16-105437 • r
Plumbing
City at Federal Way Permit #:16-105437-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: 99 CAFE
Project Address: 27400 PACIFIC HWY S Parcel Number:872992 0010
Project Description: Install(1)hand sink
Owner Applicant Contractor
SHAWN KU099 CAFE SHAWN KU099 CAFE OWNER IS CONTRACTOR
27400 PACIFIC HWY S 27400 PACIFIC HWY S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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Drains 1 Sinks I
PERMIT EXPIRES Saturday,13 May,2017
Permit Issued on Monday,November 14,2016
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 -ccordance with the laws, rules and regulations of the State of
W- • gton and City s Federal Way.
Owner or ag41 /or LDate: /I(A-16V
�ie‘ck,
THIS CARD IS TOMAIN ON-SITE
Federal Wayr or
IA)" Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105437 00 Address: 27400 PACIFIC HWY S Suite A
Project: SHAWN KUO 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 Plumbing Groundwork(4190) El Rough Plumbing(4230) 0 Final-Plumbing(4075)
Approved to cover Approved Approved
By Date By Date •�By j yJ Date \, 16( Z(R.
Rough Electrical 0 Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
411/4.
•
PERMITPPLICAION
CITY OF sr��
Fede �I Way PERMIT CENTER+ 33325 8�Avenue South G18003-6325
253 835 2607 + FAX 253 835 2609 +per1a
mitcente acityoffederalway.com
O �¢�J NOV 14 2416
PERMIT NUMBER 7--
_ l V �� C ®F FEDERAL WAY
TARGET DATE CDS
SITE ADDRE1SS P j� /1 21D SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSO�TAX/PARC#
$ e 0 0 0 0 1 d
TYPE OF PERMIT ❑ BUILDING' LUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ,-
PROJECT DESCRIPTION /�C f�1
�At b�i S- r✓v p L�
Detailed description of work to N Oel S`I Sf (�
be included on this permit only
NAME PRIMARY PHONE
l�aw� `L�� 05 ��3 3a l
PROPERTY OWNER MAILING ADDRESS 9 r•�I 2--4- 1 QQ h �4- (J f E-MAIL f�u-0 !
oLg6-2_ IC.- s, �/ i„(�(OP
CITY STKen' ?A ZIP PI 10 3
NAME PHONE
D/A✓r‘re
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITYSTATE ZIP FAX
-- NAME 3 IGZ.,V�Af 1� PRIMARY PHONE /,
PROJECT CONTACT 5O 3 'TS-3 `�' 3 '
(The individual to receive and MAILINGRES`s/ ¢ E-MAIL
respond to all correspondence �� 27 l h pt 86 -2_k; y��d o r�`1.1
concerning this application) CITYY� / $TA_TFj� ZIP ^ D FAX
IN�j 'Cf 5 I
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 1927 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
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 p• his application.
SIGNATURE S���+ DATE /`//��7 - NU (
V
PRINT NAME: c) At,G✓"j / (-4-'
Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
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(car)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ (le".)
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS x1THR.R(rlacrrihe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS V SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
1 GENERAL INFORMATION 1
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
I $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
R ESIDENTIAL - NFW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
................................................................................................................................................................................................
BASEMENT
FIRST FLOOR(or Mobile Home)
1 SECOND FLOOR
. COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
.........................................................................................................................................................................._...................
OTHER(describe)
...............................................................................................................................................................................................
EXISTING PROPOSED TOTAL
Area Totals
**1VEW HOMES ONLY** I I
ESTIMATED SELLING PRICE$ 1 # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square FeetType Stories
TOTAL BUILDING 530 d
TENANT AREA ONLY ('7 O D S I;l(.--1(L Fk
PROJECT AREA ONLY )-5 3LL t'f e- k 170-A-"vh fiNr-
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application