19-103135 f Y
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Plumbing
City of Federal Way Permit #:19-103135-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: FEDERAL WAY PREMIER STORAGE BUILDING A
Project Address: 35200 PACIFIC HWY S Parcel Number:292104 9048
Project Description: Installation of bathroom,break room sink&mop sink.
Owner Applicant Contractor
CPSG SELF STORAGE FACILITY XII LLC TIM BUELLJ P R CONSTRUCTION LLC J P R CONSTRUCTION LLC
1001 4TH AVE SUITE 3200 1420 NW GILMAN BLVD SUITE 2 JPRCOCL867O9(9/29/20)
SEATTLE WA 98104 ISSAQUAH WA 98027
1420 NW GILMAN BLVD
ISSAQUAH WA 98027
0 , A nn a 3 g3§ 't� d` S ' 3i ��-c: .1ka 1
41 ,..j v f l {1'4 ° _ t% sari ,,$as dv�3
s ..:..�.. .� a,,,r, 1h,q.0 J�r,�,r�;� ,� ,::�� . a-, a;s��.� �..sre�„�,.� �fi� a...v H ,� �i' �;L �
Lavatories 1 Other Plumbing Fixtures 2 Sinks 2
Water Closets 1
PERMIT EXPIRES Wednesday,25 December,2019
Permit Issued on Friday,June 28,2019
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 Way.
.W
Owner or agent: ` Date: ��ZQ�
THIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103135 00 Address: 35200 PACIFIC HWY S
Project: CPSG SELF STORAGE FACILITY X FEDERAL WAY WA 98003-8319
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.
® Plumbing Groundwork(4190) 0 Rough Plumbing(4230) El Final-Plumbing(4075)
Approved to cover Approved w A„ Approved
By —46. Date BY 4f, Date /? / By i1 ..4 a Date
o Rough Electrical ID Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
l o Tl.� FCL cf7 .J�'<< ,lLF' uv,,,,> ,...4,4,.......,-,,.. .
i�� RLIE PERMIT APPLICATION
CITY OF '!�'1A
Federal Way JUNPERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
� � 253-835-2607 +FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OFFEDE AL.W,:( 0-t L toy -g vi
COMMUNITY EVELOPM T
Przoirr NIS \ 9 _ l 0 3 I— TARGET DATE t o • " 14Wt
SITE ADDRESS SUITE/UNIT t
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ jot Ce tWtat, 2- 9 Z 1 o A - cto 4 e
TYPE OF pzEsur 0 BUILDING 7(PLUMBINO 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT IZIekl \JA`L\ A717-0t$1l EK -1-017-•41..1f--
PROJECT DESCRIPTION 1 .teK I.Ades149�.,1 Of CliAVV-W-call 1 ritiG Qc`cct Sit-11,� k Mem 511-4K
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
C176C1 lOtot ‘71121Z rat- Xtt tLLC- 044. cost.. 5
PROPERTY OWNER MAILING ADDRESS EMAIL
15114 1•1E G10-11...4. xta et f 07-tw164cvf .c1
CITY STATE ZIP
izCpMI WDN tocZ ,
NAME PHONE
3-17 2. Go*kT .00Tiot-1 , I.L.C— Mc•444-*69 _
MIOMXGAZWRESS EMAM
CONTRACTOR 14-1$) • t`%-W• (jtti a 141, -Ails\- � 1�D10
c155AC VIA TE . 1 O1FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
./X.-000C.L86"I09 Ct / ZR /ZOZO 10-ti'to3$t3S-oo-OL.
NAME PRIMARY PHONE
TIM 005t,l-i 342- C€4.14aZOCctoLl , Lac_ -8coo
MAILING RESS E-MAIL
APPLICANT OWDk..1,W Catu-"A 1 *XV-40\ Z • It(230\0 I"('•6,11131,L.3t Q C- t'1A(L.Lcti'
I. CITY A �r J STATE ZIP FAX
t�7AU—',444-, I W t - l
NAMEPRIMARY PHONE
PROJECT CONTACT lt" I ) L - , 0171Z- C.O►-� CrT Ic‘i , 1..0 ‘M--4414-` c o
(The individual to receive and MAILING ADDRESS - }I E-MAIL
respond to all correspondence 14Zo • gW C�IGt E-1 17iW'V- JT - L- - 0910uvt.t.z .Q(5f�lalL.(, '1
concerning this application) CITY I STAT ZR4oil FAX
K.F,A AIX^ yW '-r
I
PROJECT FINANCING COW. Rt. AOVMS.LIS s Lk-t- + OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,sT�ATTE,ZIP PHONE
(RCW 19.27.095) 1.04e- Pat- '..tyzre4 , , (3o- cw%,-I-1,1,i t-1 of , 17.31/4,4A -. )
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 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 ang 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 aft*
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 totthhe^city as a part of this application. q
SIGNATURE: \ , DATE (a' -Z�t 1
PRINT NAME: —VICI C 0e 1,1,-1 3 lz-
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Perlllit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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(
BOILERSFURNACES HOT WATER TANKS:fcee
I CORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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.
BATHTUBS d0,Tuts/sdwsur combo) I LAYS itiama s du;) I TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS I OTHER(Describe)
DRAINS SHOWERS VACUUM BAKER WileS Ir L<.
DRINKING FOUNTAINSI SINKS(lCieenea/um WATER HEATERS(Electric) /
Z HOSE BIBBS SUMPS WASHING MACHINES 1, TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERT?? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
11/' I.D./4CiAAIttJ . (14C EAAJf I $ ,
EXISTING/PREVIOUS USE LOT SIZE In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
1 # 5.161 AC 0 Yes 4'No f )(Yes a No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT .___...._..�........._....�.
FIRST FLOOR(or Mobile/fame)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑ ----...-_..._ _._�...
OTS(describe)
i EXISTING PROPOSED- TOTAL {
Area Totals
"NEW HOlfil3 oNLs"k"
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Areahr f Coaskrm ' It of
AREA Square Feet Occupancy Type Additional I>IQ&►gmst
HM BUILDING ti I 144 1.i/704,00,0411, i`: .milli> trze.
ADDITION 1//M • ACI'f 50 UCVe
COMMERCIAL--REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION .,Feet ., Occupancy Grange) Additional Information
Type r Stories
VOZLIMB
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100–January 29,2016 Page 2 of 2 k:\Handouts\Pennit Application