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20-101139 �i Plumbing City of Federal Way Permit #:20-101139-00-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: DAVITA HEALTHCARE OFFICE PARK Project Address: 32275 32ND AVE S Parcel Number:215465 0080 Project Description: Add(I)new siink Owner Applicant Contractor DAVITA ROOSTER HOMES LLC ROOSTER HOMES LLC 1423 PACIFIC AVE PMB 308 ROOSTHL861N1(8/27/20) TACOMA WA 98402 3377 BETHEL RD SUITE 107 PMB 308 PORT ORCHARD WA 98366 3377 BETHEL RD SUITE 107 PORT ORCHARD WA 98366 6g. 4, aet g , ,,,,,-„,,,,,,,4144v a ti i `� . , 0;;,„.�$.,.�,r :;,. 4sac ,r-::1,xvnov ,Aro � � ce � na Sinks 1 PERMIT EXPIRES Tuesday,8 September,2020 Permit Issued on Thursday,March 12,2020 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 W--hington and the City of Federal Way. /Z.Cnaner or agent: Date: litZ bi b THIS CARD IS TO REMAIN ON-SITE cnr Federalof Way Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 20 101139 00 Address: 32275 32ND AVE S Project: DAVITA FEDERAL WAY WA 98001-9616 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) ® Final-Plumbing(4075) Approved to cover Q A Approved �"14er AM%� Approved By Date ••By 14W9 Date 3.g ..a4 '.By 14,0, Date Ai.15.'.10 - 0 Rough Electrical ❑ Final ElectricalCI Right of Way Approved Approved Approved By Date By Date By Date ....„4...,. RECEIVED PERMIT APPLICATION CITY OF Federal Way MAR 12 2020 PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com CITY OF FEDERAL WAY PERMIT NUMBER' 6 _ \MM �� L EVI _ P L TARGET DATE P lI SITE ADDRESS SUITE/UNIT# 522,75 3Z Ave S PROJECT VALUATION/'� ZONING ASSESSOR'S TAX/PARCEL# �� �• � _ `_ U i�[ll/ — Jd TYPE OF PERMIT ❑ BUILDING VPLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT ‘)1Gv 1 -6 PROJECT DESCRIPTION "'�V n Cj C\ S, Detailed description of work to be included on this permit only NAME ^ PRIMARY PHONE a.V A ek, I'nc, Zc i-, f?'1 60G i PROPERTY OWNER MAILISG ADDRESS E-MAIL ZZ`-7S 32A Av-e CITYSTATE ZIP h' e& 1 u)q,19 w ' s ( _ NAME KOO s-Cr PDM/(, (i: L C PHONE s J W i J 04 O) MAILING ADDRESS 7 &A J �c i+ „ E-MAIL CONTRACTOR 3 3 7 /)I/lK !C/��,� CITY fir- arch c- $TATilt ZIP v3 4,, 6 FAX WA KoEOCONTCR.A R'S LICENSE�n ( # EXPIRATION DATE? ) UBI# NAME / .f'k • .i'A5ir� PRIMARY 2 J ✓HONEIK I – 4/ J APPLICANT MAILIfT�', 7 7s ) c4 I, Iz_+ 5 e E-MAIL CITY, Of' (^J��oe� "C:� ZIP /1936 ‘, FAX / /// X11 PRIMARY PHONE NAME �( r J PROJECT CONTACT K, r-o` 1GL�+ c C(,r if z J 3 -3/7-o 6 0 (The individual to receive and LI R j�=j (3.c., ) 1 R �e E-MAIL respond to all correspondence ( Yl concerning this application) CITY / STATE ZIP FAX g /o(e Pi6vd (A)A aq3c, 40 NAME PROJECT FINANCING 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 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.1 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 of this application. SIGNATURE: FiY DATE 3 I IL (2076 PRINT NAME: l J&LO� r Q1 f f f f Bulletin#100—February 19,2020 Page 1 of 2 k:\Handouts\Permit Application