18-104122z 1.
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253)835-2609
Plumbing
Permit #:18 -104122 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: MELODY BOBA HOUSE
Project Address: 31406 PACIFIC l3WY S Parcel Number: 092104 9223
Project Description: Install plumbing fixtures for associated tenant improvement
Owner
Applicant
Contractor
SAM YUNDANA PLAZA LLC
THREE KINGS PLUMBING LLC THE
THREE KINGS PLUMBING LLC THE
31260 PACIFIC HWY S
PO BOX 4643
THREEKP8220E (9/5/20)
FEDERAL WAY WA 98003-5448
SPANAWAY WA 98387
PO BOX 4643
USA
SPANAWAY WA 98387
USA
Drains 3 Sinks
Water Heaters 1
6 Water Closets
PERMIT EXPIRES Monday, 4 March, 2019
Permit Issued on Wednesday, September 5, 2018
2
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
W ington and the City of Federal Way.
I— 9Owner or agent: Date: ��
Fri11 4 e
THIS CARD IS TO REMAIN ON-SITE
crry a �&Construction Inspection Record
Federal
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18104122 00 Address: 31406 PACIFIC HWY S
Project: SAM YUN FEDERAL WAY WA 98003-5404
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) 0 Rough Plumbing (4230) El Final - Plumbing (4075)
Approved to cover Approved Approved
S Date Q� l Date h By A")J Date 1 Z
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
k PERMIT APPLICATION
CITY OF
PERMIT CENTER + 33325 81s Avenue South + Fe ����'��QQ3-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + permit�dorOl�Ray.com
IPERMIT NUMBER <0> 1122 _ �� SEP 0 5 2018
I TARGET DATE CITY OF FEr)F(� WA
- - - - - - - - COMMUNITY QE1/ELppMENT
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAX/ PARCEL # � 0+-
+- ^� ^
Z[ X11 (J/► -13
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
-
be included on this permit only
NAME ///{Wl j� �
^,n/
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
C `V!s
MAILING ADDRESS
E-MAIL
CONTRACTOR
-L42> Int
CI
DrA VL
STAT
ZIPO� (� hJ
! � L J
FAX
WA S ATE CONTRACTO S LICENSE #
EXPntATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME �
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT-
CITY
STATE
ZIP
FAX
PROJECT CONTACT
,M
NAME Y ' / �
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $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.
SIGNATURE: DATE �- / ' /
PRINT NAM
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application