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07-102126
41110 . ` Comm,aCnity Dity ofeFederal�� Way slopmentServices Plumbing Permt#: 07-102126-00-PL 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: BLUE ISLAND ROLL& SUSHI RESTAURANT Project Address: 35002 PACIFIC HWY S Suite A101 Parcel Number: 185295 0050 Project Description: Install water and waste piping and plumbing fixtures for tenant improvements. (KC Health Approval rec'd w/TI Permit) ` Owner Applicant Contractor PAUL CHOI YANGS BEST PLUMBING YANGS BEST PLUMBING BLUE ISLAND ROLL&SUSHI 8104 224TH ST SW YANGSBP077LH(6/11/07) 9019 NE 28TH ST EDMONDS WA 98026 8104 224TH ST SW CLYDE HILL WA 98004 EDMONDS WA 98026 Plumbing Fixtures Dishwashers 1 Drains 7 Laundry Washer Outlets 1 Lavatories 7 Sinks 4 Urinals 1 Water Closets 3 PERMIT EXPIRES Sunday, April 19, 2009 Permit Issued on Friday,April 20, 2007 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 accordanc- + . I a- -ws, rules and regulations of the State of Washington .nd the City of Fed- al Way. Owner or agent: Date: 414)---0 C) • THIS CARD IS TOSEMAIN ON-SITE CITY OF tommunitY Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-102126-00-PL Owner: PAUL CHOI Address: 35002 PACIFIC HWY S Suite A101 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) ❑ Gas Piping(4125) Approved to cover Approved Approved to release test By Date4. By 0%7"1/Date5/107 By Date 0 Final-Plumbing(4075) Approved By C tJ Date g. O 480 REND Federal Wa 0 7 - f v a (0 PERMIT COMMUNITY DEVELOPMENT ss 2007IVIF CO ME E PL DE EN FP 33325'D AVENUE SOUTH•63 X X71 APPLICATION FEDERAL WAY,WA 98063-9718 p�1�p�� TD 253-835-2607.FAX? m' VG�lt14 WA dpMelaril UAllul.Ci112 L'.(IP.r( n time DEP' . The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. ,L■ ( ? "PROPERTY ',"INFORMATION SITE ADDRESS 3._<—e:)02 P1 1 C 3 0 , SUITE/UNIT# A- / O I ASSESSOR'S TAX/PARCEL# / C -.)- 9 © G 0 LOT SIZE(sf) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) TILA11)1311°C) wOr16 b 4 3 - 11a d ear N � ; f Imn�� f `rri►o out I l,� e s&60 PROJECT NAME(Name of Business or Owner Last Name) s3/14f 47 d IM ,40/i # Sc.,t,Sh)j . U PEOPLE INFORMATION PROPERTY NAME l"""l cm' m/D�r `%/-( PRIMARY PHONE OWNER ( ) • MAILqoi A R S CM',STATE,ZIP E-MAIL ADDRESS s s'T OM Hi wil epooct OM CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE Y4/0q s L est PIN m13 ik4 ,6e )'/t, 42-) 6c'o - 960' MAILING A��f�D//""DRESS 2 "j/ 5'r CITY,STATE,ZIP `J� / �✓a 9 CELL PHONE CI�!FOFEDERAL WAY BLESS LICENSE NUMBER ��In 04EXPII TION DATE �4 FAX NUMBER 3 cz - ( ) COPY o(evd rogalrod CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS wltheeenppllertlon I > Y4/0(?s I3p 077 ..y 6//( 1.20© . • 3 okyi. wil ej,1-oL,coM; APPLICANT COMPANY NAME APPLICANTCA{ NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE $,4i-1&- As 4-b oP-66 ) - /-,-19/1 RELATIONSHIP TO PROJECT i FAX NUMBER ! I 0 Architect ❑ Tenant ❑Agent *Other i4,1)t (T.f-s-) / -4405 PROJECT NAME v PRIMARY PHONE E-MAIL ADDRESS 'f'/ CONTACT �O ' p.Q6) 3 - p-di LENDER NAME Per RCW - .095: Lender_ ormation519 is required if project value exceeds$5,000 MAILING ADDRESS STATE,ZIP PHONE DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? o 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 ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • st • • • AREA DE ' IONn� A EXISry'm�m PROPOSED TOTAL SQ. SQ. FT. SQ. FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 EXISTING PROPOSED TOTAL TOTAL EXISTING SI TOTAL PROPOSED SI TOTAL Sr 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 for Tub/Shower combo) 7 LAVS(Bathroom Sinks) / URINALS MISC(Describe) / DISHWASHERS RAINWATER SYST VACUUM BREAKERS C �( j p BA- DRINKING FOUNTAINS SHOWERS —3 WATER CLOSETS(rosesI /+ ELECTRIC WATER HEATERS 4. SINKS / WASHING MACHINES 7- l ,c r J.fro_;t3 , HOSE BIBBS SUMPS . SIGNATUR • E .. .,,,, e_ ., . .... ..............,. .. . ,. I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized 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, 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 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. {� NAME/TITLE / y✓"'(� L-'`''%Z" DATE 4— 1 7c-J�- 6 D-60,9---- (Sign -UO , (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner ❑ Agent Contractor 0 Architect 0 Other o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100-January 1,2007 Page 2 of 4 k\Handouts\Permit Application