13-100033a I a Plumbing
City ofity& Ecdn. al Dev. y Permit. #: 1 3 -100033 -00 -PL
Community &Econ. Dev. Services - � , .
33325 8th Ave S
Federal Way, WA 96003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 „ ._ p Q
Project Name: OLD COUNTRY BUFFET
Project Address: 1816 S 320TH ST
Project Description: Installation of hand sink & floor sink.
Parcel Number: 092104 9208
Owner
Applicant
Contractor
SEATAC VILLAGE SHOPPING CENTER
BRIAN TERRY
FAWCETT PLUMBING
1121 SW SALMON ST
FAWCETT PLUMBING INC
FAWCEP1023LW (5/27/13)
PORTLAND OR 97205
8905 CANYON RD E
8905 CANYON RD E
PUYALLUP WA 98371
PUYALLUP WA 98371
Lavatories....................................... 1 Sinks............................................... 1
PERMIT EXPIRES Tuesday, July 2, 2013
Permit Issued on Thursday, January 3, 2013
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 1-3-13
he City of Federal Way.
Owner or agent: Date:
FINAU9> ,i.�113
THIS CARD IS TO IN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -100033 -00 -PL Address: 1816 S 320TH ST
Project: OLD COUNTRY BUFFET FEDERAL WAY, WA 98003
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 zq� Date 1 " / -/ —
By Date _/3
By Date
Final - Plumbing (4075)
Approved
By Date
■
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
V'ece ve
cayor A.,�WP�°�
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Federal Way , ®3 L 7��1 MIT SF CO ME 'E EN FP
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coM>n>7MP 0F Fco�PPLICATION
253-835-2607-M 253-835-2 9
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SITE ADDRESS
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TYPE OF PERMIT
❑ BUJIING XF%UMING ❑ MECHANICAL
13 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(renantNarnelHorwoumerLast Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
PROPERTY OWNER
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WA STATE CONTRACTOR'S LICENSE. M
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FEDERAL WAY BUSINESS LICENSE S
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APPLICANT
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PROJECT CONTACT
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i7ne individual to recetue and
respond to all correspondence
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AUTERN&M-CONTACT NAME:
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PROJECT FINANCING
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fl OWNER -FINANCED INANCED
Required value of $5.000 or rrore
(RCW 19,27.095)
2t=MGADDRESS, CITY, STATE, ZW
PHONE
I oerttfy under penalty gf perfw y that I am the property owner or authorized agent of the property owner. I certt that to the best
4f my knowledge, the ir}formation submitted In support of this permit application is true and correct. I certify that I will comply with
all applicable city gf 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 ownersresponsibility for compliance with local, state, or federal lams regulating
construction or environmental iotas.
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 4f such claim), which may be made by any person, including the undersigned, and_Med against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, export the accuracy of the
irl}armation supplied to the city as a part af this appficadm
SIGNATURE: DATE
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PRINT NAME: J3�e �raT
Bulletin #100 - January 1, 2011 Page 1 of 3 kAHandouts\Pertnit Application
VAL= of MaCxnrtrcu WOJM $ (a copy qf bid or estimate must be provkledj
indicate horn many of each type ;f-fixturlm to be installed or relocated as part of this Project Do not incuwie exist&V jixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETSOTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (CommerctaU
BOILERS FURNACES HOT WATER TANKS tcaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate hotu matey of each type off leture to be uistaUed or relocated as part ofthis project Do not include existing fUtures to remain.
BATHTUBS forTO/SbowerCumbo) LAVS (HandRrdo) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS I `1 0 i S IW 1 L" SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (X1khenNUmy) WATER HEATERS (mmwe)
HOSE BIBBS SUMPS WASHING MACHINES
Bulletin #100 -January 1, 2011 Page 2 of 3 k.-WandoutsTermit Application