07-105092 r • ,,.
City°'Federal Way Plumbing Permit #: 07-10509 = C'-P L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Pn(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)$35-3050
Project Name: COSTCO
Project Address: 35100 ENCHANTED PKWY S A. Parcel Number: 219260 0180
Project Description: Relocate(23)exist' g indirect r sinks for new cas: 1,o
Owner • .II,nt / Contractor
COSTCO LLIAMS ME I • 10 WILLIAMS MECHANICAL INC
35100 ENCHANTED PKWY S 3'0 I 1 j• WILLIMI088PA 9/30/07
l'EDERAL WAY WA 98003 A '. 01 3903 SMITH AVE
EVERETT WA 98201
Plumbing Fixtures
Other Plumbing Fixtures 23
PERMIT EXPIRES Friday, September 11, 2009
Permit Issued on Wednesday, September 12, 2007
I hereby certify that the above '• ••-tion is correct and that the construction onl the above described property and
the occupancy and the :- will WA
be cordance,i.th a la -, rules and regulations of the State of Washington
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Owner or agent: r. ✓ Date:7 I'
coo
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-105092-00-PL
Owner: COSTCO
Address: 35100 ENCHANTED PKWY S
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
r❑ Final-Plumbing(4075)
Approved
•
By Date
•
•
•
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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gland RECEIVED •
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
1 A s • PROPERTY INFORMATIONIN
SITE ADDRESS_351 0 c#A-M T e-ati ( SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# . 2 I 1 2- _.(2. 0 - 02-c 0 LOT SIZE(s1) .
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(� stoMeJr rNe•IdN• •5I
•
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING )(PLUMBING CI MECHANICAL
1 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE FREVENTION SYSTEM
1
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
•ReLOCIVrE 4Z�3 i t.,,1 'MD. 2 — f a, g►,*-- a__
PROJECT NAME(Name of Business or Owner Last Name) CA g 1--(er
• PEOPLE INFORMATION
PROPERTY NAME n �. PRIMARY PHONEOWNER
-
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR CO PANYO NAME CANT NAMEWuans (O CE PHO
NE aa, EAN1
qOADD5 CITY,STATE,ZIP . s3
-coaee
PHON M\ fkkC) nt 'mac
1_VIA 1.62°l , ) Ilit -6804
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER. EXPIRATION DATE FAX NUMBER •
r 42.C ) 339 J=1241-
CONTRACTOR'S REGISTRATION NUMBER MAT! N DATE • E-MAIL ADDRESS
WI LI AM OT3b. Pft 9r3b 67 wiIrAec@gpr-t►1ihk..1*-.7
APPLICANT COMPANY E APPLICANT NAME OFFICE PHONE
✓� kCL�'o,� ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
[[r ( ) -
[ RELATIONSHIP TO PROJECT FAX NUMBER
r[ ❑Architect 0 Tenant ❑Agent ❑ Other ( ) -
k PROJECT E-MAIL ADDRESS
CONTACT (A)`LLAfti S L ) ( -Ot O' IAAIM1,C
�FAellAtIAlf-'41k+
•
LENDER NAME
Per RCM 19.2.7.095r
Lender information is required If project value exceeds$5,000 •
l MAILING ADDRESS ' CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
•
EXISTING USE • •OPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ .
SPRINIMBRED BUILDING? a YES ❑NO F • ' =f • -SION SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
1 WATER SERVICE PROVIDER ❑ LAKEHAVEN . HIGHLINE • TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 P• 'ATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESC ON •ERISTIN• PROPOSED TOTAL
SQ:FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND .
•
THIRD .
•
ADDITIONAL FLOORS(DESCRIBE) •
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE CARPORT 0 -
•
NUMBER OF FLOORS AMMO PROPOS= TOTAL TOTAL TOM PROM=sr TOM Ill
"NEW HOMES ONLY" . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ .
i
W FIXTURES
i
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
•
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST•BE INCLUDED WITH APPLICATION)
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerd.q
COMPRESSORS . FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS.
•
•
PLUMBING• •
n
BATHTUBS for Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS C- MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS 146% sr- 1
DRINKING FOUNTAINS SHOWERS WATER CLOSETS trod) _ �'w
ELECTRIC WATER HEATERS SINKS . WASHING MACHINES rp����
HOSE BIBBS SUMPS 0"" `, -P--"
•
SIGNATURE
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 certlfg 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 arts of the reliance of the city, including its officers and employees;upon the accuracy of the information supplied to
the city as a ppli-.tion.
SIGNATURE: / gi I Z O
DATE
Owner and/or Au orizen Agent
•
•
1
1
0 NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT l
BUILDING SHELL ONLY? o YES.o NO BASIC PLAN? . a YES a NO I
ZONING DESIGNATION CHANGE OF USE? a YES o NO •
NEW ADDRESS REQUIRED? o YES o NO • UP/SEPA/SU? a YES a NO .
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO• •
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Bulletin#100-1 August 16,2007 Page 2 of 4 . k\Handouts\Pennit Application