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07-100232 r r R! City of Federal Way F Plumbing Perm#: 07-100232-00-PL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: ROUND TABLE @ FEDERAL WAY MARKETPLACE-SHELL ONLY Project Address: 34410 16TH AVE S Parcel Number: 212104 9036 Project Description: Installation of 1-4" underground waste line an 1-2' cold water stub Owner Applicant Contractor FEDERAL WAY MARKETPLACE AUBURN MECHANICAL INC AUBURN MECHANICAL INC INVESTOR'S LLC PO BOX 249 AUBURMI163BA 09/12/08 3700 BEAZER RD AUBURN WA 98071 PO BOX 249 BELLINGHAM WA 98226 AUBURN WA 98071 Plumbing Fixtures Other Plumbing Fixtures. 2 PERMIT EXPIRES Saturday, January 24, 2009 Permit bsued on Thursday, January 25, 2007 I hereby certify that the above information correct and that the construction on the above described property and the occupancy and the use will a-in a ance�,� e law les and regulations of the State of Washington ,//� ®• ®, fir-I Way; Owner or agent - Date: . . THIS CARD IS TO&MAIN ON-SITE - • GIndF (itommunity pnt Develo m Inspection Record p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-100232-00-PL Owner: FEDERAL WAY MARKETPLACE INVESTOR'S LLC Address: 34410 16TH AVE 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 TII1S 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. pg Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125) Approved to cover Approved Approved to release test G_ By _AV Date 3 _ —©''Z By Date By Date ❑ Final-Plumbing(4075) Approved By , Date • —lo„D__T • . 4 r" I I I �. • • • • ', • • H 1 ' . . . : 47.6 .',Z -• , - ' 4 . r r itk, rs4 ,::, .,: • • e .'; ' ', '' ' : • . ., % t\ .. . . 4.. . ._.... • 4. . 4 , , • . ... , . „,.._ .•. , 4 . . . . . . . iII • • • • • • • • • • • • ;p • a - • • ' .:'• :r4_' • • • • • • • • • • • • • V •r •8 < `, i-VVI bt l ,13 ren 0-- - 10523 }- 6 o CD A cksco`' . ..„\)(2,0 5147 - i 0 0 2, 3 '- Federal Way s 2007 PERMIT COMMUMTYDEVEf.OPMENTSERVICE�AN 1 SF MF CO ME EL,�DE EN FP 33325 AVENUE . BOX 9718 _ P LI CATI O N FEDERAL WAY,WA 98063-9718-8 (�.F1P1�r Tv I / 30 / dilili 253-835-2607*FAX 253-83 -2 a'{�(0 F F e G lttll�} www.city�ederalmay.cotne���' jZ DIN The ollowin! is .•wired t •rmation-an incom•lete a••Hendon will not be acc-•ted. Please •rint le•ibl_ (in ink)or - 'I •/_PROPERTY INFORMATION SITE ADDRESS 34`I(0 I(.01-h V4� S SUITE/UNIT# . ASSESSOR'S TAX/PARCEL# 2 t 2- t 0 4 - I C C 3 jL LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) O d Tables 1- ( zaa (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) i r s-t'a i i ( - 4"i ndvrI rnuh cl i,o As-tE, ► )nom aid 1- 2 II Cold wa-t5-X 3-tubio. PROJECT NAME(Name of Business or Owner Last Name) Z'4.�T V 1 V V ii-y I`�V nd L kA�i 1 (2z • PEOPLE INFORMATION PROPERTY NAME t L, PRIMARY PHONE OWNER ty /�a I Y V )) M aY� 1y %►a C � UJE5, � ( ) MAILING ADDRESS CITY,STATE, 3100 & Ii h? r1 , 14/41 182-1 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE At i9R)7r M 2h1(AI Chut5`i'I 0. do th o1 (253)$3 3 - cl-) MAILING ADDRESS /V��,"�� CITY.STATE,ZIP �,/AV' ^Jr CELL PHONE C Y OF FEDERAL WAY BUSIYESS LICENSE NUMBER EX:01RA17ONDA1E FAX NUMBER 20 - 0 0- i o 2 4 -1 -a-B /L In in � ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) ✓ EXPIRATION DATE AV tURLl? 1 ip 68 `:) / 12- /() APPLICANT C MPANY NAME APPA,ICANT NAME OFFICE PHONE • n rn�E an (i,U(l6-h vie. Aoki ( ) 523 - `r7 MAILING,O. f�R)S � 449urnCITY,STATE, P OM- j CELL PHONE RELATIONSHIP TO PROJECT / J` -�,,/ FAX NUMBER 0 Architect 0 Tenant ❑Agent r�wther(Describe) �'u ►LA-tl5 V ( ) - CONTACT PRIMARY PHONE E-MAIL ADDRESS CIL/Offilt .) JD kfl YAI, ( a-93) 6h5. - TisiD LENDER Per RCW 19.27.095: Lender information is NAME required If project value exceeds$5,000 1)•S. BanIT MAILING ADDRESS CY.STATE,ZIP 9vit:5 3 PHONE 14c:, S 312+h ,S-t- FFdh-y1 pJ. , WA� (2s3)859 - 010 • DETAILED BUILDING INFORMATION i EXISTING USE ) It PROPOSED USE 12jti 'dl t EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 11 5 a O . 0 0 SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) I • • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ SF NUMBER OF FLOORSEXISTING PROPOSED � �EXISTING PROPOSED **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES 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 Vnhtp of Mechanical Work $ AIR HANDLING UNITS _ EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUUIb GAS PIPE OUI'LHIb PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Twat) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS ,y'1 urlici =k9 rb Uru GAS PIPE OUTLETS SUMPS RAINWATER SYST 5 WASHING MACHINES URINALS HOSE BIBBS i (n LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS '2, Cl) —�fj/ 4� ,C1�� W� 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 information supplied to the city as a part of this application. ajiA- 2-111/1- ?IVDj�y�NAME/TITLE f?� I� 1fl'ix IODATE I /it I 0/ (Signature) J (�2(Title)✓ RELATIONSHIP TO PROJECT ❑ er o Agentntractor ❑Architect ❑ Other FOR OFFICE USE ONLY ❑NEW ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO PLATTED LOT? o YES n NO DEMO PERMIT REQUIRED? n YES r NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application