05-104438 r
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City of Federal Way Plumbing Permit#: 05 - 104438 - 00 - PL`
Community Development Services
P.O.Box 9718
Fedenl Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ESPRIT DE CUP
Project Address: 33325 8TH S Parcel Number: 926500 0290
Project Description: Installation of 3 compartment sink and air gap drain.
Owner Applicant Contractor
GTY OF FEDERAL WAY ESPRIT DE CUP CITY OF FEDERAL WAY-CITY MANAGER
PO Box 9718 20107 112TH AVE E 33325 8TH AVE S
GRAHAM WA 98338 FEDERAL WAY WA 98063
PO Box 9718 !Federal Way,WA 98063-9718 (253)835-2411
Plumbing Fixtures
I- Description Quanti �Description �Quanti Description Quanti �
! Sinks ��
I I
PERMTT EXPIRES September 19,2007.
Permit issued on September 19,2005
I hereby c��tify that t�ie above inform�tion`is correct and that the c4nstruction�n''the above described properiy�nd
the occupanc3�and the use vt+ill be in accordance with the laws,rules�rtd r�gulations of the Stabe of W�s�gta�n a�ard
the City of Federal W�y, l�
Owner or agent: � Date:
.
. �.
THIS CARD IS TO�MAIN ON-SITE
��n`oF ommunity Development Inspection Record
Federal Way IYR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104438-00-PL
Owner:
Address: 33325 8TH AVE S
FEDERAL WAY, WA 98003-6325
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.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By �� Date 2 �� By Date
❑ Final-Plumbing(4075)
Approved
By �L� Date ! ��
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� Federa�way P -�+ RMI� �
OOXM/M7YDBVELOPA(EM'SBRVlCBS � 2005 SF MF CO ME E PL DE EN FP
��s��z�F��°�°�"° APPLICATI��
FEDERAL WAY,WA 98063-971d p
tumvi cilvo/federdwau oom � / / � / ��
CITY OF FEDERAL W
The oilowt is re uired{n ormatton-an{nco iete Iicatio�nUwiDlnot be a�.cce ted. Piease rint te ibi in{n or
-• • � - •
SITE ADDRESS �3���5 ��}1 �l J�:� 1-+o F`r�V "`^k� SUITE/UNIT i�
ASSESSOR'S TAX/pARCEL� � � � S O O - V ,� � Q LpT SIZE(s�
LEGAL DESCRIPTION(e.g.Acme Esfafes,Lot 1 J
��Ka�+��v�la kne�w I�af daaivtiml
•� • ' •
TYPE OF PERMIT ❑BUILDING �PLUMBING p MECHAP(ICAI, -
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIpTION(Provide detailed description of work included on this permit onlu)
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1it �r��r:+ ��:`;�1`,�ica: .,.r�.��' � .t �,� �1 ul�►.�1� ..
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PROJECT NAME(Name of Business or Owner Last Name) ���]r�����,�� �.t:�j- r% ;�j���,,•���-yy� "�;� ��,,� �f`✓1�
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PROPERTY NAME
� PRIMARY PHONE
I OWNER F � l _
MAILIN(}ADDRESS CITY,STATE,Z[P
CONTRACTOR �MPANY NAME APP NAME� OFFICE PHONE
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MAI Q ADDRESS GTY,STATE,ZIP CELL PHONE
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�� V�� f„ C I ��fjf�F /„q� AY BUS[NESS�E_N,SE NUM�R�B L //�'[ T[�"�I/�� �AX NUM�ER _
� �_�-- � �� 1 s�� <��.�
� CONTRAC7'OR5 REgISTRATlON NUMBER(cop�ot eard:eqnlred with ch app((�atioa) EXpIRAy'[ON DATE
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APPLICAATT (:OMPANY NAME APPLICANT NAME OFFICE PHONE
�'r,� �IF ��- / �� s� � . (� - 1� ` -�(�oc�
MAILINd ADDRESS CI7Y,STATE,Z[P — CELL PHONE
�1 c�-,r� .s(� � C��%�wl�. �> �.'�� 1'� � (,���) �.yr -i`i�`%
RELAT[ONSH[P TO PROJECT �� FAX NUMBER
❑Architect ❑Tenant ❑Agent '�I Other(DescribeJ(,C�'IC'c�5�ic�_� ( � _
CONTACT �M��,�, / PRIMARY PHONE E-MAIL ApDRES3
�'b �p I - O!'d /� �/Iv �!'J '-rG:.
