16-101131 r ' ! P1umbir.g
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-101131 -00-PL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspectionq Request Line: (253) 835-3050
Project Name: KOHARU JAPANESE RESTAURANT
Project Address: 31840 PACIFIC HWY S Unit C Parcel Number: 092104 9221
Project Description: Replace existing grease trap
Owner Applicant Contractor
SEA-TAC CENTER ASSOCIATES RESCUE ROOTER RESCUE ROOTER
2101 4TH AVE UNIT 310 175-A ROY RD SW RESCUR*007Q7(1/1/18)
SEATTLE WA 98121-2317 PACIFIC WA 98047 175-A ROY RD SW
PACIFIC WA 98047
Plumbing Fixtures
Other Plumbing Fixtures 1
PERMIT EXPIRES Wednesday, August 31, 2016
Permit Issued on Friday, March 4, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: �-�iJvyLIAA-1.3).__ Date:
4
• THIS CARD IS TO IN ON-SITE •
CITY OF �� Construction InsDZktion Record -
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-101131-00-PL Address: 31840 PACIFIC HWY S Unit C
Project: SEA-TAC CENTER ASSOCIATES 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.
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)
A roved
By ) (,= Date 'j— (CEJ
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
r
' eivED
` .., PERM APPLICATION
CITY OF
Federal Way MAR 0 4 1016
IT( OF FEDERAL WAY P PERMIT NUMBER ) (.41 I_ 0 qDq 3 1 _ L '3/
�� /TARGET DATE
SITE ADDRESS SUITE/UNIT#
`c / S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
v el
Z € L. `j _ C1 ? Z- l
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
r4,1_47u, , Uv .e_UYs--c tr u--c 4 L. /4
PROJECT DESCRIPTION /
7
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
K� k ��� �� 5 ��. �a � . 6 Lf %y
PROPERTY OWNER MAILING ADDRESS,� `f E-MAIL
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CITY STATE ZIP r/
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NAMEPHONE
)2eSGL)-e.. oat,I, s-3 772 -G 7VT
MAILING ADDREESS E-MAIL
CONTRACTOR /25- /2 /'ef jQ cc.,CIT I STATE ZIPFAX
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WA4TATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Sci) L ` L/10 % ~1 / / /C) ,,�c' /L%6 4 Y—c;<<- L
PRIMARY PHONE
NAME
C�\\42Q( , LIL lvAl )50 i a--- <1y02
MAILING DRWS E-MAIL
APPLICANT 1J. j l�� c v ti /AA, ;
o5 i co
CITY c , STATE ZIP FAX�,.G
(4/114 9‘,0
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NAME / PRIMARY PHONE
PROJECT CONTACT K `� C (7 D IL as-y 3116 -0 i s
(The individual to receive and MA.7 ILING- S �j t2 E-MAIL
respond to all correspondence 5 �t `'�(
concerning this application) CITY7 ( I BTAT ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 Iocal, 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: \\)\-) \i v \ v V W DATE J V' (X
PRINT NAME: V e 1 V '1(‘/IL
Bulletin#100-February 22,2016 Page 1 of 2 k:AHandouts\Permit Application
III 01 . . . .
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(Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST .
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT (o r)c)
Indicate how many of each type of fvcture 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 )G- OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS 6-r,e..-1:4_
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric( A)lwC Pry
HOSE BIBBS SUMPS WASHING MACHINES / TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ tea ` __
EXISTING/PREVIOUS USE LOT SIZE)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
El Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION `ream Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Iletin#100—February 22,2016 Page 2 of 2 k:\llandouts\Permit Application