09-101317 •
y : . 411 Plumbing
City of Federal Way
Community Development Services Permit #: 09-101317-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: MAIN JAPANESE BUFFET
Project Address: 1426 S 324TH ST SUITE B201 Parcel Number: 150050 0080
Project Description: Installation of new plumbing fixtures to existing tenant space.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC OCEAN SUSHI&GRILL YANG'S BEST PLUMBING
1121 SW SALMON ST 1426 S 304TH ST YANGSBP077LH(6/11/09)
PORTLAND OR 97205 FEDERAL WAY WA 98003 8104 224TH ST SW
EDMONDS WA 98026
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Drains 6 Other Plumbing Fixtures 1 Sinks 2
PERMIT EXPIRES Saturday, October 31, 2009
Permit Issued on Monday, May 4, 2009
1 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: T Q
4
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THIS CARD IS TO MAIN ON-SITE
CITY OF ommunity Develop t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101317-00-PL
Owner: HARSCH INVESTMENT PROPERTIES LLC
Address: 1426 S 324TH ST SUITE B201
FEDERAL WAY, WA 98003-8444
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 Date By c.4.3Date S ,. 07 By Date
Final-Plumbing
0 (4075)
Approved
By C Date s— "
•
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
CITY of / 0 /3 / 7
Federal Way
A 1-...,#•-.
46. Y �~. _
-
COMMUNITY DEVELOPMENT SERVICES PERMIT SF MF CO ME E PL DE EN FP
33325EITH AVENUE SOUTH•PO BOX 9718 8 2009 APPLICATION TO
FEDERAL 07Y,WA 53063-9718 / 2s- I
253.835-260'7•FAX 253-8352609_ p
uww.citrrotfedere'wT,:eom (1ERAL WAY
The following is required giformation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS / ? SUITE/UNIT# /-' --2-C:/
ASSESSOR'S TAX/PARCEL# / D C' Zj - Q 0
LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separuteP.9.for lengthy legal deavipeo,)
• 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 onlu)
/-c f ,
ie p/u/.L 14 r6--K1-- c,f CX i S.� i! cod. )it 0- :11 • leer 5 i t�
PROJECT NAME(Name of Business or Owner Last Name) C) Eeci) SL(S`/ 11/ /�4)6. 4"7
• PEOPLE INFORMATION t
PROPERTY NAME 7
OWNER /1/4/qSC -2t/VPS*In'o�f /0/ -j e 5 ( ).-- �L - >t c
MAILING ADDRESS r CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NNA�M S / APPLICANT NAME OFFICE PHONE �y , {
MAILING ADDRESS /`026( ) CITY,STATE,ZIP c y _ j )6(c - 44(15
iU` i C 225/#1 S r 5 frib4 4:h- �7. —6CELLF'`c,'k; )PHONE 4 /`
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
lY
4 CO OR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
`r'4-f C A/7 C 77 14/ C- -- / -- 0
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(-) A/ /6 6 -
MAILI G ADDRESS CITY
�STATE,E,ZIP �ry HONE ��
RELATIONSHIP TO PROJECT
5 �I C C'��1004 10/4 18l''. ,'b ) 2-352 -
C0/2
� K FAX NUMBER !! -
❑Architect ❑ Tenant o Agent ttler CL9 ( )
PROJECT I NAME
--a� PRIMARY PH NEc E-MAIL ADDRESS
CONTACT
LENDER NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIPPHONE
I ( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
�.i.
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
=STEM PROPOSED TOTAL TOTAL MOST=sr TOTAL PROPOS=Sr TOTAL SP
NUMBER OF FLOORS
'*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II 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(commereiay
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tun/Shower Combo( LAVS(Bacnmom sinks( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS / y
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crone) 6--F!CO rSfi3k
65
ELECTRIC WATER HEATERS " SINKS WASHING MACHINES �y77
HOSE BIBBS SUMPS — ThV( '
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 laws.
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. �,;
tJ y�T'"�� DATE 471
d(o,7
SIGNATURE:
Property Owner and/or Authorized Agent
❑NEW a ADDITION ❑ALTERATION a REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? D YES a NO BASIC PLAN? D YES o NO
ZONING DESIGNATION CHANGE OF USE? D YES o NO
NEW ADDRESS REQUIRED? D YES a NO UP/SEPA/SU?,.. D YES a NO
PLATTED LOT? D YES D NO DEMO PERMIT REQUIRED? ❑YES o NO
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Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application