00-104890 •
City of Federal Way
Community Development Services Plumbing Permit#:00 - 104890 - 00 - PL
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Pk 253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: ALLY KITCHEN
Project Address: 30420 PACIFIC S Suite3 Parcel Number: 092104 9107
Project Description: PLUMB-Plumbing for kitchen
Owner Applicant Contractor
ALLY KITCHEN ALLY KITCHEN A DISCOUNT PLUMBING&HTG CO
34020 PACIFIC HWY S UNIT 3 34020 PACIFIC HWY S UNIT 3
FEDERAL WAY WA FEDERAL WAY WA 9: 29412 141ST ST E
98003 BUCKLEY WA 98321
Plumbing Fixtures
,',m i,.i' rc`', 10 1
Drains 2 Sinks 2 Water Heaters 1
PERMIT EXPIRES March 24,2001,IF NO WORK IS STARTED.
Permit issued on September 25,2000
I hereby certify that the above information is c•rrect and that the construction on the above described property and
the occupancy and the use 11 be in accordan•- wi i the laws,rules and regulations of the State of Washington and
the City of Federal W . '
Owner or agent: . Date: ‘11 ,2(e -00
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• BUILDING DIVISION
7N/fr.- °".3 ''.+!_"N`!! I 33530 First Way South
DEr<Fn—. Federal Way,WA 98003
(253)661-4000
SEP 2 5 ?KO Fax(253)661-4129
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BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION# CO - /V d-/F) 16
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Tenant nave Lot# Assessor's Tax #
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Building Owner's Name Address r
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Description
j: jDescription of Work b7_
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Contact Person Day Phone Other Phone Fax
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Federal WayLicense ce se #
Company Namer
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Phone- 3h'> Fax
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Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
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Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
. Please Complete Reverse Side
STRUCTURE existing Use •Proposed_Use
Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 #of bedrooms 0 Deck
0 Commercial 0 Addition 0 Repair 0 Garage 0 Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availabilit 0 On-Site Septic System Availability 0 Project Valuation $
Zoning jLot Size Existing Bldg Valuation $
i:ENOER : For new residential only - Proposed selling cost: $
Name Address
City State Zip
J11IEC.ANitA€•C{5NTRACTOR<:>::.:•• :'.
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
•
C :PLUMBfNG ONTHMCTOR.:- :"`< 'f.
Contractor Name ` \ 1 Address
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Contact Phone Fax
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License # •r_130-1 L5 Expiration Date5-31`c' Verified 0 Yes 0 No
-PLUMEil iG' tXTURE::COUNti:il::!..?. <:`:.
Water Closets Sinks ;1- Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters 1 Sumps _
Lavatories Washing Machine Drains 1 Total Fixture Count
MECHANICAL UNIT.:COUNT "' MECHANICAL EVALUATION ONLY $
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping +41 Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs 7/ Gas Loq Unit Heater 50+ Tons
Furn >100 BTUs r Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: 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 authorized by the owner of
the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in investigation and defense f 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�6'tl reliance f the ci ,inc uding its officers and employees,upon the accuracy of the information supplied to the ity as a part of this application.
` � / L 1i; G,, Date: e,1 ,/ c" Z)
Owner/Agent 'V `-' J� C � (//�
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