05-105478 • F • • + G� p ' -.
City of Federal Way Plumbing Permit #: 05 - 105470 -00 - PL
Community Development Seryices
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305€
Project Name: L&L HAWAIIAN BBQ
Project Address: 32225 PACIFIC S Suite105 Parcel Number: 150050 0100
Project Description: Plumbing for new restroom in tenant space.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERT MERIT MECHANICAL INC MERIT MECHANICAL INC
PO Box 2708 PO BOX 2109 PO BOX 2109
REDMOND WA 98073-2109 REDMOND WA 98073-2109
PO Box 2708 !Portland,OR 97208-2708 (425)883-9224
Plumbing Fixtures
Description Quantity Description Quantity j Description Quantity
Lavatories 1 Water Closets 1 I' Water Heaters 1
PERMIT EXPIRES November 3,2007.
Permit issued on November 3,2005
I hereby certify`tht the above infor> tis correct and that�construction on the above scribed property and
the occupancy and the use:will be in a cordae with di",laws rules and regulations,''o the State of Washington d
the City of Federal-Wa .
Owner or agent: / /4 0/1 /? 4k Date: i I 1 PC.
7::, -11"11NALE1:::;)
• �lVI
THIS CARD IS TO AIN ON-SITE •
CITY OF Community Development Inspecori Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105478-00-PL
Owner:
Address: 32225 PACIFIC HWY S Suite 105
FEDERAL WAY, WA 98003-6000
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) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved / Approved to release test
By/1/0 1/ Date �l V q,� ‘,By P/„.1. Date it j Q.r By Date
�❑ Final-Plumbing(4075)
Approved
By ? Date(Z.,-`�'
F'efleral Way •'P E L�• E1�ELI, IF CO ME E• "E EN FP
.331 /ffl't�LYiLOIIQ•PO BO ACl1
any ttt•roJ�t,1Ji<
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orJrnc wsr.wA ,J+ot,•,�u
2S34.154607*PAX263433960,
Ti,awilallisolhouras
e 0114; • • is (red in orrnation-an taco •fete • • t 'xt_,*t,,,SS..:• Aacre•ted Please • . 1e• • . . or .,j•
IN PROPERTY L"9eUlErbIATION
r a? --5 RiCr-(�c f- .1-15 sem/ 0 10
SITE ADDRESS .
ASSESSOR'S TAX/PARCEL i I S C 0 S 0 (? O LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Ester',Lot 1) (66'e /4-r-TA4-' w r
N�.r�i•w/� a►w /rVMI
. ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING XPLUMBING 0 MECHANICAL
• 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIOL(Provide detailed description of work included on this hermit on1yJ
r...~ IJyiL-- f. -1 Ai Lws€.�r I I z_aWA7o R'/ r1 AJC P 4,»i a� --r/ K_
-. a 1- tR)C w f---r -rFZ A •r U,AI- PiPinlo, , r 3 ecs
kApv-r P ‘?_r xl ci. •
PROJECT NAME(Name of Business or Owner Last Name) L. * L1 JP 1 A °'*13{
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER kiA-R5L 10 Ve'S?'t-1G NT P ROPE- 16-S I (SO3)242 -Z9Oo
MAILING ADDRESS CITY,STATE,a"?
1I2 L j sA.1.490 PoceTL4'J41 cCR 92705
CONTRACTOR COMPANY NAME APPUCANT NAMEOFFICE PHONE
Kelkn. 1`'t.GL` K AJC?t CAL 1,/_PrN b d bIJ 4 I (1.2S1 eg3 -92.14.
MAILING ADDRESS CITY,STATE, 1 CELL PHONE
9.630 us/F4- Avt- NE : iZ lJa u..t494bcca( - • } . - r,
UCF.
CITY Or FEDERAL WAY BUSINESS NSE NUMBER EXPIRATION DATE - FAX FAX NUMBER
19 -9 s- / O .. 11 0 (2—B- L . /Z / 3/ l 0:5 ( ) .
CONTRACTORS REGISTRATION NUMBER(copy of card regnired with oath apPNeaeloal EXPIRATION DATE
,tom tr RI- t133 eM eb 'oi 'b7
APPLICArr' COMPANY NAME APPLICANT NAME : . OFFICE PHONE
. M.ER tr t-t c riA3'c.4 c. c,ECtC E •^�tA+P (42S) e43 -5 22if
. - MAILING ADDRESS CITY.STATE,Zr CELL.PHONE
9b30 4S36z°Art-- 06oirto io i49bcst FAX NUL
s '. RELATIONSHIP TO PROJECT •
c a Architect 0 Tenant 0 Agent C1.Other pescrIeLC O dT RACTC R F(
) -
CONTACT NAMEPRIMARY PHONE &MAII.ADDRESS
\)A ,X3 014 6 (4zS)e83 - g2.2.4
LENDER :' ZC1.` • ... _ 174.-.7,-..::.4.1;. NAME
.MAILING ADDRESS • • QTY.STATE.ZLP - •
i
■ DETAILED BUILDING INFORMATION
EXISTING USE . BU 1 tOPROPOSED USE
SEj
�
. •=STING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRI NELERFiD BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 . ' '
O _`
WATER SERVICE PROVIDER CI LAI SHAVEN a NIGELI NE 0 TACOMA a PRIVATE(WELL)
woman"eemsvrewmi trionITITITIT, n T.AK1AVEN .C3 HIGHLINE a PRIVATE(SEPTIC)
--v-----'` AREA D Ol FJQSTflt PROP08LD TOT/
. •
SO.FT.
<3ASEMENT aQ.TT. 8Q."
c //
FIRST .
74/ G► zi o d 74f.E3.
SECOND • .
THIRD _ -
•
' FOURTH . '
ADDITIONAL FLOORS(DESCRIBE) .
•
DECK(COVERED?)
•
GARAGE 0 CARPORT 0 .
=0 rao.osmTara. .,./cs_-.ctL•L•7L +_. ...1-A.--
. NUMBER OF FLOORS -Z F '
**NEW HOMES ONLY" NUMBER OF BEDROOMS _ _ _ ESTIMATED SELLING PRICE $
IiMUkZES - •
;a Indicate number•, type offsxture to be installed or.relocated as part of this project. Do not include casting fixtures to remain. •
Is ECFIA'UCAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS WOODSTOVES
BOILERS FIREPLACE INSERTS RANGESMISC(Describe).
. • COMPRESSORS -•_ FURNACES GAS WATER HEATERS
DUCTS _ GAS PIPE OUTLETS •
PLiTMBING
BATHTUBS(or tib/She.QCombo, SHOWERS 1 WATER CLOSETS(roleq MISC(Describe)
DISHWASHERS SLN CS - DRINKING.FCUNTAINS •
GAS PIPE OUTLETS - SUMPS RAINWATER SYST
WASHING MACHINES URINALST HOSE BIBBS
1 LAVS(8wm
anasatoa - VACUUM BREAKERS• • - E .ECTRIC 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 fra#er,that I
am authorised 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,expanses, 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 of Federal Way 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.
- r .) •
NAME/TITLE _ DATE _"101241/0b—
(Tide!
RELATIONSHIP TO PR o Owner U Agent - :ontra`cctOr✓ O Architect O Other
r. `
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Bulletin#100-Ianualy 7,2005 Page 2 of 4
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