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11-105142 Plumbing City of FederalWay Permit #: 11-105142-00-PL Community&Econ.n.Dev.Services 33325 8th Ave S Federal Way,WA 98003FIL Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 p q Project Name: MOUNTAIN CRYSTAL WATER Project Address: 30837 PACIFIC HWY S Parcel Number: 082104 9064 Project Description: Installation of backflow prevention device for protection of potable water. Owner Applicant Contractor SANG PARK SANG PARK OWNER IS CONTRACTOR MOUNTAIN CRYSTAL WATER MOUNTAIN CRYSTAL WATER 30837 PACIFIC HWY S 30837 PACIFIC HWY S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 -, Other Plumbing Fixtures 1 e • PERMIT EXPIRES Tuesda , T , 6, 2012 Permit Issued on Thursday, D ► •er 29, 2011 4 I hereby certify that the above information is correct ana e onstruct on the above described property and the occupancy and the use will be in accordance with th I -, rules and r lations of the State of Washington and the City of -•eral Way. Owner or agent: _ Date: A-/-2p/'j/1 ii:4‘.. lc V N g8c-s-$875 • THIS CARD IS TO REMAIN ON-SITE CITY OF - : • Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT#: 11-105142-00-PL Address: 30837 PACIFIC HWY S Project: SANG PARK 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) El Gas Piping(4125) Approved to cover Approved Approved to release test By Date By Date By Date ❑ Final-Plumbing(4075) Approved By Date ❑ Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date 41/4). C� OF Building Division Fed a ra I Wayderal3332Eiayth Av9800e -63Sout5 Federal Way,WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 2 ©e. -m 'i PERMIT#: � ‘El 5 11 a.-a -e NE-N Z-'‘ ,6 , .j IF YOU HAVE QUESTIONS CALL (253) 835- 2b �f WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. ?k,1_1 ate' DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of >.►4 k CITY Of V Federal Way COMMLCVITI DECFL0P3IEST SERA( -ES 253-835-2607• F?l.A 253-835-2609 0 5 -ZWERMITRECE1Vi6--Z CO ME PL DE EN FP APPLICATIONEC 29 , CITY OF FEDERAL WAY SITE ADDRESS CDS SUITE/UNIT B �A 'U PROJECT VA/LLuA IO�Ngr ZONIN ASSESSOR'S TAX/PAR L # L7U_- t TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) 0 U M '+ C12 S i�L AT PROJECT DESCRIPTION PeLIN? -71 Dc VAS a ow cess � 1 Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER t J 54 N A R MAILING ADDRESS I S, E-MAIL S ARK.f-Z CITY STATE ZIP a NAME PHONE an'I MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE B EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M NAME --- Tem �M PHONE MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT (The individual to receive and NAME N '� 1< PHONE �;!f3— ?& —/,p00 MAILING ADDRESS E-MAIL respond to all correspondence concerning this application] CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE tRCW 19.27.0951 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 ci as a part of this application. q SIGNATURE' DATE PRINT NAME-- Bulletin #100 — January l.'2011 Page 1 of 3 k:AHandoutsTermit Application (0M • VALUE OF MECHAMCAL WORK $ (a copy of bid or estimate must be provided) 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 (commeremu) BOILERS FURNACES HOT WATER TANKS Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES 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. BATHTUBSotl for Tub/Shower Combo) LAVS (em,a sctats) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS Prev OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS )Kitcbe,/Utility) WATER HEATERS (Eleevtr) HOSE B1BBS SUMPS WASHING MACHINESTGTAL F>pLTiiItES x �; CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE IIn Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No Area Construction # of AREA DESCRIPTION in Square Feet Occupancy Group(s) Tvne Stories Additional Information ADDITION AREA DESCRIPTION Area in Square Feet TENANT AREA ONLY Construction # of Occupancy Group(s)Additional Information Tune I Stories Bulletin # 100 — January 1, 2011 Page 2 of 3 k:AHandouts\Permit Application