03-104124 City of Federal Way Plumbing Permit #:03 - 104124 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: DINNERS DONE RIGHT
Project Address: 1414 S 324TH SuiteB-108 Parcel Number: 150050 0070
Project Description: In conjunction with TI,install(5)sinks and a dishwasher for food service establishment./
Owner Applicant Contractor
HARSCH INVESTMENT PROPERT*HARSC1 ELITE COMMERCIAL CONTRACTING ELITE COMMERCIAL CONTRACTING
1320 S 324TH ST 274 SW 43RD ST 274 SW 43RD ST
FEDERAL WAY WA RENTON,WA RENTON,WA
98003-8445 98055 (253)893-3100
Plumbing Fixtures
1Q04014 Description ,;,... 1kQuanti r .4:pesciii*tt 341,P66titY
Dishwashers 1 Sinks 5
PERMIT EXPIRES March 4,2004.
Permit issued on September 5,2003
I hereby certify that a o e information is correct and that the construction on the above described property and
the occupancy the use will be in accordance w he laws,rules and regulations of the State of Washington and
the City of Fe eral Wa,.
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Owner or agent: A ;: // - Date:
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CONSTRUCT I Ilik PERMIT APPLICATION
CITY of 10351.11.4......,/ A ` IVED
APPLICATION NUMBER: (')3 - L 0 La Lj - /G?z....__
Federal Way A 'LICATION NUMBER: - -
Sp 0 4 Z003 AC CATION NUMBER: - -
**The following is required information-Ple print(in ink)or type*.
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. _- .0 PROPERTY INFORMATION -
SITE ADDRESS: /We/ '5, ' / -110.tc/ /0-e ASSESSOR'S TAX/PARCEL #: L 5 C 0, (3 - CD Q 2. 6
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. , .. I PROJECT INFORMATION __ _
TYPE OF PROJECT(This application): 0 BUILDING u PLUMBING ❑ MECHANICAL ❑ DEMOLITION
o ELECTRICAL 0 ENGINEERING ❑ FFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1 `.0t k. I v-\ 3 c,c,„P . Q i Sl-. s;--,, K.--/ Vh dp Sii,\,JZ
c)._ C_ow,p. prep S I n IC- cm e_ btah f S'ih --
PROJECT NAME: Di V1 ✓ler 5 C) CS n e 1 I 1,-\--1--
PEOPLE INFORMATION ,. --
PROPERTY OWNER: Nr z.)
i DAYTIME PHONE:
1.UrSc /4Vec, 01e/1/ Pidpef/y ; ( ) -
ILING ADDRESS(STREET ADDRESS;CITY,STATE,ZI ): /
/ 3 -6 3 Li '-ice $ t r�c7A / LI)ay 9500
CONTRACTOR: NAME: DAYTIME PHONE:
t./'le �.c. ' (2 ) � - 3, S/00
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
2041 vQ.ivI ke,- /' gevi1 `1 'O 2 ( ) Sce__
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
11 - gg / O7l - 3 (2s3 ) -773-310/
CONTRACTOR'S REGISTRATION NUMBER: 1 EXPIRATION DATE:
!!�� C�
(copy of card required) e/i L '2-V 0 - C.D �C 1 / 6 / 5
APPLICANT: NAME: DAYTIME PHONE:
S Vi --t_ c_C (3_s3) Y 9 33140
Ij
MAILING ADDRESS(STREEADDRESS; IP). EENINGP)ONS` ' A)f . eC -CT4e4+ 970E ( 5c..t. e
RELATIONSHIP TO PROJECT:
FAX NUMBER: (�/
❑ ARCHITECT ❑ TENANT o OTHER ( DESCRIBE): (253) 1- 64,---17 1 1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
'..1.-11111 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? u YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO
r
WATER SERVICE PROVIDER: ❑ LAKEHAVEN Ii HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: Li LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 1
IPW—
**NEW RESIDENTIAL CONSTRUCTION O0** 4 _
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3rrr FLOQR AREAS
FLOOR EXISTING SQ.. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
/ DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) _' SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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
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 a 'a part of this application. �j /`
NAME/TITLE: /.Cli�t� _ i p4aik7--
DATE: 1 1 -- 0 3
❑ PROPERTY OWNER o APPLICANT" D CONTRACTOR
.-FOR OFFICE USE,ONLY:=:I
IlD-NEwortalk,n ADDITION .A,Kio ALTERATION_ '' I i REPAIR . -: =:O TENANT IMPROVEMENT
CENSUS CODE: =-s' rig =1OT'SIZE s ' -r ;, .
ZONING DESIGNATION �� r* _7- ;BUILDING SHELL ONLY?.FI YES,'. ❑NO
-COMP.PLAN DESIGNATION - : :BASIC PLAN?-- ' D YES ''''.."'n; NO
.SECTION:,; , ,,,,,.TOWNSHIP RANGE ;° 'NEW ADDRESS REQUIRED?'-- ,.' ❑ YES'• ❑ NO
-PLATTED LOT?. ''❑YES - ❑.NO ' ` = CHANGE OF USE? ❑YES ".fl NO'-
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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