06-101737 •
City of Federal Way E Plumbing Permit #: 06-101737-00-PL
Community Development Services
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: POPPED RICE
Project Address: 31217 PACIFIC HWY S Suite C103 Parcel Number: 082104 9186
Project Description: Installing 1 3-compartment sink and 1 hand sink for hot& cold water supply only.
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
A and the City ederal Way.
/2/a
Owner or agent: Date:
f�G
• THIS CARD IS TO*MAIN ON-SITE
CITY�F Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101737-00-PL
Owner: KIR FEDERAL WAY 035, LLC
Address: 31217 PACIFIC HWY S Suite C103
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) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By `e Date 006 By Date
❑ Final-Plumbing(4075)
Approved
By fi'!" Date SA y04
1g07)b
RECEIVII
CITY Of A
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Federal Way � �
A1Ro72006 PERMIT 0 SF MF COMEE PL DE EN FP
L. OOYIIUMIY DLVI<LOPMfEN'SRVR:I.f
IF ��S.�AFRWAY,WA7 ;0�tb 116FFEDE PLICATIONr_______ , '
FRDERAL
WAY,WA youniteltuoffederalw �E o -c 4_
s 607 � UILUING D ��ri•
The oUowin• is • fired i ormation-an Inco •Iete a• •lication will not be aces•ted. Please • nt -. ,I n in or j• .
■ PROPERTY INFORMATION
' SITE ADDRESS 3/ 2/ 7 ! G,'7'c, 1W/y 5 SUITE/UNIT# C-1 0 3
ASSESSOR'S TAX/PARCEL$ - — LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
• Medi a•purcUPM,fir IwvwU Mld 1
■ 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 only)
—4-is-Car/, 0)-ie ) c 5,,e;..1 g .(1 ( Lr ct,.c/ 5.44
7'tz.p.LP c .o t d2 t,.,7?„f, 9. .i.;., 4-Fa// Grin f ce....--/ . a
4'uttoy ,
PROJECT NAME(Name of Business or Owner Last Name) p o(fe-c ! ` C---52----
'i. • PEOPLE INFORMATION
ROPERTY NAME PRIMARY PHONE
1WNER ) _
MAILING ADDRESS CITY,STATE,ZIP
"ONTRACTOR COMPANY NAME22c� APPLICANT NAME OFFICE PHONE
NG ADDRESS,,,L.4.,‘,,,,t_,, CITY, ATE,ZIP CELL PHONE
(90-,2 - 6r/0
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - -B L • / I ( ) -
CONTRACTOR'S REGISTRATION NUMBER(ooPy of cid r.qulrod with touch application) EXPIRATION DATE
.fie r tk4 Cfl .9. S Re . z / ; 7 /7
APPLICANT COMPANY NAME APPLI �NAME OFFICE PHONE
�MAILINO ADDRESS ESS s:�Ci C�� CITY,STATE,ZIP�n CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant o Agent o Other(Describe) ( ) -
CONTACT NAMEIPRIMARYPHONE E-MAIL ADDRESS
S '7-t ( 1 t2-- r-f /o
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 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
MOST= PROTON= TOTAL
NUMBER OF FLOORS
"NEW HOMES ONLY'"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECRARICAL •
Value of Mechanical Work $ Oa
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.mmerd.Q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS nano MISC(Describe)
DISHWASHERS 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
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 any 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 information supplied to the city as a part of
this application.
•
NAME/TITLE / DATE 64/7 / o-6
-ignatu, Ride)
RELATIONSHIP TO PROJECT q Own q Agent 0 Contractor 0 Architect O Other •
Bulletin#100—January 1,2006 Page 2 of 4 k\I-Iandouts\Permit Application