07-101790r
,
City of Federal Way PlumbinQ b Perm #: 07- 101790 -00 -PL
Community Development Services
P.O. Box 9718 13 R'
Federal Way, WA 98063 -9718 a r
Ph: (253) 835 -2607 Fax: (253) 835 -2609 ' "' €; l' Inspection Request Line: (253) 835 -3050
Project Name: THAI BISTRO
Project Address: 34817 ENCHANTED PKWY S Suite K102 Parcel Number: 185295 0110
Project Description: Installation of Plumbing TI for new restaurant.
Owner
Applicant
Contractor
OPUS NORTHWEST LLC
WEST COAST PROPERTY MAINT
WEST COAST PROPERTY MAINT
OPUS NORTHWEST LLC
12518 NE 163RD ST
WESTCPM027PO 9/28/08
915 118TH AVE SE SUITE 300
WOODINVILLE WA 98072
12518 NE 163RD ST
BELLEVUE WA 98005
WOODINVILLE WA 98072
Plumbing Fixtures
Dishwashers .... ............................... 1 Lavatories........ ............................... 3 Other Plumbing Fixtures................ 9
Sinks............... ............................... 6 Urinals............. ............................... 2 Water Closets.. ............................... 3
Owner or ag
PEtl�IT EXPIRES Friday, April 3, 2009
Permit Issued on Wednesday, April 4, 2007
- THIS CARD IS TO MAIN ON -SITS
CITY OF tommunity Develo m nt Inspection"
Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101790 -00 -PL
Owner: OPUS NORTHWEST LLC
Address: 34817 ENCHANTED PKWY S Suite K102
FEDERAL WAY, WA 98003
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 �4 Byer Date t,._ _� By Date
❑ Final - Plumbing (4075)
Approved
By G Date &. Z, —
.. Federal Way REcE — _7
PERMIT
COMMUNITY DEVELOPMENT SERVICES 2007 SF MF CO ME EL PL DE EN FP
333251*" AVENUE SOUTH • PO BOX 4718 APR
A P L I C A T I O N TD
FEDERAL WAY, WA 98063 -9718
.253- 835 -2607• FAX 253. 835.2609
unatu.dltmffedern �
iwatt.cum y OF FEDERAL W Y
i
uiwm a p @PT,
The following is require information -an incomplete application will not be accepted. Please print legibly (in iniq or type.
1 ,/ PROPERTY •- •
r�
SITE ADDRESS �'l `I' Y 7 &N C�141i % SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 1 Z � - 0 LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AttaM separate pagefw lorwft! agar dwcni ion!
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 02--PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Owner Last Namel - (�� (/Zp rz,�A"e✓ /`
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
COPY of Cvd required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
. '%%z-(- , 11'1 1qlLK
PRIMARY PHONE
( )
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
N, (6
CITY, STATE, ZIP
IVd,P $>,A/V/4" 1.-h Ib'�
CELL PHONE
to 3'i3 -yI0--gz
COMPANY NAME
a✓'� ST 6
z-r
APPLICANT NAME
. w Al
OFFICE PHONE
(Y-40 V're -6 -,Y
MAILING ADDRESS
l Z 37i
N, (6
CITY, STATE, ZIP
IVd,P $>,A/V/4" 1.-h Ib'�
CELL PHONE
to 3'i3 -yI0--gz
CITY OF FEDERAL WAY
BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
4/az_ ST c/4-1
49 -1 0
COMPANY NAME
W 4:Z ca A
APPLICANT NAME /
OFFICE PHONE
MAILING ADDRESS
f ! A1&- t63
CITY, STATE, ZIP
J ,,P „/He-ZG w,4 I o'7
CELL PHONE
310-19/0-0
RELATIONSHIPTO PROJECT
❑ Architect ❑Tenant ❑Agent ❑Other
66 ON—
FAX NUMBER
NAME PRIMARY PHONE E MAILADDRESS
( - _77_ 1
NAME
Per RCW 19.27.095:
Lender Wormation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? O YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
• HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE (SEPTIC)
233
AREA DESCRIPUOX
EXISTING
3 : FT.
PROPOSED
S . FT.
T
so. FT.
BASEMENT
AIR 11NDLING NITS
EVAPORATIVE CUOLER�
FANS, I
OAS PIKE OUTLETS
GAS WATER HEARS
FIRST
BBQS\
BOILER
FIREPLAC ER TS
HOODS (csn ail
m
SECOND
COMPRE930RS
FURNACES
RANGES
THIRD
DUC .
GAS LOG SETS
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
SINKS
WASHING MACHINES
! i
"l
DECK (❑ COVERED OR O UNCOVERED ?)
SUMPS
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
EWSTIDO
PROPOSED
TOTAL
TOTAL AXISMO BY
TOTAL PROPOSED 8r
TOTAL Sr
" "NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudure to be installed or relocated as. part of this project. Do not include existing fixtures to remain.
'e-6h anical Wor� $ (A COPY OF BID OR F�STIMATE MUST BE INCLUDED WITH APP47CATION)
o ALTERATION
o REPAIR a TENANT IMPROVEMENT.
PLUMBING
�
AIR 11NDLING NITS
EVAPORATIVE CUOLER�
FANS, I
OAS PIKE OUTLETS
GAS WATER HEARS
WOQOSTOV�IS
\_ *C (Describe)
BBQS\
BOILER
FIREPLAC ER TS
HOODS (csn ail
m
DISHWASHERS
COMPRE930RS
FURNACES
RANGES
DRINKING FOUNTAINS
DUC .
GAS LOG SETS
REFRIG. SYSTEMS
ELECTRIC WATER HEATERS
I cerWy under penalty of perjury that the Wormation 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 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 flied against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon th'e accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE � /-S- V& U/L l N ,Ty
(Signature(
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent teContractor
Q4✓N&7Z-- DATE N a 1
❑ Architect
❑ Other.
o NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT.
PLUMBING
�
o YES a NO
2
BASIC PLAN? o YES
BATHTUBS (.ero /shuwercomtw)
LAVS (BathmmSinks)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
�.
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (toueq
PLATTED LOT?
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
! i
"l
HOSE BIBBS
SUMPS
I cerWy under penalty of perjury that the Wormation 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 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 flied against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon th'e accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE � /-S- V& U/L l N ,Ty
(Signature(
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent teContractor
Q4✓N&7Z-- DATE N a 1
❑ Architect
❑ Other.
o NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES a NO
BASIC PLAN? o YES
o NO
ZONING DESIGNATION
CHANGE OF USE? a YES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU? a YES
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED? _ o YES
o NO
Bulletin #100 —January 1, 2007 Page 2 of 4 MilandoutAPermit Application .