04-100835 City of Federal Way
Conmim1s'.Wat0yDevelopmenty 5 Services Plumbing Permit #:04 - 100835 - 00 - PL
33530
Federal Way,WA 98003-6210
Pln 253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: DESERET INDUSTRIES
Project Address: 2200 S 320TH Parcel Number: 242320 0050
Project Description: Installation of new plumbing fixtures
Owner Applicant Contractor
WENDYS INTERNATIONAL INC LDG ARCHITECT DCG II,LLC*LEN WILLIAMS*
4288 W DUBLIN GRANVILLE R 1319 DEXTER AVE N.#260 10618 SE KENT-KANGLEY RD SUITE 104
DUBLIN OH
KENT WA 98031
43017-1442 \SEATTLE WA 98109 (253)852-6400
Plumbing Fixtures
Description Quantityl p Description Quantity] Description
Drains — p_ P Quantity
3 Drinking Fountains �� 2 f Laundry Washer Outlets 2
Lavatories --6 Sinks � —I—
Urinals - 2
Water Closets 1 6 ! Water Heaters - 1 ��
PERMIT EXPIRES September 6,2004.
Permit issued on March 10,2004
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 .gent: A ` _` _ Date: • /j 0/47;
S 1/1.4 CP t WV(L . ÷ ✓coc-t...5k h 0 (4 3 — I /— 0 A/Gc....\.J
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COMMUNITY DEVELOPMENT SERVICES•
/,�■ 33530 FIRST WAY SOfJl}I.1!O BOX 9718
CITY Oi RECEIVED FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 253-661,115•FAX:257661,129
100. nhm,[fsfrrahoa9.enm
1 11 -
-'7- j — '3 �- i`� TD: •
For o�«Use Dotyy File Number: / /
. CITY p�u�'1 I-EDERAL WAY
The ol[owin•YS•/V. 11.°.L. -. ' ation-art(nco .lete a-.[ieation will not be acceeted. Please •rintle•ibl (in ink)or •e.
• PROPERTY INFORMATION -
SITE ADDRESS: v2-t1C 5 gaQ SUITE/APT#
ASSESSOR'S TAX/PARCEL#: c2. y .2 b - Cr O 51, SQUARE FOOTAGE OF LOT: l
LEGAL DESCRIPTION (e.g.:Acme Estates, Lot 1) tbv 4. , / /•+'►• - �ei�` 2././a"-0
(Attach separate page for lengthy legal description)
. • PROJECT INFORMATION -
TYPE OF PERMIT(This application): ❑ BUILDING :`�PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL✓❑ENGINEERING 0 FIRE PREVENTION SYSTEM -
PROJECT DESCRIPTION (Pr 'de detailed description of work included on this permit mitt):
n/ 6;07, fJ✓ Pe ,1.�,-r - 624/-/e70i/y- a (
PROJECT NAME(Name of Business/Owner Last Name): .,D•,e-S_e_fe- TYId a '' 7 < s
• --PEOPLE INFORMATION • .
•
PROPERTY NAME: _ PRIMARY PHONE: /
•
OWNER QG _J_.1—6j t:. '3) -5 -IO YDO
MAILING ADDRESS:... .1ST ADDRESS;): CITY,STATE.ZIP
I /t' /g- SE Kei,- - K.ta�iyRa. S.evcc kJ" 1S-0 3 0
CONTRACTOR NAME COMPANY OFFICE PHONE:
QcU.vGy ( ) -
MAILING ADDRESS(STREET ADDRESS;: CITY,STATE,ZIP CELL PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
_ _ _ / ( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) / /
LENDER NAME: DAYTIME PHONE:
(I[Proposed Value>55.000) ( )
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP
APPLICANT: NAME: CEO r+PANY Prop. OFFICE PHONE:
4.2, A+-L S :54/"1./e-t.,T 42253 ) I-5z - 6 1100
MAILING ADDRESS(BYRE T ADDRESS): CITY,STATE,ZIP EVENING PHONE:
C06,/r Se- A cn-r-k 9/2961 °k1 Kch t t.t..),4 ,,o 3o ( ) -
-
RELATIONSHIPTOPROJECT: FAX NUMBER
❑ Architect ❑ Tenant /Other(Describe). ®GU/�l/ bj?CS ) 'f2. - Py53
[CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor Applicant E-MA.1 DR
• DETAILED BUILDING INFORMATION v �_ .
•
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER I7 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGILLINE ❑ PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST .
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING - 'TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
••NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Wor}.: $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commere4 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
__COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
Fat//- f•di
BATHTUBS(0. combo) SHOWERS - WATER CLOSETS rros,c MISC(Describe)
DISHWASHERS bVir I SINKS • DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
a. WASHING MAC]I:NES o1 URINALS HOSE BIBBS
LAYS(eammom s VACUUM BREAKERS 1 ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
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 he City • deral Way, but only where such claim arises out of the reliance of the city,
including its officers and • oyees, he accuracy of the information supplied to the city as a part of this application.
ti
f
NAME/TI L • _ - �� i DATE: ° e�
(Sig ) ,{ (Title}
RELATIONSHIP TO PROJ ❑ Property Owner Applicant ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION 0REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS,REQUIRED) a YES a NO UP/SEPA/SU? D YES a NO
LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
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