11-104393Cr -if Federal Way
Com levelopment Services
z,, 9718
Federal Way,UA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: JOE'S DINER
Project Address: 1230 S 336TH ST Unit C
Project Description: Plumbing work for tenant improvements.
Plumbing
Perlit #: 11- 104393- ,p0 -PL
Inspection Request Line: (253) 835x3050
Parcel Number: 926503 0050
Own r
Applicant
Contractor
HASSEN PROPERTIES INC
S A CONSTRUCTION
S A CONSTRUCTION
3727 S 194TH ST
16 CASCADE KEY
SACONC *894K5 (5125(13)
SEATTLE WA 98188 -5360
BELLEVUE WA 98006
16 CASCADE KEY
BELLEWE WA 98006
Dishwashers .... ............................... 1 Drains.............. ............................... 3 Lavatories........ ............................... 2
Sinks ................ ............................... 2 Water Closets.. ............................... 2
PERMIT EXPIRES Saturday, April 28, 2012
Permit Issued on Monday, October 31, 2011
I hereby certify that the above information is correct and that the construction on the above described property 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.
Owner or agent: ! Date: /C
P/14 �
r /i %2
THIS CARD IS TO REMAIN ON -SUE
C1ri (.s Construction Ir ection Record
FeC�ef"al"Way INSPECTION REQU TS: (253) 835 -3050
PERMIT 4:
11- 104393 -00 -PL
Address: 1230 S 336TH ST Unit C
Project: HASSEN PROPERTIES INC FEDERAL WAY, WA 98003
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.
0 Final - Plumbing (4075)
Approved
B Date _ G
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Dat
By
Date �Z %//
By
Date
0 Final - Plumbing (4075)
Approved
B Date _ G
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253- 835 -2607• FAX 253 -835 -2609
Ry,La.—. rikrayoff-,teratwrzu. cv_nn
--- j- - -L a --�( 3 -?- 3
jgPERMIT I&MF CO ME PL DE EN FP
APPLICATIOR VED TG�S -rr-�
OCT 3 1� ';
SITE ADDRESS
-3Z ' 5� CI OF FEDERAL W
SUITE /UNITN
C.
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL M uub
3� 'irt'
y� �• .. >" c 3_ c L
TYPE OF PERMIT
❑ BUILDING ' PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
PROJECT DESCRIPTION
R f Y`4i
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
_ As D C'
PRIMARY PHONE
MAILING ADDRESS 3 j,
,37-1;7
E -MAIL
CITY ! � �
STATE
Y
ZIP
NAME _
PHONE
MAILING ADDRESS
/ 4{ C
E-MAIL
CONTRACTOR
CITY
�f F V"
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 0
NAME 5A4 e
PHONE
MAILING APDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAME
PHONE _
MAILING AD§DRESS
/- � S` 'itC
E-MAIL
1
A . 'Yf t�5 r � dblar C�
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of.$5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCIV 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
at applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 a part of this application.
SIGNATURE: /G�`�� DATE
PRINT NAME: ) A/
Bulletin #100 — January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or7ub /Shower Combo) +Z LAVS (Hand sinks) -. TOILETS WATER PIPING
/ DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 4- SINKS (Kitchen /uwitA �_ WATER HEATERS (Electric) +dS
HOSE BIBBS SUMPS WASHING MACHINES 3