02-104811 City of Federal Way Plumbing Permit #:02 - 104811 - 00 - PL
Cormnunity Development Services
33530 lst Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: FEDERAL WAY ORTHOPEDIC ASSOCIATION
Project Address: 34709 9TH S SUITEB500 Parcel Number: 926480 0015
Project Description: pLUMB-Insta112 sinks in office space.
Owner Applicant Contractor
Steve Willard RAY'S PLUMBING&HEATING RAY'S PLUMBING&HEATING
2000 124TH AVE NE#B-100 PO BOX 2272 PO BOX 2272
BELLEWE WA REDMOND WA 98073 REDMOND WA 98073
98005-2 1 1 7 (425)868-2032
Plumbing Fixtures
"�.,��.��F.Descriptiion ;. . Qu;�r�� M" =���--�-y=aescr�ptr�n;;;` . r..,,��4tianti Descri tion ,.k::��"�' Quaritit ;
Sinks � 2�
PERMIT EXPIRES April 28,2003,IF NO WORK IS STARTED.
Pernut issued on October 30,2002
I hereby certify that the above information is correct and that the construction on the above described propLrty 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. '
l
Owner or agent:� Date: �U P 0 Z
,Sl l� � ��1� +N , � 5 Ti �
���y
h pl��, b �
���� �� ��
�nu
� ���
mb co� ���"�
�
o �
�I J
� .
,.
. �%� �
���
�
. �
�;� �- r;ECE1VED CONSTRI,�.�ION PERMIT APPLICATION
v� ��- PPLICA7ION NUMBER: D�- - � � �j� ( - UO
QCT 3 O ZOQZ PPLICATION NUMBER: - - - - -
PPLICATION NUMBER: - -
CITY OF FEDERAL WA� - - - - - - - - - -
� **The fo11�jN��y�dTinformation-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
i
i - • • • � •
� SITE ADDRESS: ,�� C � � / �� ��'/G'(� AS�OR'�/PARCEL#: �� (p T-�Q - O Q��
I
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
�
l
i
� • • • •
� . .
TYPE OF RROJECT(This application): ❑ BUILDING L�"PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
, PROJECT DESCRIPTION (Provide detailed description): c9-C./�t Xl � G' � �f'�� ���_�p(��'
���1 -
PROJECT NAME: W��'�l lj?��'O P��L L �yG!�'7ZUh/
• • • • •
PROPERTY OWNER• NAME: � �AYfIME PHONE:
� �� G j -
MAIIING ADDRE55(SIRE ADDRESS;QTY,STATE,IIP):
P� Z � � 8
CONTRACTOR' NAME: n �� � � (��)�
� �� ' l.�a.. ' l G� Zo3
MAI G ADD SS(SIREEf ADDRE55;CIfY,S7ATE,Z : EVENING PHONE:
� . 2 2 7 Z �r W/1 �'rt�`i ( ) -
QfY OF FEOERAL WAY B INE55 LICENSE NUMBER: FAX NUMBER:
- - - - - - - - - - <<f�-S) ' ?
CONTRACTOR'S REGISTRATION NUMBER: *` IXPIRATION DATE:
(�APY o(ord require� � � / ...� / ��� � V � v � ZZ � Q�
APPLICANT: N�E� t , DAYTIME PHONE:
� -�' (Y�S) �"C� 2 0 7
MAIUNG ADDRE (STREET ADDRESS; ATE,ZIP- /� EVENING PHONE:
�� Z-Z'� 'Z �eo�i � �'�/�.� � ) '
RElATI0N5HIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ��� g'��-��
,_,,/ E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ILi CONTRACTOR
. . : . • • •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION �
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: �
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED•O YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRNATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGNLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIALCONSTRUCTION Y** ,
NUMBER OF E3EDROOMS: ESTIMATED SELLING PRICE: $
• • . • -
FLOOR EXISTING S .FT. PROPOSED S .FT. TOTAL
BASEMEN7 i
1
FIRST
1
SECOND
I
THIRD
i
�
FOURTH �
OTHER FLOORS(DESCRIBE) �
DECK �
GARAGE �
HOW MANY FLOORS? I
TOTAL• '
�
Indicate number of each type of fixture '
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) � SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
. •
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
furtf�e�agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its o�cers and employees,upon the accurecy
of tfie information sup ied to city as a part of tfiis application.
NAME/TITLE: � DATE: ( � 7 v/��—
❑ PROPERTY OWNE ❑ APPLI NT Ct12rONTRACTOR
, _. ..
:�FOR;OFFICE USE"ONLY =::
_... __._.._
�NE1A(������UDI IONt'�„�,Q ALTERATlON i��"`�;.�REPAIR�:=�D's.TENANT.IMPROVEMENT�.���_
_ _ -
`�'(:ENS.US�CODE:�... � � '�-� ���.. '�LOT}SIZE.�. .� `���.�'.�`����`����� _.�-���.�
�OI�Y�G'�`��ESIGNA'f�ON��,���-�-�,��=„E�BUILD�NG SHELl ONLY?'���:1fES �,� NO�''�;- _���°
'�'� ���� '
��... - - -
a.-m �. ___
�COM��DESIGNATIO_�:..�. ����`,��_'�`4.." ��C�LAN?���„��1f�„�5����T'�O�- .�����
E�CTic,�. � . '
� �_x�.,_'TOWNSHIP�.�,6��RANGE.:T.;,�,�: ,NEW�AUp�REQU,IRED?�,� �,D�(ES�`�O IVO���-;
< —_-_� �,.:_ `„ � �= ,�; .,, _rm r.�>v ,� � �. s
dP1ATTED LOT? �._D�(ES .b NO ;- . _:: ._� �CHANGE bF:USE?„ ;, �gYES =L�,.N,O,: . � �v��t-'
OOMMUNIiY DEVELOPMENT$ERVICE$•33530 FIRST WAY SOUTN•PO BOX 9718•FEOERAL WAY,WA 98063-9718•253�61-4000•FAX:253{i61-4129
www.dNof federa I way.mm