08-103344 • r
City of Federal Way • Plumbing Permit.: 08,-103344-00-P L
Community Development Services
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: SOL DE MEXICO
Project Address: 29418 PACIFIC HWY S SUITE A Parcel Number: 304020 0085
Project Description: Installation of sink and washer
,
Owner Applicant Contractor
JAE SHIM BERNARDA BRAVO BERNARDA BRAVO
BERNARDA BRAVO 9050 37TH AEV SW 9050 37TH AEV SW
9050 37TH AEV SW SEATTLE WA 98126 SEATTLE WA 98126
SEATTLE WA 98126
Plumbing Fixtures
Laundry Washer Outlets 1 Sinks 1
PERMIT EXPIRES Saturday, July 10, 2010
Permit Issued on Thursday, July 10, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the usp will be in accordance with the laws, rules and regulations of the State of Wa ington
and the City of Federal Way.
Owner or agent: ' ;r:r, . :2.,L6 ,p,_. / Date: -72//C'";-..
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THIS CARD IS TO REMAIN ON-SITE
eommunrty Developmat Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103344-00-PL
Owner: JAE SHIM
Address: 29418 PACIFIC HWY S SUITE A
FEDERAL WAY, WA 98003-3829
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� Date.? .,p G
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
cin of E / D - �v
Federal W /t
�, � PERMIT � ,'
COMMUMTYDEVELOPMENT SERVICES 1l►L 1 U 20SF MF CO ME EL ' DE EN FP
33325 D AVENUE SOUTH•63 BOX 97I E4 P I C AT I O N
FEDERAL WAY,WA 53-8 3-2609 �� TO / /
253-835-2607•FAX 253-835-2609 ('1
of
www.at ederalwa qq�''J����
The followings required inirraon-an incomplete application will not be accepted. Please print legibly(in ink)or type.
(� t1/3
//pc • PROPERTY INFORMATION -
• SITE ADDRESS ( / G G i k-F C- I/ 7 S „ fAJ YU,I (a/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _,_ __ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
a PROJECT INFORMATION
TYPE OF PERMIT
BUILDING G PLUMBING
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
y,- PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1. ,oma i j 5o ritS 5 44y 1....,i oii<- Sin 011 y
L-)G %/ 5 J(!e C e_ ),,,w (ol11-e-in. h/e4-,e rt.di j 7ilit }.t S - n E -'t, r A6 b
-_� {'�i /VI( x / �CFF�
PROJECT NAME Name of Business .r Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME y, 3 9 PRIMARY PHONE
OWNER lirlfcKo A t/ if $& le��cvU�p� ( 5) u 3 t�.Z20
M (LING ADDRESS CITY,STATE,ZIP E(-MAIL ADDRESS
i
CONTRACTOR COMPANY NAME APPLICANT NAME
z �//+�� OFFICE PHONE / �/
,•iG1AlLINi , ,-ADDRESS �� � (-20) ! o
CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
, RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant 0 Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT j G r.-LO-i/ dc,_ h,\J-0 G-arn )405 (,2S ) YY/ -3096
LENDER NAME - -per RCW 19.27.095:
Lender informs is req ed if project vatti akseeds$5,000
fifAILINGRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE OPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 5-0 V ; -gs ::"`®
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? I
❑
YES-ATO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
f 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 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EMSTDlO PROPOSED TOTAL TOTAL TJJSTINO ST TOTAL PROPOSED ST TOTAL ST
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.
MECHANICAL
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(or Tub/Shower combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINSSHOWERS WATER CLOSETS(roues)
ELECTRIC WATER HEATERS SINKS I 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 Iaws.
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. ,(��
74. .�[ ' d
SIGNATURE: DATE C.)?--/0(/,
0�
Property Owner And/or Authorized Agent
•
❑NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES 0 NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application