17-105301 •• � f w
Plumbing
City of Federal Way Permit #:17-105301-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: PIZZA HUT(NORTHSHORE PLAZA)
Project Address: 35503 21ST AVE SW Parcel Number:252103 9002
Project Description: Minor plumbing reconfiguration to accommodate new layout.Add additional hand sinks,
relocate 3-compartment sink,grease trap and relocate existing toilet and lay.
•Owner Applicant Contractor
EMERALD CITY PIZZA LLC D B GENERAL CONTRACTORS D B GENERAL CONTRACTORS
12121 HARBOUR REACH DR SUITE 200 7038 S 220TH ST DBGENGC94309(10/9/18)
MUKILTEO WA 98275 KENT WA 98032
7038 S 220TH ST
KENT WA 98032
i� I3fl 7�
4'F,014*e", 3
Lavatories 2 Sinks 1 Water Closets 1
Water Heaters 2
CONDITIONS:
Electric service& Electrical permits by TACOMA POWER.
PERMIT EXPIRES Tuesday, 1 May,2018
Permit Issued on Thursday,November 2,2017
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 t he City of Federal Way.
Owner or agent: Date: /(• 2 . /7
•
444111\ THIS CARD IS TO REMAIN ON-SITE
CITY OF ; !,. Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105301 00 Address: 35503 21ST AVE SW
Project: EMERALD CITY PIZZA LLC FEDERAL WAY WA 98023
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) El Rough Plumbing(4230) ® Final-Plumbing(4075)
Approved to cover Approved Approved
By Date `lCyycS. Date �Z 1 t ) -Br----
Date \ zv /
0 Rough ElectricalCI Final ElectricalCIRight of Way
Approved Approved Approved
By Date By Date By Date
i
4
PERMIT APPLICATION
CITY OF
Federal Way PERMIT CENTER+33325 8'h Avenue South tWa�� 003-6325
253-835-2607+FAX 253-835-2609+permi en r- .. ttyollelle .com
2
NOV 022017
PERMIT NUMBER 17_ 1 0 5 3 0 1
TARGET DATE CITY OF FEDERAL WAY
COMMUNI l Y DEVELOPMENT
SITE ADDRESS SUITE/UNIT II
3 '6 563 Z I s riiht-G- S(A)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#$ 1 O
ii U( ow-0Ey Z S 23 - — — —
TYPE OF PERMIT D BUILDING 1101 PLUMBING ❑ MECHANICAL 11 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT PI Z,p 141 t I Tw In LAlames
PROJECT DESCRIPTION
Detailed description of work to -Re KOIARI)VI -i-b 'lbLtSil ltctt e. MRtO V 1?Ivwthlvtoj Re#el69iivv7rlUr(
be included on this permit only70 &cd1�y afdi(1-Oftel litheS/ kS( Releode
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NAME PRIMARY PHONE
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PROPERTY OWNER MAILING ADDRESS E-MAIL
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CITY STATE ZIP
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NAME (1'6' 6I a /'Z I ad-oPs PHONE
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MAILING ADDRESS Avg I EMAIL r/
CONTRACTOR (X02/D ?ltd . A-t4- -Qce�O f>lc.cam
CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME a�! It PRIMARY PHONE
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APPLICANT MAILING ADDRESS E-MAIL
10'0 74 72 * Scall
CITY ATE ZIP FAX
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NAME n I PRIMARY PHONE
PROJECT CONTACT k'I ce - 206 2.5I cite
(The individual to receive and MAILING ADDRESS 71411
JyD a * J
�--Oe,-[ E-MAIL
respond to all correspondence i�JOZ/' / am
e 11-
concerning this application) CITY k. STATEZIPFAX
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NAME
PROJECT FINANCING 14.kale/ a/ P122 a 4 C F] OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27 095/
2-1 GvhDvv cec/� /)/2.
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.
SIGNATURE: DATE 11. 2. 17
PRINT NAME: _ eiL( t(A e(al
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerc.aq
BOILERS FURNACES HOT WATER TANKS(Oac)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/ShowerCombo) Z. LAVS(Hand Sinks) ( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS Ilcmhen/utility) 2. WATER HEATERS(Electric) pp
HOSE BIBBS SUMPS WASHING MACHINES b TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes i No D Yes D No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
"NEW HOMES ONLY
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:AHandouts\Permit Application