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04-105186 Plumbing City of FederaWay Permit #: 04-105186-00-PL Community Development Services 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: EMILY SABBAGH MEDICAL OFFICE BUILDING Project Address: 34630 11TH AVE S Parcel Number: 215470 0100 Project Description: Plumbing work for new office building. Owner Applicant Contractor EMILY M SABBAGH PIPE CONSTRUCTION LLC PIPE CONSTRUCTION LLC 34630 11TH AVE S SUITE 100 PO BOX 905 PIPECCL96204(9/24/06) FEDERAL WAY WA 98003 RAVENSDALE WA 98051 PO BOX 905 RAVENSDALE WA 98051 keg. " �r. : Drains 1 Laundry Washer Outlets 1 Lavatories 5 Other Plumbing Fixtures 2 Sinks 8 Water Closets 5 Water Heaters 1 PERMIT EXPIRES Tuesday, July 5, 2005 Permit Issued on Thursday, January 6, 2005 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 a d the City of Federal Way. Owner or agent: Q4_-, Date: /3 , 00;cildvd �i g AMANDA 4.4,21.7090711-User Grace Skidmore Si ned on to Amanda �Jic�J;x Fie Data Search Eck Acuau Reports *View'Help rogar To-0.W Updn< Faso .... ,k A@ Dsd< tied M$- Reoiex Dna Q 5 P.46 Put NW, /4",, P W EMILY SABBAGH MEDICAL OFFICE BUILDING[PL] ',Cl ice) Folder I Property(2) !People(3) I into(5) Fixture(17) Fee/Charge(2) Process Document I File(2)I Inspection Req.(5) I Comment I Usage I Attachment Folder I F0` Folder:0.1 105106 000 00 Pt. 1 2004 104986 000 00 PL Process Comments Status To Start To End Started Ended ID Mai, 1 2004 105001 000 00 ME Application Administration 2004105047 000 00 ME 1 ppitc4itan Reserved {io ea 1 s '1,J- 12123/2004 12+23/2004 GiaCe Skith o 1200410505100000ME Pre-IssuancePracessing 1/5/200516 1/6/2005101/6/200510avidLee F 12004 105066 000 00 ME 1200410508500000ME ReadytoIssue �BinA1B [1/6/200510 1/0/2005131/6/200513�eBj P 12004 105089 000 DO ME Technical Review 12004105090 000 DD ME t Tech.Review Building w,1 2/23/2004[ [1/5/2005 16[1/5/200516 Michael Lee P 12004 105091 000 00 ME Mechanical Inspections 12004 105092 000 00 ME Gas Piping 1 I 9/13/200510/13/2005 1 User r 1 2004 105094 000 00 PL Plumbing Inspections 1 2004 105133 000 00 ME Plumbing Groundwork 1/7/2005 001/7/2005 001/10/2005 01/10/2005 0 Michael Lee r 1 2004 105134 000 00 ME 1 2004 105139 000 DD ME Rough Plumbing .1.°` 4/28/2005 0 4/28/2005 0 4/27/2005 0 9/13/20051 ernando FE r Final-Plumbin , _. 1 2004 105144 000 00 ME 9 0/12J2005 00/12/2005 0 9/7/2005 0819/13/2005 1 ernando Fr 12004 105145 000 00 ME Folder Status Changes 12004 105157 000 00 ME Folder Status Change intake/Tech.Reviev 2123/2004 I— 12/23/200412/23/2004 race Skidr r 12004 105163 000 00 ME Folder Status Change Tech.Review/Pre-I < /5/200516 1/5/2005 16 1/5/2005 16 ichael Lee r 12004 105165 000 00 ME Folder Status Change Pre-Issuance/Read 1200410518100000PL -z 1/6/200510 1/6/2D05101J6J20D510DarvidLee r 12004 105182 000 00 PL Folder Status Change Ready to Issue/Issu 11/6/200513 1/6/2005131/0200513 eta r ,s 2004 105.106 000 00Ft Folder Status Change jIssued/Finalled §s rA /13/200511 [9/13/20051[9/13/20051 eand rno Fr r 1 2004 105200 000 00 PL k II I IMI— -/:List View C RelaIedYew Start Today.] End cnStart I Repeat 1 Relocation. Rescle J Re-0efaut Show n.of rows on tabs End Today 1 End on Due J Assign 1 Sign 08 a.;c ,J rs s>,E _ 13 Rows Returned 509 Rows Returned r. �.. Ready j Stan/ I W 3 0. t o A'"Ar4DA4,4.01 70'9,. `it cttooCares-wt.,,, i "e U Q 1 39 PM C OF 11.11.4 • Federal Way f ECEIVE L Q ' COMMUNITY DEVELOPMENT SERVICES PERMIT SF MF CO ME E /PL E EN FP 3332FEDERAENUE SOA 98063 BOX 9718 8 APPLICATION 200` FEDERAL WAY,WA 98063-9718 2 3 . / 253-835-2607•FAX 2waq co-2609 / O www.atuojjedernlwaV cam CITY �O f-EDERAL ,� The following is required information-an incomplete ap.lication foEikEtP, -d. Please print legibly(in ink)or type. .,, '., ., -. . • / 1111 PROPERTY INFORMATION SITE ADDRESS 3`f' -- 0 1 /}'GE 5 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 2.. I , L. 7 a- © / D O LOT SIZE(sf LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desenpnonl ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on t1,-,t. ermit only) „�A1re,ro- PA"A^ 4"7 / /1A 3'T4-; (11,7r. i 0A�.S'T7 c- /Ale.- .P /9,A°/,,,j. PROJECT NAME(Name of Business or Owner Last Name) C /1't// 57.4-!J i,./ 5r/J/i ■ PEOPLE INFORMATION PROPERTY NAME -- PRIMARY PHONE OWNER tfvl/ Dt� 574-,dAv (Z$3 ??3 -9oC` MAILING AD ESS CITY,ST E,ZIP atCON3,02' / a/n0, �'/�A 98 002- CONTRACTOR TRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE A-Nfor MAILING ADDR CITY,STATE,ZIP CELL PHONE 3(41 f-c wA 6. - ' '.t N SeA7rL, , t401-, a$iS3 ( 1 - CITY OF FEDERAL WAY B : ESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ('4 - / / ) 63 L - 335 B L ONT•,' OR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE / / APPLICANT , •1•.' •ANY NA,: APPLICANT NAME.(6.40... OFFICE PHONE ,1.,1: .RE-N 5I.) (..4..c., j{zeW ( ( ) - CITY,STATE,4IPi CELL PHONE 2.6(12.7 SLS 2:73" P I _ P-A-ve-i dvt.1 (--1A- geYasl v,14 ) 679 -0324 RELATIONSHIP TO PROJECT / ❑ Architect ❑ Tenant ❑Agent 0 Other(Describe) pIU k.i'.L a"sr ((AX NUM )ER ' Et(3. &S/7 CONTACT N PRIMARY PHONE MAILA S. f* - (?o1O 16?�t 0 32E t ifitectAiSTYAMN.6 LENDER per RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS . CITY,STATE.ZIP ` . ` : , .■ DETAILED BUILDING INFORMATION - EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO WATER SERVICE PROVIDER HAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER HAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL — BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED "NEW HOMES ONLY" NUMBER OF BEDR•2 MS_ ESTIMATED SELLING CE $ =FIXTURES - -- Indicate number of each t of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. • MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE C••LER GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commaaat) WOODSTOVES BOILERS FIREPLACE INS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS ' • OUTLETS PLUMBING BATHTUBS or Tub/Shou<rCombol _ SHOWERS 5WATER CLOSETS(rod MISS ;s be) DISHWASHERS �✓ SINKS DRINKING FOUNTAINS KK -y--' GAS PIPE OUTLETS SUMPS 7 - /RAINWATER SYST �j` ��, { 'WASHING MACHINES URINALS /Y //JOSE BIBBS �✓ C /LAYS(Bathroom Sinks) VACUUM BREAKERS ✓ELECTRIC WATER HEATERS c ' - ;DISCLAIDER/SIGNATURE BLOCK L. - _ -_ - 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 ci including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. /I�( �/ NAME/TITLE DATE /2.2��/ (Signature) (Title) 4';•.5 � � S RELATIONSHIP TO PROJECT O Owner 0 Agent 0 Contractor ❑ Architect ❑ Other inw�4/., ( .'J , I FOR OFFICE USE ONLY 4 >. o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT : BUILDING SHELL ONLY? o YES o NO BASIC PLAN? 0 YES 0 NO 1 ZONING DESIGNATION CHANGE OF USE? o YES o NO t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO a Bulletin#100—March 30,2004 — Page 2 of 4 k\llandouts—Revised\Permit Application