06-102498 - '
City of Federal WaypiLEP
lumbing Permt#: 06-102498-00-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: MYUNG DONG RESTAURNANT
Project Address: 31217 PACIFIC HWY S Suite B-102 Parcel Number: 082104 9181
Project Description: Installing a new ice machine with backflow prevention valve
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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
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Plumbing Fixtures
Other Plumbing Fixtures. 1
PERMIT EXPIRES Saturday, May 17, 2008
Permit Issued on Thursday, May 18, 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
re City of Federal Way.Owner or agent: ` Date: /t1/7-6
THIS CARD IS TO AMAIN ON-SITE
CITY OF ommunitY pnt Develo m Ins ection Record
Inspection
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102498-00-P L
Owner: KIR FEDERAL WAY 035, LLC
Address: 31217 PACIFIC HWY S Suite B-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) 0 Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By 1 Date sr ti/e,
11 Illirr' 0
Pedes EIVEQ _13. ' - ( 0 �-1
• WLIONNIIYDEVILOPMERT MSS PERMIT SF MF Co ME E -2:3
RDE EN FP
33335VII PEDd EWA'WA „ 979 2006 APPLICATION T.
253435-2607.PAX 253435-2609 0 ((___
rum.dtvonidenikva.
CITY 0�"�EDERFFAL AY
The ollowi (,�I • t orrnatlon-an into .lete a• •lication will not be acre•ted. Please •rint le, ,1 n or • .
■ PROPERTY INFORMATION
SITE ADDRESS 9(24')I') pa G`-rf`C Hwy S SUITE/UNIT# 8—!01.-
ASSESSOR'S
- -ASSESSOR'S TAX/PARCEL# - ( It)
_._ _ LOT SIZE(s� /
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Mach• aP fir t.'pnvtwoarv+a&n1 .
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this Dennit only)
-.4..-.54,#yd -UR_ vrtaCiot. .:JA11 ie is 4 laic Li) 04.14/
1 •
PROJECT NAME(Name of Business or Owner Last Name) M C SIM• P'4 a,,,,,,,, ---
al PEOPLE INFORMATION
PROPERTY NAMEr--(
t PRIMARr PHONE
OWNER �/ P(A) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME • APPLICANT NAME OFFICE
PHONE
124/6,t.Q etYISkCV641 T:4Y ( le ncEPZ - L�/
0
MAI NO
ADDRESS CI'I STATE,ZIP CELL PHONE
(
CITY OF FEDERAL WAY BUSINESS LIC E NUMBER :,* •'• 'ON D TE FAX NUMBER
- - -B • 1 / 0
, 1�
CONTRACTORS REGISTRATION NUMBER of card raq th too applleatloa) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
• .54/Ate aa a vv-e --y fes- (air) X22 - i0,
MAILING ADDRESS CITY,STA ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant a Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
. s,,/-4' ed (C 1 Z• - 61-7 0
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? C]YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
• -lir
PROJECT FLOOR AREAS
' AREA DESCRIPTION EXISTING PROPOSED • TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
•
THIRD •
FOURTH
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ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) •
•
GARAGE 0 CARPORT❑
as,nTa) PROTON= TOTAL
NUMBER OF FLOORS
**NEW HOPS ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fx ure to be installed or relocated as part of this'project. Do not include existing fixtures to-remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(C.mm.mtq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
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COMPRESSORS • FURNACES GAS WATER HEATERS
DUCTS • GAS PIPE OUTLETS
PLUMBING •
BATHTUBS*Tri b/Show.r0.oho) SHOWERS WATER CLOSETS moo MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS( 54 VACUUM BREAKERS ELECTRIC WATER HEATERS
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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 dny 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. y//�
NAME/TITLE DATE
( /6e/r V
Mk)
RELATIONSHIP TO PROJECT q Owner Cl Agent 0 Contractor 0 Architect 0 Other •
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