07-100877 ,r � .
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CityofFederafWay Plumbing Per �l. �� 0�-100877�oo"�L�
Ccmmunity Developmert Services iii •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspectio quest L (253) 835-3050
Project Name: STEEL LAKE VILLAGE
Project Address: 30412 PACIFIC HWY S Par ber: 092104 9107
Project Description: REP- Installation of new plumbing o damage i
Owner Applicant �ontractor
STEEL LAKE VILLAGE E LD CITY PLU LD CITY PLUMBING
30420 PACIFIC HWY S 185TH P EMERACP964DJ 3/8/06
� B LL 8012 211 185TH PL SW
' FEDERAL WAY WA 9 BOTHELL WA 98012
Plumbin F
Lavatories................. ... inks........... ... ...................... 2 Water Closets................................. 1
Water Heat ............ ..........
,,.�,� � � ��. .�
CONDITIONS:
,
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,� ., .,_ � .. r���
PERMIT EXPIF�ES Sund�ay, February 15, 2�09
Permit Issued on Friday, February 16, 2007 �
I hereby certify that the above information is c rect and at the construction on the above described property and
the occupancy and the use will b � accor nce with e laws, rules and regulations of the State of Washington
a d the Ci of Federal Way.
Owner or agent: Date: `�— �6—C7�
A �
- � ' � � � THIS CARD IS T� AIN ON-SITE • ,
��,��F �mmuni Develo me �� Ins ection Ilecorci
tY P P
�����a� Way IVR INSPECTION REQUEST.PHONE # (253) 835-��JS��
PERMIT#: 07-100877-Q�0-PL
Owner: STEEL LAKE VILLAGE
Address: 30412 PACIFIC HWY S
FEDERAL WAY, WA 98003-4816
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 aze 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 Pipang(4125)
Approved to cover Approved Approved to release test
By Date By G �� Date 2�Z(P� � sy �/llate Zi��
� Final-Plumbing(4075)
Approved
By Date
� CITt OF�.IP'^V _ 'V.� � , � � !� � r _ � Q Q
`- Federal Way ` — — ��—��
' COMMUNflY DBVSLOPMENT SBRV/ � P E R M�T
��► SF MF CO ME E PL DE EN FP
33325 8lN AVEMlB SOUTN•PO BOX� �� 1 ���, L I C A T I O N
` � FEDERAL WAY,WA 98063-9718 P D
� 253-835-260.7•FAX 253-8J5-2609 ��(� �-w`.�J / /
� unuw.diaalFedemhunu.com V V���'�•
��Pp.�.
The foIiowtng ts required�{r�(r�H�an tncomplete appl;cation wili nct be accepted. Piease print legibiy(in inkJ or type.
� • • • • • •
SITE ADDRE83 ���)��'�(.,. �y�� SUITE/UNIT#
ASSESSOR'3 TAX/PARCEL# �--C� ����'"� LOT SIZE(s�
' ��2f��{ -�,1(� �-
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1 J
. . . (Attaeh seP��a�P�BQIa��hy iega7 duoiptlon/ .
� ' • • • \
� TYPE OF PERMIT D BUILDING �PLUMBING p MECHANICAL
. ❑ DEMOLITION ❑ ELECTI2ICAL ❑ EN ERINQr O FIRE PREVENTION SY3TEM
PROJECT DESCRI ON (Provide detailed description of work ineluded on this ermi on2
°�S � - s��
; � �/� j r ,
PROJECT NAME(Name of Business or Owner Last Name) , -C� �l ' r '
, i � , • . .
PROPERTY NAME PRIMARY PHONE
OWNER ��CC � . Li4JL�, 1�' bQ- �G_ � ( I -
� . M9ILING ADDRESS CI STATE,ZIP E-MAIL ADDRESS
�3 Qr-1 �O t��� t-� �, �-_� .
