08-105672 i • Plumbing
. Cvy of Federal Way Q
Community Development Services Permit #: 08-105672-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 ec
Ins tion Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
p q
Project.Name: SUBWAY
Project Address: 32225 PACIFIC HWY S SUITE 201 Parcel Number: 150050 0100
Project Description: plumbing fixtures
Owner Applicant Contractor
HARSCH INVESTMENTS PROPERTIES M ZAFAR IQBAL K D M CONTRACTORS
LLC SUBWAY KDMCOCL923BJ(1/11/2010)
13010 20TH ST NE SUITE 450 31830 PACIFIC HWY S 4010 PATRICK CT SE
BELLEVUE WA 98005 FEDERAL WAY WA OLYMPIA WA 98501
98023
fc ,t ,'a v Tlu nf,7- FixtU rw1'. .t
Other Plumbing Fixtures 1 Sinks 4
PERMIT EXPIRES Sunday, May 24, 2009
Permit Issued on Tuesday, November 25, 2008
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 accordlince with the laws, rules and regulations of the State of Washington
Owner or agent:
d the City of Federal Way.
Date: \ l .) r1
41k. • THIS CARD IS TO *MAIN ON-SITE
CITY of .,r<
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105672-00-PL
• Owner: HARSCH INVESTMENTS,PROPERTIES LLC
Address: 32225 PACIFIC HWY S SUITE 201
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.
0 Plumbing Groundwork(4190) 0 Rough.Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
_
0 Final-Plumbing(4075)
Approved
By 1-11-
Date ///470,1)
I
1
•
For inspector reference only__
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
1_5('
1L ,
_ )
FederalwayA. 1PERMIT
COMMUMTYDEVELOPMENTSERVICE p� 2 2�nQ SF MF CO ME E DE EN FP
33325 R WAY,
WAA771•PO L 971APPLICATION •I
FEDERAL 07Y,FAX
598063-9718.8 -260TD / /
253.8352607•FAX 253 835-2609 _
www.catioDederalwau.mm;-.ji". FEDERAL WAY
The following is requiredfmation an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS ."- 1...--)---)--- C ` \�Vv 1 5 . 1 L 1 SUITE/UNIT# .`)k..;
ASSESSOR'S TAX/PARCEL# - __ __ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF'PERMIT 0 BUILDING I PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
h 0' ' ----- ‘qTr-41)--/O 6--etic 4
PROJECT NAME(Name of Business or Owner Last Name) St,L,'at C
MI PEOPLE INFORMATION
PROPERTY NAME t^ Te kaki— PRIMARY PHONE
OWNER 0---Y� F"A IL_ C \�3� L I (l.a 3 )70- - J Z--
MAILING ADDRESS C ,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME s I P-1... APPLICANT NAME OFFICE PHONE
`Dov yI'l...C-144--- , ( ) _
L} D(. `-'� SECITY, T ,ZIP
CA.-_,. CELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXP[ TION DATE FAX
AX NUMBER
Ar -/ I
CONT• , -'8 REGISTRATION NUMBER ERP • TI• /DATE E-MAIL ADDRESS
A ad •.I ted CC `7 V G
//
APPLICANT COMPANY NAM APPLICANT NAME
(n���7j' OFFICE PHONE
)el�'I'li ao ( -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
t , i\ 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? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
i 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 0 CARPORT ❑
EXISTS/0 PROPOSED TOTAL TOTAL MISTING Sr TOTAL PROPOSED Sr TOTAL ar
NUMBER OF FLOORS
*"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.
MECIIANICAL
Value of Mechanical Work$ (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(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orT,b/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS '
DRINKING FOUNTAINS SHOWERS WATER CLOSETS[roses)
ELECTRIC WATER HEATERS Y. ` SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 part of th application.
SIGNATURE: DATE
Property Owner and/or Authorized Agent
a NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application