08-105606 f . a
Plumbing
City of Federal Way Q
Community Development Services Permit #: 08-105606-00-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: SAMPAGUITA ASIAN FOOD AND GIFT SHOP
Project Address: 31220 PACIFIC HWY S Parcel Number: 092104 9110
Project Description: Install (1)3 compartment sink& (1) handwashing sink
Owner Applicant Contractor
ROBERT&MYUNG SOO SHIN BEVERLY ANN FIGUERAS BEVERLY ANN FIGUERAS
MYUNG SOO SHIN BEVERLY ANN FIGUERAS 30440 I ITH AVE S
SNOQUALMIE PASS WA 30440 11TH AVE S FEDERAL WAY,WA
98068-0169 FEDERAL WAY,WA 98003
98003
Plumbing Fixtures
Sinks 2
PERMIT EXPIRES Tuesday, May 19, 2009
Permit Issued on Thursday, November 20, 2008
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. '�1
Owner or agent: �__?/ a41(./` / '�" Date: h/21;16,1 g
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...__________________
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-105606-00-PL
Owner: ROBERT & MYUNG SOO SHIN
Address: 31220 PACIFIC HWY S •
FEDERAL WAY, WA 98003-5452
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) El Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
Final- Plumbing(4075)
Approved
•By ��% �` Date 4/f 9/00'
•
•
For inspector reference only
D Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
Ctil/OF+ - fig- _ / 0 ,�. 0_&
Federal ways • ti E R M I T
COMMUNITY DEVELOPMENT SERVIEs 'ETA SF MF CO ME EL IDE EN FP
3332E D AVENUE SWATH.PO63 BOX 9718 L I C AT I O N
FEDERAL WAY,FAX
98063-260 TD / /
253-835-2607.FAX 253-835-2609
www.dtuarederaluxiu.arn NOV 2 0 2003
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
V PROPERTY INFORMATION
SITE ADDRESS ✓ I Z2,, I Jrt
q 04-1,0 t1ic- j 1 • -- // (� w try' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I - / ' -i - I / c `� ---- LOT SIZE s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Otto)*separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION�VL (Provide detailed description of rk included on this permit onlu) {-
i .CI�iU�L �1M� .� (mlL�La/h.,;t1.T %.14,;-x;,. / �G. CLtik-
1r i. A /c i •
i
SA M P/&PROJECT NAME(Name of Business or Owner Last Name)
tTh A�At\J D en
• PEOPLE INFORMATION
PROPERTY NAME 9 PRIMARY PHONE
OWNER �t,-6- 'tt cif i1-Ni ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR C9MPANY NAME APPLICANT NAME OFFICE PHONE
e't 1 i\1,Ni if—VUN f—tC71(40-1i:(K) ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S- REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
�1 PhN'i1 C�tjf r I t) , y7/7° r I G(' P
APPLICANT C PA AME PLICANT NAME OFFICE PHONE
1 �`/ ft ) -1,IC..le1l/� -� ( )MAI
ON6 ADD ' l CITY,STATE,ZIP • �/y CELL PHONE
RELATIONSHIP TO PROD :ILT4Z9L'W.. '7 FAX NUMBER
❑ Architect enant 0 Agent 0 Other ( )
PROJECT NA 4E PRIMARY PHONE E-MAIL ADDRESS
CONTACT , 'SG�&L-/ freVk) A Y { -''S)))' � - 9ICI D
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
I. PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EETSTINO SF TOTAL PROPOSED sr TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerda)
COMPRESSORS FURNACES _ RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(ssttvoom s URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 city as a part of this application.
SIGNATURE: , DATE
Property Owner andAuthorized Agent
❑NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application