LENDER N�� ��h
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' MA[LINO ADDRESS GTY.STATB,ZIP
1 � : 1 � � � •
ERISTING PROPOSED USE
EXISTING ASSESSED/APPRAI IIE � VALUE OF PROPO �
SPRINKLERED BIJILDING? ❑ YES p NO N SYSTEM PROppSED/RF,(?UIRED? ❑YES ❑ NO
WATER SERVICE AKEHAVEN ❑ SI(�HI,INE ❑TAC ATE(WELLj
SEWER SER CE PROVIDER � LAKEAAVEN o ffiGE�IIiE 0 PRIVATE(SEPTIC)
. 1
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AREA DE3CRIPTION EXISTINQr PROPOSED TOTAL '
8 .FT. S .FT. 3 .FT. �
BASEMENT
FIRST -
SECOND �/
�1��,�c-���r-�: .; ��/c;��r � - . �/.� � r,/U ����.�G?
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAQE O CARPORT❑
.._._.�..._ .._ _........,r.._„ ..
NUMBER OF FLOORS �TO10 raoroaco ror,u. ,�,��,. .
••NEW HOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
► •
Indicate number of each type of furhtre to 6e installed or relocated as part of this project. Do not include existing fuetures to remain.
MECFiAHIGAL
Vcttue of Mechanical Work $
AIR HANDLIN(3 UNITS EVAPORATIVE COOLER$ (�A3 IAdS REFRIQ.SYSTEMS
BBQS FANS HOOD3�co�,a.y WOODSTOVES
BOILERS FIREPLACE INSER7'S RAN(3ES ' MISC(Deacribe)
� COMPRE330RS FURNACES (�AS W/ATER HEATERS
DUCTS (3A3 PIPE OUTLET3 �
PLiIMBING
BATHTUB3�o�nb/su�Tcomeo� SHOWERS WATER CIASEI`S Roaeq MISC(Deacribe)
DISHWASHERS �_ SINKS L3�p. .(WuFi, DRINHINGFOUNTAINS
CiAS PIPE OUTLETS 3UMPS RAINWATER SY3T
WASHING MACHINES URINALS HOSE BIBBS ,
[.AVS�s.ehioomaio� VACWM BREAKERS ELECTRIC WATER HEATERS
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I esrt�fy vnder penaity of perJury lhat the irSjormation furntshed by me is true and correct to the bsst of my knowledge,and fwther,that I
am autho►taed by the owner of the abovs prernises to perform the work jor whieh the permtt appiicatton {a made. I further agrse to hold
/uvmless the City oj Feder+al Way as to any claim({nciuding costs, expenses, and attorneys'jees incurred in the invest{gaKon and dejense oj �
such ciaimJ,which may be made by any parson,inc(uding the rcnderstgned,and filed against the GYty ojFedera(Way,bat only where such ciaim
avises out of the re(tance of the city,tnciud{ng its ojftcers and employees,apon the accr�racy ojthe ir4jormaHon suppited to tha clty as a part of
this appiication. _ n /� / �
� NAME/TITLE -�__ _�:�����-� � ri��F�E-C�` DATE 'G >
` (signature) (Ctue)
RELATIONSHIP TO PROJECT ❑ Owner o Agent ❑ Contractor ❑Architect ❑ Other
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Bullehn#100—January 7,2005 . Page 2 of 4 k�Handouts�Permit Application