05-100279City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835-7000 Fax: (253) 835-2609
t
Plumbing Permit #:
05 - 100279 - 00 - PL
Inspection request line: (253) 835 -3050
Project Name: MEAT FOR THE SOUL
Project Address: 34024 HOYT SW SuiteF Parcel Number: 308900 0320
Project Description: Plumbing groundwork for (6) sinks, (1) floor sink, (1) hub drain, and (1) backflow prevention system for
. beverage machine.
Owner
Applicant
Contractor
HOTIE TOYTIE, LLC C/O NICHOLSON INVE
D &M PLUMBING INC
D &M PLUMBING INC
2333 CARILLON PT
D &M PLUMBING INC
D &M PLUMBING INC
KIRKLAND WA
3211 CENTER ST
3211 CENTER ST
98033 -7353
TACOMA WA 98409
(253) 627 -3300
Plumbing Fixtures
Description
Quantity
Description
Quanti
Description�Quanti
Lavatories
Z�
Other Plumbing Fixtures
1
Sinks
4�
PERMIT EXPIRES July 20, 2005.
Owner or agent: Date:
1111y-
'THIS CARD IS TO 'MAIN,ON -SITE
P P
m nt
CITY of Community Develo Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 900279 -00 -PL
Owner: BRENT NICHOLSON
Address: 34024 HOYT RD SW Suite F
FEDERAL WAY, WA 98023
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 It. P 4V, By Date 2- -22 - 4�— Dat
❑ Final - Plumbing (4075)
Approved
By Date .—/
My Of
Federal WayR E,CIE I V 17-0
PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 ET" AVENUE SOUTH • Po 71B
APPLICATION FEDERAL WAY, WA 98063- 9
253 X 53-8 2 "
mmu).cilyof ederahaau.cam
The following is rgg*erg* irf n"pation - an incomplete application will not be accepted. Please print legibly (in ink) or tune.
SITE ADDRESS _3q H YT Rlb, �i L,Ij , ��EPAC 4E 4y SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ - LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A(m h uparafe page jar I-Why legal d —iPti—)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
.aGterr��3 //Ul G ROUNU Lr7�Jao1� i2
.14 9' 6Z&A- 4' e"
PROJECT NAME (Name of Business or Owner Last Name) 1!5A7- TNc S oye-
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
W3 ) 9,4.7
MAILING ADDRESS CITY, STATE, ZIP
Qb NOR01A .R D, Ai, E
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
P 4 M 00"HUCIAL Pc&. i wd ,
e�'le4 R
( .753) `a 7 - 33 on
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
11 06rJTE, T
ThMNA, ,9,
-64 7 S�-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
-_ -_ -
( ) -
_ _ _ _ _ _ _ _ B
L
CONTRACTOR S REGISTRATION NUMBER (copy of cud required with each application)
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
NAME — PRIMARY PHONE - E- IL ADDRESS
perRGie
I� $7x095CRndeririforma[ ton is
NAME
pest value exceeds X5,000
�,��.�`�regiuTd��ff
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING USE C,w ? � � r, L ` PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES O NO
WATER SERVICE PROVIDER �(LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER �'LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC(
j
t
AREA DESCRIPTION
EXISTING S . FT.
PRO D S . FT.
TOTAL
BASEMENT
FIRST
SECOND
o YES o NO
BASIC PLAN? o YES
o NO
ZONWG DESIGNATION
CHANGE OF USE? o YES
o NO
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
o YES o NO
UP /SEPA /SU ?: a YES
a NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
o NO
DECK (COVERED ?)
GARAGE /CARPORT
HOW MANY FLOORS?
TOTAL E}DSTMG
TOTAL PROPOSED
TOTAL tX1STDtG ARD PROPOSED
r. 1— ! t- LlT TlT7(1llTAC ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
BATHTUBS tar Tub /Shoes <rcombol SHOWERS
DISHWASHERS SINKS
GAS PIPE OUTLETS SUMPS
WASHING MACHINES URINALS
LAVS tBathroom sinks] VACUUM BREAKERS
project. Do not include existing fixtures to remain.
GAS LOGS REFRIG. SYSTEMS
HOODS tco— rcixll WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS goa<q / MISC (Describe)
DRINKING FOUNTAINS \.iY �►• " '
RAINWATER SYST
HOSE BIBBS �
ELECTRIC WATER HEATERS
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 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 of Federal Way, 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 apart of
this application.
NAME /TITLE DATE
- 4—lsi-gna4turc) r (title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ( V Contractor ❑ Architect ❑ Other
a NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN? o YES
o NO
ZONWG DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU ?: a YES
a NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
o NO
a
Bulletin #100 — March 30, 2004 — Page 2 of 4
k \Handouts — Revised\Pertnit Application