04-104757 _ y 0 0
City of Federal Way Plumbing Permit #: 04 - 104757 - 00 - PL
Community Development Services
P.O.Box 9718
Federal Way,WA 93063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: WOODY'S ASIAN MART
Project Address: 1500 S 336TH Suitel4 Parcel Number: 926503 0030
Project Description: Install(1)3-compartment sink,1 floor drain and 1 hand lay for deli modification.
Owner Applicant Contractor
PARKWAY WPDKS PARTNERSHIP HEMA MALLIKA&MAHRAJ MADALA PLUMBING EXPRESS,INC.*JOHN KILDAR
1500 S 336TH ST PO BOX 2354 813 ACADEMY ST
FEDERAL WAY WA VANCOUVER WA 98668 SUMNER WA 98390
98003-6387 (253)826-4621
Plumbing Fixtures
[ Description Quantity j Description Quantity Description !Quantity
Drains 1 1 Laundry Washer Outlets 1 Sinks � I 1
PERMIT EXPIRES May 21,2005.
Permit issued on November 22,2004
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: l -` - ' `°-
AILOki THIS CARD IS TO :MAIN ON-SITE - '
CITY OF "y„ ... tommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104757-00-PL
Owner:
Address: 1500 S 336TH ST Suite 14
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.
O Plumbing Groundwork(4190) 0 Rough Plumbing (4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By ,,,,.3 Date/2.1,04/ By e�� Date/es,Date� _ /. A / By Date
O Final-Plumbing(4075)
Approved
By /If Date 1 •
cmor` RECEIVii; -
s--
7-
Federal Way -� -�—
V 2 2 2lU4 PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVf
33325 8T"AVENUE SOUTH•PO BOX f
FEDERAL WAY,WA 98063-9718 APPLICATION TD /
253-835-2607•FeAX 253-83 ( ,OF FEDERAL WA't /
unaw.dt qol federal taa y. IT
BUILDING DEPT,
The following is required information-an incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
,., • PROPERTY INFORMATION .
SITE ADDRESS I ce)i. . 21 J ' -2/ `7"s i f L /l SUITE/UNIT# /7
9 ASSESSOR'S TAX/PARCEL# A (p 5 2 o J - Co 3 0 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) -------
(Attach senate page for lengthy legal description)
' ' ; ._ '- I. PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
6-- -% 3S ," s
PROJECT NAME(Name of Business or Owner Last Name) 1.t.'C c'c/y S ,51 4/ e
PEOPLE INFORMATION
PROPERTY NAME PRIMARY HONE
OWNER good lae.d keat-� �etrvs wo 6 (dV -
MAILING ADDRESS CITY,STA ZIP
CONTRACTOR COMPANY NAME
�(�/� press
�- APPLICANT NAME OFFICE PHONE
4 � � Er �l es (2��) `2 -t(Z 67
MA LING ADDRESS CITY,STATE,ZIP CELL PHONE
13 /lc ',f-1-.:_7,.,:- '5,},41C w It 3Yo ( ) -
CITY OF FEDERAL WAY BUSINESS LINSE NUMBER EXPIRATION DATE FAX NUMBER
— — — B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
ttioa y.9 4-5'I4: ikoitr `f,-: 74
.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/S c) ,' 3 7C, 5r `7Y 1=i.h/s1-/ e.,,,,, v'*of(Z 9 ) 33c) - 5 7-?p
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect o Tenant tDAgent ❑ Other(Describe) ( ) -
CONTACT NAME e PRIMARY PHONE
(2S-3) 39o- 8719 E-MAIL ADDRESS
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER )Zi.LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECTFLOORAEAS •
•
AREA DESCRIPTIO EXISTING SQ.RFT. P' •SED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
^GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offuture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
(Commercial)BBQS
FANS HOODS WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/show<rcomb.) SHOWERS WATER CLOSETS Ir„arq I MISC(Describe)
DISHWASHERS �— SINKS DRINKING FOUNTAINS riQrr `0
GAS PIPE OUTLETS SUMPS RAINWATER SYST r
WASHING MACHINES URINALS HOSE BIBBS
—7---- LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
� :'Y::'3 _�';ci/��NNYYJ�W\Ai Viii/ai/VVA -.f`
-i.,: �Nry.est �'g'Ca
t '+v- � s ....}" �. ••
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 // ..1.••••••-:•-----..1.••••••-:•----- //DATE 4- ` 2-Z-
(Si: .tur (Inlet
• RELATIONSHIP TO PROJECT 0 Owner rk,Agent 0 Contractor 0 Architect ❑ Other
i
(
E FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
E BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
t NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin t{100 March 30,2004 - Page 2 of 4 k\Handouts-Rcviscd\Permit Application