14-105201• i
0 �,lumbing
City of Federal Way Permit #: 14--00-PL105201
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 P Q (253) 835-3050
Project Name: PARTY CITY
Project Address: 31413 PACIFIC HWY S Parcel Number: 082104 9216
Project Description: Plumbing for restroom & mop sink. '10Q1
Owner
ARRI11cant
Contractor
PAVILION CENTER ASSOCIATES
L K M C ENTERPRISES
L K M C ENTERPRISES
3333 NEW HYDE PK RD STE 100
PO BOX 1019
LKMCEE*885TW (2/16/16)
NEW HYDE PARK, NY 11042
RAINIER WA 98576
PO BOX 1019
RAINIER WA 98576
Plumbing Fixtures
Drains ............................................. 2 Lavatories....................................... 2 Sinks...............
Water Closets ................................. 2 Water Heaters................................. 1
PERMIT EXPIRES Sunday, April 5, 2015
Permit Issued on Tuesday, October 7, 2014
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: f /7 - O ;2 /6�
CITY OF 4411�
Federal Way
PERMIT #:
• THIS CARD IS TO MAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -105201 -00 -PL
Address: 31413 PACIFIC HWY S
Project: PAVILION CENTER ASSOCIATES FEDERAL WAY, WA 98003-5403
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.
Plu bing Groundwork (4190)
Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By Date��
By X1/3 Date d (�-
By Date
Final - Plumbing (4075)
Approved
By C Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY of 44� ucpjvb
Federal Way OCT 0 7 2014
PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER ! a _ / O � O _
c TARGET DATE
SITE ADDRESS '
3/3/9 PaCY )C tl - s ( �
SUITE/UNIT #
PROJECT VALUATION
$ .S`"pa* C!
ZONING
ASSESSOR'S TAX/PARCEL #
--() -5-' -a % 2 A L_
TYPE OF PERMIT
❑ BUILDI G '❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
j
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILINd ADDRESS �
E-MAIL
CITY
STATE
ZIP
NAME
O}�E
LIN ADDRESS
K iv
E-MAIL
CONTRACTOR
C TY
STAp'E
•/�,-
ZIP r
FAX
WA STATE CONTRACTO 'S C'PNSEry#-
EXPIJRATION DATE
FEDERAL WAY BUSINESS LICENSE #
AME
PRIMARY PHONE
APPLICANT1IING�IDDRESS
D
E-MAIL
TY \
'N
STATE
ZIP
FAX
PROJECT CONTACT
NAME
L r &
PRIMARY PHONE
LING DRESS
G 61 Q
E-MAIL
(The individual to receive and
respond to all correspondence
Y r
STATIE
FAX
concerning tfds application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 apart of this application.
�! j �V7
SIGNATURE: DATE / —yn7-J y
PRINT NAME: L.. e 2. rllv� t
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\IIandouts\Permit Application
5-40.
0
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existigg fixtures to remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
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Additional Information
$Sia
Indicate how many o each type offlxture
to be installed or relocated as part o this project. Do not include existigg.fixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
_2— OTHER (Describe)
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COVERED ENTRY
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DRAINS
SHOWERS
VACUUM BREAKERS
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DRINKING FOUNTAINS
�— SINKS (Kitchen/otiiity)
WATER HEATERS (Electric)
R 'r
HOSE BIBBS
SUMPS
WASHING MACHINES
y TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
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Additional Information
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EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
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❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING PROPOSED TOTAL
FOR OFFICE USE
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FIRST FLOOR (or Mobile Home)
Stories
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COVERED ENTRY
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ADDITION
GARAGE ❑ CARPORT ❑
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COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
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Occupancy Group(s)
Area Totals
EXISTMG PROPOSED TOTAL
Additional Information
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ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
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Stories
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ADDITION
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AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
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Stories
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TENANT AREA ONLY
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Bulletin #100 — January 1, 2013
Page 2 of 3
k:\I-landouts\Permit Application