CONTRACTOR COMPANY NAME APP�„ldCANT NA E
OFFICE PHONE
�����. U�- � v.,.,.��.� ��� Vv��t�a�i (y�s l 77� _ 3
MAILIN6 ADDRESS � �� CITY,STAT ,ZIP CELL PHONE
13c�� 1\ �
' \� S�J . � w � �i �l t -e���
��f„��� ClTY OF FEDERAL WAY BUSiNESS L)CENSE NUMBER EXpIRAT10N DATE FAX NUMHER �
IJ � � -
COPY ot evd reqvlxd CONTRACTQR'S REGISTRATION NUMBER � . � EXPIRATION DATE . . E-MAIL ADDRESS �
..��n�.� �ppLe�tlon � �v1/`��W�i�" \YJ`1�J .:� '�
APPLICANT COMPANY NAME APPLICANT NAME �-
OFFICE PHONE
w� '�A.\� C.�� �� O`Q W1 C w�SZ C. ( ) - �
( • MAILINa ADDRESS C TY,ST TE,ZIP CELL PHONE -
E
� RELATIONSHIP TO PROJECT FAX NUMBER �
! o Architect o Tenant o Agent ❑ Other ( � _
PROJECT NAME PRIMARY PHONE E-MA1L ADDRESS
CONTACT _
, LENDER NAME Per RCW 19.27.095: .
Lender i�(ormatton ts requtred#(profect value exceeds,�5,000
MAILING ADDRESS CITY,STpTE,Z1P PHONE '
. � � -
� � : � • • •
EXISTING USE PROPOSED USE •
EXISTING ASSES3ED/APPRAISED VALUE $ � VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YE3 o NO FIRE SUPPRESSION 3YSTEM PROPOSED/REQUIRED? ❑ YE3 o NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ❑ TACOMA o PRNATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE O PRNATE(SEPTIC)
• . . • • .-�
AFtEA DESCRIPT EXISTINC3 PRO�O$ED TOTAL
• S .FT: �.FT. S :FT. I
�
BASEMENT
FIRST '
SECOND
THIRD .
ADDITIONAL FLOORS(DESCRIBE)
DECK(O COVERED OR O UNCOVERED7)
GARAGE O CARPORT ❑ �
eanaru�a rnoroasn rarnr. ror.+a a�vsnrvo er mrec rnara�sr ron�c ar
NUMBER OF FLOORS
"•NEW HOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLINCi PRICE $ .
. Indicate number of each fype of f.ucture to be install�d or relocated as part of this project. Do not include existing fixtures to remain.
MECHAHICAL
Vaiue of Mechanical Work $ (A COpY OF BlD OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATI�E COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FpWs CiAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS�cnmmerdan
COMPRESSORS FURNACES RANC3ES
DUC#,'S., .., ;;... ; GAS LOG SETS . REFRIG.SYSTEM3
PLUMBING •
BATHTUBS�arr�e/sn�.comno� � LAVS�eathroomsinks) URINALS MISC(DesCtibe)
DISHWASHERS � RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS �_ WATER CLOSETS Rou�q
�_ ELECTRIC WATER HEATERS �_ S]NKS WASHING MACHINES
HOSE BI$BS SUMPS
I cert under. enalt o er u that the in ormation urnished b me is true und correct to the best of my knowiedge, and jurther, that I
U� P yIP l �. I I y
am authorized by the owner oJ the above premtses to perjorm the work for whtch the permit appitcation ia made. I Jurther agres to hold
harmlesa the Ctty oj Federal Way as to any ciaim(inclu sts, expenses, aind attorneys'fees tncurred{n the investigatlon and dejense oj
such claimJ, which may 6e made by any person, ing the un ersigned,and ji�ed against the City ojFederal Way,but only where such claim
arises out of the reiiance oJ the city,inc dtn ts ofjicers and mploy¢es,upon the accwacy oj the lnfor►natlon suppIted to the city as a part oj �
this application.
I
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NAME/TITLE DATE
� (TiUe) ' �
RELATIONSHIP PR JE o Owner ❑ Agent o Contractor o Architect ❑ Other '
o NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT. •
BUILDING SHELL ONLY? o YE3 o NO BASIC PLAN? o YE3 o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRE39 REQUIRED? o YE3 o NO UP/3EPA/SUP o YE3 o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin�1100—January 1,2007 Page 2 of 4 k�Handouts�Permit Appl�ication .