15-105397City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609 LE
Project Name: HWA JUNG
Project Address: 2200 S 320TH ST Unit B1 -111
Project Description: Install (1) air gap to the food prep sink
Plumbing
Permit #:-15- 105397 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 242320 0050
Owner
HWA JUNG
Au lig cant
HWA JUNG
Contractor
OWNER IS CONTRACTOR
2200 S 320TH ST UNIT B1 -111
2200 S 320TH ST UNIT B1 -111
FEDERAL WAY WA
• FEDERAL WAY WA
Plumbing Fixtures
Other Plumbing Fixtures ............... 1
PERMIT EXPIRES Tuesday, April 19, 2016
Permit Issued on Thursday, October 22, 2015
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: �y3 ��
�- (4��
CITY OF
Federal Way
PERMIT #:
15- 105397 -00 -PL
THIS CARD IS TO AIN ON -SITE -
Construction In ection Record
INSPECTION REQIIE TS: (253) 835 -3050
Address: 2200 S 320TH ST Unit B1 -111
Project: HWA JUNG 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
By Date
3—
Plumbing Groundwork (4 90)
Rough Plumbing (4230)
Final Electrical
Approved
as Piping (41 5)
1:1
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
0 Final - Plumbing (4075)
Approved
By Date
3—
Rough Electrical
Approved
El
Final Electrical
Approved
1:1
Right of Way'
Approved
By
Date
By
Date
By
Date
CITY OF S OREC PERM I1*APPLI CATION
Federal Way EI V ED
OCT 21 2015
PERMIT NUMBER _ I "Y�!tDJRA( (/V v TARGET DATE 22
SITE ADDRESS SUITE /UNIT #
— 2200 S 320TH ST FCbEj AL WAY, WA 88003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL #
z 5
$ Soo 00
y 4 3 _ o& a —
TYPE OF PERMIT
❑ BUILDING 14FLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Air Gap
= G� I' an Air t h r Sink.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
("k)
PHONE
(2532$2 -33
MAILING ADDRESS
T4 S7 4-
EMAIL
f1lISOkI A3 mail
CONTRACTOR
CITY
FELERAL W AY
STATE
W A
ZIP
X8003
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME O
PRIMARY PHONE
MAILING ADDRESS
3 s ' &2oTN s-T q 4
E-MAIL
APPLICANT
CITY
K oc -PIRL WAY
STATE
I(XIA
ZIP
Cl 800 3
FAX
RIMARY PHONE
PROJECT CONTACT
iGQ KiM
Z 28 1-333
MAILING ADDRESS
333 S 320 PT
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
FEt�E►ZAI, a
STATE
W
ZIP
A8003
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER - FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW ]9.27095)
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
all 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 apart of this application.
C� 10/12/115
SIGNATURE: DATE
PRINT NAME: M I J(' Kj ni
Bulletin # 100 —January 1, 2013 Page I of 3 k:\Handouts\Perfnit Application