09-100189 City of Federal Way • • PIUYI,<(�
Community Development Services Permit #: 09-100189-00-i .
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: YRV LLC
Project Address: 34303 PACIFIC HWY S Parcel Number: 202104 9068
Project Description: Installation of 4" sanitary drain below grade, constructed from inside to outside for future
Coffee stand.
Owner ADDlicant Contractor
YRV LLC LANGFORD PLUMBING INC LANGFORD PLUMBING INC
1830 MARION ST 21004 NE 115TH ST LANGFPI044R8(12/28/10)
ENUMCLAW WA 98022-3109 REDMOND WA 98053 21004 NE 1 15TH ST
REDMOND WA 98053
1 - (tea_ ..}y is xs..-. - i ii.. 3
* . �` Plumbing �i>ifures ".4 i N
Drains t
PERMIT EXPIRES Tuesday, July 14, 2009
Permit Issued on Thursday, January 15, 2009
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: ✓ L4yti.i. LiGC ', Date:
FINA-141> 2-Mho
—'— • Pluibing
City oevelopm ntS permit #: 09-100189-00-PL
Community Development Services
P.O.Box 9718
Federal Way.WA 98063-9716
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: YRV LLC
Project Address: 34233 PACIFIC HWY S Parcel Number: 202104 9068
Project Description: Installation of 4" sanitary drain below grade,constructed from inside to outside for future
Coffee stand.
Owner ADDlicant Contractor
YRV LLC LANGFORD PLUMBING INC LANGFORD PLUMBING INC
1830 MARION ST 21004 NE 115TH ST LANGFPI044R8(12/28/10)
ENUMCLAW WA 98022-3109 REDMOND WA 98053 21004 NE 115TH ST
REDMOND WA 98053
•
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Drains 1
PERMIT EXPIRES Tuesday, July 14, 2009
Permit Issued on Thursday, January 15, 2009
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: //i %/ `7
.*Ilk THIS CARD IS TO RMAIN ON-SITE .
CITY OF Pommunity Developmfflt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100189-00-PL
Owner: YRV LLC
Address: 34233 PACIFIC HWY S
FEDERAL WAY, WA 98003-6815
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) El Rough Plumbing(4230) D Gas Piping(4125)
Approved to cover Approved Approved to release test
By 1Car-� Date — ��;� • By Date By Date
0 Final-Plumbing(4075)
Approved
By Date
•
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
, - • THIS CARD IS TO R AIN ON-SITE
4.CITY OF Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 09-100189-00-PL Address: 34303 PACIFIC HWY S
Owner: YRV LLC FEDERAL WAY, WA 98003-6815
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 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved f
By A' Date z7.? 7.29/p
El .ID Electrical .� Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ci O Q a Feerai Wa ZECEIP ERMIT
SFMFCOMEEZ)DEENFP
COMMUNITY DEVELOPMENT SERVICES
33325 AVENUE SOUTH•PO BOX 9718 p p L I C AT I O N
FEDERAL WAY,WA 98063-9718 m -_
253.835-2607•FAX 253-835-2609 JAN 1 5 2(
www.aiuotrederalwau-cram
The foilowireiNiella i ee&tEMAtae p ipiete application will not be accepted. Please print legibly(in ink)or type.
n • PROPERTY INFORMATION
SITE ADDRESS_ 3 Li�. 3 3 PCILi GI G ft LV y ,. SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL# ,2 O a- t O Ll - Cl O A ' LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(AVadi sepm¢te Pegs far lengthy Iege1 description)
IN PROJECT INFORMATION
!r
TYPE OF PERMIT ❑BUILDING Q PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlul
j%. g r_¢..i(d '-i" A l a n(lried--( 4 1,--2;v\ 1,1P V,w q-f,rvie. Pro-n1 )1+-e07O lr d-n F vrrr f- e-x(-ev,'o LC- r°41-
cul-cLAre lath. Sled 1n pa-rkivi . lo+-,
.PROJECT NAME(Name of Business or Owner Last Name) c f 2 I[ L-4--C
I PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
owNER ____ (I) 2 V LA-6 ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
3t-f233 Pczc s.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
l ,vl9,9 PO P Loam(9-i 1 c� rinc. (=v-ed LaAn E Fa vim( (14,v_51 e%-,=2_- 6361
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
9 UO 1-i NE /1I F` Si-. 2eddnor-261 W/9 (9O6 ) `/65 - 6 g 9O
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) .
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
L w6-1=Pr oyy2r /.:z,. .F/ /O
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
00r7 frac '& ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT — V 1_44-)6(15,/,d ( ; A) 'l65 - 6-1116
LENDER NAME Per RCW 19.27.095:
N., Lender information is required if prefect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VikLUE OF PROPOSED WORK $
SPRINKLERED BUILDING?,-, - ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) /�
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS ssrsrmo rxoroaso.- A' TOTAL-- , -Er ]or AL PROPOSED 5? TOTusr
"`NEW HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
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$ OPY 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 "FIREPLACEINSERTS HOODS)commeedoq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS)orTib/Shower Combo) LAVS(Bathroom Sinks) URINALS / MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS /J,_ /a' ' _1
DRINKING FOUNTAINS SHOWERS WATER CLOSETS awe) �X I5�( �
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
.,�. HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I ant 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 a part of this application.
SIGNATURE: /� /'t DATE `//5 /09
"-Property Owner and/or Authorized Agent
o NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application