06-101736 •City of Federal Way
Community Development Services Plumbing Permit #: 06-101736-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 •
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: OLIVE BAKERY
Project Address: 31217 PACIFIC HWY S Suite D-102 Parcel Number: 082104 9186
Project Description: Installing 1 3-compartment sink, 1 hand sink and hot&cold water supply.REVISED 05/19
/06 to add cold water line and drain for baking machine
Owner Applicant Contractor
KIR FEDERAL WAY 035,LLC JAY KIM PRIME CONSTRUCTION&DEVELOPMENT
KIMCO REALTY CORPORATION PRIME CONSTRUCTION&DEVELOPMENT PRIMECD955RR 12/19/07
3333 NEW HYDE PARK RD SUITE 100 7728 228TH ST SW 7728 228TH ST SW
NEW HYDE PARK NY 11042 EDMONDS WA 98026 EDMONDS WA 98026
Plumbing Fixtures
Drains 1 Other Plumbing Fixtures. 1 Sinks 2
PERMIT EXPIRES Sunday, April 6, 2008
Permit Issued on Friday, April 7, 2006
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. �t
Owner or agent: Date: 34/'/ 9 /<`
• • •
City of Federal Way � r
Community Development Services Plumbing Permit #. 06-101736-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: OLIVE BAKERY
Project Address: 31217 PACIFIC HWY S Suite D102 Parcel Number: 082104 9186
Project Description: Installing 1 3-compartment sink,1 hand sink and hot& cold water supply.
Owner Applicant Contractor
KIR FEDERAL WAY 035,LLC JAY KIM PRIME CONSTRUCTION&DEVELOPMENT
KIMCO REALTY CORPORATION PRIME CONSTRUCTION&DEVELOPMENT PRIMECD955RR 12/19/07
3333 NEW HYDE PARK RD SUITE 100 7728 228TH ST SW 7728 228TH ST SW
NEW HYDE PARK NY 11042 EDMONDS WA 98026 EDMONDS WA 98026
Plumbing Fixtures
Sinks 2
CONDITIONS:
PERMIT EXPIRES Sunday, April 6, 2008
Permit Issued on Friday, April 7, 2006 .
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 o�• - ay.
Owner or agent
Date: -4/2/6' Zj
THIS CARD IS TO/VAIN ON-SI,TE
CITY OF i11411 ommunityDevelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101736-00-PL
Owner: KIR FEDERAL WAY 035, LLC
Address: 31217 PACIFIC HWY S Suite D-102
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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
•❑ Final-Plumbing(4075)
Approved
By Date
110 THIS CARD IS TO *MAIN ON-SITE - .%,
CITY OF � Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101736-00-PL
Owner: KIR FEDERAL WAY 035, LLC
Address: 31217 PACIFIC HWY S Suite D102
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.
.❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) '❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date le/04 By irk Date /f/� By Date
.❑ Final-Plumbing(4075)
Approved
By (7.:i= Date 3 !z
RECEIVE III
,�A ate - a' c2_
Federal Way APR 0 7 2006 �-�-
• CO „ DEMINIMS
YPERMIT SF MF COMEE PL �EENFP
JJJ45tTMRALWA,WA 9•POB_IK(il'llOF FEDER PPLI CATI O N
;60; X2534 Sz�s1oA9 BUILDINCi D 'D
/Din 4----
The ono • is re• ;red t ornation-an inco •late • ••lication Will not be acce•ted. Please •rint legibl n in or • .
• PROPERTY INFORMATION
•
SITE ADDRESS 3( "---(—I Ma -( C ry w l/ S SUITE/UNIT# D —i o Z
ASSESSOR'S TAX/PARCEL# / - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
I + P047*far'moth"Meal da kAide
•
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit ram) / /
..(.tic-f aa( i 3 C a'��- �.a-,.* S'`,•:r �.�.... pzer , lel o-t a..a_e co.0A CY Lj
PROJECT NAME(Name of Business or Owner Last Name) o LA V P b kr-AA
• PEOPLE INFORMATION
PROPERTY NAME J , _ PRIMARY PHONE -
OWNER i(I�{lgs, ( )
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
4)42 ,•11.X- �.�/ -7`iCH 4 !-�` o,.i.- ( ) -
NO ADDRESSCITY,STA ZIP CELL PHONE
ave +�` Si -61`/a
CITY OF FEDERAL WAY BUSINESS LICE SE NUMBER EXPIRATION DATE FANUMBER -`am
-B L ' / / (
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with wick application( EXPIRATION DATE
kW / II6cp9srk1Z tLl / 1u".2:57
APPLICANT COMPANY NAME / APPLICANTICNF-A
NAME OFFICE PHONE •
/4.t''Yit.e- Cwt/Sd GI r-t. 1l '�/1i ( ) -
LINO ADDRESS CITY,SPATE,ZIP CELL PHONE
T (/» -: 61c1 c)RELATIONSHIP TO PROJECT FAX
( NUMBER
0 Architect 0 Tenant 0 Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
k� (742-2- - 6l--< D
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
•
( )ii DETAILED DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
' AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE) .
DECK(COVERED?) •
GARAGE 0 CARPORT 0
NUMBER OF FLOORS laTeruo rsaro.m TOTAL
**NEW HOMES ONLY° NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to•remain.
MECHAMCAL
Value of Mechanical Work $ 00
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS p.. .rd.Q _ WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(ornb/showsC.mbo) SHOWERS WATER CLOSETS cram MISC(Describe)
DISHWASHERS Z SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
• LAVS VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 authorised 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 tiny 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 in formation supplied to the city as a part of
this application.
NAME/TITLE C/i � �-( DATE 44./7
(S%n rel Cade)
RELATIONSHIP TO PROJECV ❑ e .4 a Agent yContractor O Architect o Other •
•
D..17..�7..
41M Tww.......I 711/14 Pian')nfd 1A\1-iAnr[nntAPirmit Annlicstinn