06-105779 City of Federal Way
Community Development Services Plumbing Permit #: 06-105779-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)635-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: NRGIZE LIFESTYLE CAFE
Project Address: 35009 ENCHANTED PKWY S Parcel Number: 185295 0010
Project Description: Installation of plumbing fixtures in juice bar
Owner Applicant Contractor
OPUS NORTHWEST LLC JUNG&CO INC JUNG&CO INC
OPUS NORTHWEST LLC 523 PINE ST SUITE 704 JUNGCC1943K6(5/26/08)
915 118TH AVE SE SUITE 300 SEATTLE WA 98101 523 PINE ST SUITE 704
BELLEVUE WA 98005 SEATTLE WA 98101
Plumbing Fixtures
Other Plumbing Fixtures 2 Sinks 2
CONDITIONS:
1.subject to field inspection
PERMIT EXPIRES Friday, November 7, 2008
Permit Issued on Wednesday, November 8, 2006
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: c//� a Date: kA �� 6
THIS CARD IS TO REMAIN ON-SITE
CITY OF Communit y Development Inspection Record
'° '—��° n
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105779-00-PL
Owner: OPUS NORTHWEST LLC
Address: 35009 ENCHANTED PKWY S
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 By Date By Date
�❑ Final-Plumbing(4075)
Approved
By :: (Ai Date (., 6l . V' fe,
• CITY Of 779 .
FederalG� PERMIT SF MF ME E*BE EN FP
COMMUNITY DEVELOPMENT SERVICES 0 2006
33325 FEDERAL WAY,WA 9806O.7�jl)V71t. ,r, p p L I C AT I O T°
. 253835-2607•FAX 253-83 609 PrP�.
www.ahrol(ederalway.`v.Q --•NG I ?' ,
The following C9,te� Cinformation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
1.1 PROPERTY INFFORMATION
p
SITE ADDRESS 3 goo _( y4. t 0
Pa( way ak SUITE/UNIT #
ASSESSOR'S TAX/PARCEL# - —1 — LOT SIZE is])
• LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal descnption)
f ..
• IN PROJECT INFORMATION •
TYPE OF PERMIT C BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
Pfov;$e ytet,J e- v< wii2 .V /,,-E4t; Zt-kS re �45� - PGeckr►c0.11 :
• . — I r,A / .ter d.
WI fi,
PROJECT NAME(Name of Business or Owner Last Name) k • ..'.,3 a. 'e'
•
El PEOPLE INFORMATION
PRIMARY PHONE
PROPERTY NAME A VA- y G (
` OWNER L/T T (�'1rt�J5 _ CITY,STATE,-21P E-MAIL ADDRESS•
e MAILING ADDRESS •r{F CONTRACTOR COMPANY NAME _ APPLICANT NAME . OFFFICE PHONE
•
4. ( .t& ' y4 _T ! N 7 c- 6c-j
M -1 G A Dill V$ / CITY,STATE, � (312)735--
ELL PHONE
• •
i 2. / e k.➢� 4?O4 4[ 4 Rt .4 ApA T_bs 70
CEERAL WAY . E B A RP
B •
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS . •
COPY at eaM required
•
r(th�aeh�pplleetlon
APPLICANT COMPANY NAME •APPLICANT NAME OFFICE PHONE
. ( ) . ,,
•
MAILING ADDRESS • - CITY,STATE,ZIP - • CELL PHONE
• RELATIONSHIP TO PROJECT • • FAX NUMBER •
I ❑ Architect 0 Tenant 0 Agent ❑ Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT . . � .
LENDER NAME Per RCW 19.27.095: .
Lender information is required if project value exceeds$5,000
• MAILING ADDRESS CITY,STATE,ZIP PHONE
■ DETAILED BUILDING INFORMATION
•
EXISTING USE PROPOSED USE '
EXISTING ASSESSED/APPRAISED VALUE $ • •VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑:YES a NO •
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC( .
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
s
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST /
SECOND
THIRD I 6 / '/ O �424---
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
"NEW HOMES ONLY** NUMBER OF BEDROOMS _ ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical-Work $ D '--- (A COPY OF BID-OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS.. , FIREPLACE INSERTS HOODS poramereiai)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS feaShIoom Sinks) .. URINALS MISC(Describe) I
DISHWASHERS RAINWATER SYST VACUUM BREAKERS {
DRINKING FOUNTAINS / SHOWERS WATER CLOSETS trano j
ELECTRIC WATER HEATERS V SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 a part of
this application. I /q
NAME/TITLE / // iii( cZe. DATE [ /erg/ 3
"(SI. at.re) /� - (Tine)
RELATIONSHIP TO PROJECT ❑ 0 CI Agent kcntractor C Architect ❑ Othet
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED?. ❑YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
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Bulletin#100—January I,2006 Page 2 of 4 k\Handouts'Permit Application