07-100000 r
1111
CityofFederalWayy PlumbinQ Permt#: 07-100000-00-PL
Community Development Services b
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: MANMI BAKERY(@ PAL DO WORLD)
Project Address: 2200 S 320TH ST Parcel Number: 242320 0050
Project Description: Install hand sink in bakery area per KC Health Department requirements. (No other
improvements proposed that would require building permit for this business which is not
enclosed.)
`
Owner Applicant Contractor
BYUNG CHAN PARK PHILLIP CHANG P C I PERSONAL CONSTRUCTION
9805 32ND AVE S PCI PERSONAL CONSTRUCTION PCIPEC*015C6 1/21/08
LAKEWOOD WA 98499 21440 NW NICHOLES CT SUITE L 21440 NW NICHOLES CT SUITE L
HILLSBORO OR 97124 HILLSBORO OR 97124
Plumbing Fixtures
Lavatories 1
PERMIT EXPIRES Thursday, January 1, 2009
Permit Issued on Tuesday, January 2, 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 accordance with the laws rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: --- Date: ( '
/�/
MIN
THIS CARD IS TOSMAIN ON-SITE
CITY OF -- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100000-00-PL
Owner: BYUNG CHAN PARK
Address: 2200 S 320TH ST
FEDERAL WAY, WA 98003-5417
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) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved J Approved to release test
By Date By f Date / /O 7 By Date
❑ Final-Plumbing (4075)
Approved
By l' Date / % e 7
CI 7- 10 0 0 0 0
CITY OF l �( r P O / /' _
Federal Wa `✓ PFRMIT VIgl
COMMUNITY DEVELOPMENT SERVICES 2 Zoog SF MF CO ME EL PL DE EN FP
n
33325AVENUE SOUTH•PO BOX 9778', V PLICATION
FEDERAL WAY,WA 98063-9718 ,A TD / /
253-835-2607.FAX 253-835-2609 g� M�
www.citto e .cdernlwa yqq,,�����,�`.�o '
The following is regVed information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
.. ■ PROPERTY INFORMATION •
..s7SITE ADDRESS � 1�'" .'_ -l2-
-2; SUITE/UNIT# %"e%.4
ASSESSOR'S TAX/PARCEL# L2-----:1--;1- 3 - fi O I J LOT SIZE (sf
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal descnpnon)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work include-doon this permit(nly)
i A),r-1,4 r
r 'i lute -1,v‘---S-1,v‘---SV l/{i
PROJECT NAME(Name of Business or Owner Last Name) 1-1/1-Ai t 39 .7-f... -
.
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER P`,- 1,4 Ai(IS CII/ ( ) _
MAILING ADDRESS CITY,STATE,-ZIP - - E-MAIL ADDRESS
CONTRACTOR COMPANY NAME / APPLICNT NAME OFFICE PHONE
, c. �%?- .ss't4�►, -.- C =&:S T ' ., zi" c (3-to' ) --3 c yv
(LING ADD ESS r CIT S '4t 'yTATE, P CELL PHONE
m44-c' r) .4; , l ,l t;-C. •# 44-MI c hC c C g Ci it-03 ( ' r ) j, -3c j''
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER - EXPIRATION DATE FAX N 'MBER
( ) -
COPY of card re lred CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
vu E-MAIL ADDRESS
with each application I ✓ �,.,r
PC- I �'E c-. o;S ( Oi /---I /c ?
APPLICANT COMPANY NAMES APPLICANT NAME OFFICE PHONE
C r Jp-- S4)^ 1,... c...tic-r
pti`'ylr ' cif-644<c; 3z, /)-7
j.
-MAILING ADDRESS • CITY, ZIP CELL PHONE
--.1-)/1-4-.C, `,A)
AS Z.LL Lx'-- ` t) titb_,, -r� O,1'� `i 1 ( ,moi ) `?l`/ - •3c?
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent ❑ Other re_ - ,-_. ( ) -
PROJECT NAME 1 PRIMARY PHONE
E-MAIL ADDRESS
CONTACT kk., I t L L g� eJ1 'G(-� -( ) - •
LENDER NAME J
Per RCW 19.27.095:
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 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DE PTION EXIST s PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U 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 FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 DATE 7-�/ • -9 /t= 6
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Ag ❑ Contractor ❑ Architect o Other
M ® ICE US ®NLY %V:
❑ NEW 0 ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application