TLR LLC FEDERAL WAY, WA 98023-2883
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.
El Plumbing Groundwork(4190) Ei Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
B` c S Date I I, 6. - 10 .BCY Date 2_ (d By Date
0 Final-Plumbing(4075)
Approved
By F.-ides"' Date 7k/i/
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
/0 _ / O 4 l- b o
',PERMIT �►
Federal.Way czci,rivitt)EN
FP
COMMI LAITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 2.53-835-2609 .^ 1 g 7
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SITE ADDRESS _ CITY OF- F E ERA' # WAY
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# i 0 ,-3 _ 9 / /
TYPE OF PERMIT 0 BUILDING P./PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT r
(Tenant Name/Homeowner Last Name) 1(,�i r� \-1 L, )<. 1".srvr1 ‘ t S ZZ
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PROJECT DESCRIPTION I� ;,
Detailed description of work to A---(;,11 'v.,k- C j -1t-A--,‘aj c' .V1 t;.1 -- E- -- 1J'm�? `1' LA rw
be included on this permit only '
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME 1
n. PHO
Q
-,�,pDRESS� j ,II,, 1� '� _ E-MAIL1,-,....k.)
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CONTRACTOR (v 7 V 1" `�/� 1,-�l%et�3 r1"\U;J1t� ; (\.r It�` j
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CITY On 11✓ „� W Z �,�� F�j(CC�r- i -�j�— -F(l 1("1
A
ATE CONTRACTOR'S LICENSE#
DATE FEDERAL WAY
��"- " �— �t—TA 1 \ \f'\ 1 N fTV 1�% / l l l/� ftSE#
NAME ,:;41 U„ ��il'1 PHONE .. �r
I^fl,'( -
APPLICANT M' 3.7)V { E-MAILAl 1 .A 1
CI STATE ZIP FAX
,: ,,J i i' - r)1 a- Alf 11
PROJECT CONTACT NAME` v>'�J t,, \ n.\ PHONE...,5 ',7 110` 6'
(The individual to receive and
respond to all correspondencen^vGADDREss E-MAILA
conAcerning this application) t '),C '� ' 1 V t
CISTATE ZIP FAX I A
ALTERNATE CONTACT NAME; PHONE E-MAIL
LZ IP,' Lv•lj ,.r-1 ,}:S;-- L-i--1.-CL\ /.'t
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 Qf this application.
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SIGNATURE( �/L‘c ' ,� a DATE L l 1 1 7) C/V lc
PRINT N - 41.1. P - k
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Pelmit Application
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VALUE OF MECHANICAL WORK $ (a copy of Md or estimate must be provided)
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(Commercieh)
BOILERS FURNACES HOT WATER TANKS(G.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES •
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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 Tib/Shower Combo) LAVS(Aandsinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
—
(`T DRAINS +�— SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 3 SINKS(Kitchen/utility) 1 WATER HEATERS(Fdectric)
WASHING MACHINES <:#? `. ?:R • }gE>: :':':?:
HOSE BIBBS SUMPS :.::: `.:::: ::::::::
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OFEXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑ Yes 0 No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet P Y PO Tye Stones
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Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Perrnit Application