06-102497 J
1 • 90 •I
City of Federal Waypit! E
Community Development Services Plumbing Perm .•
06-102497-OO-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: HANAHREUM MART
Project Address: 31217 PACIFIC HWY S Parcel Number: 082104 9186
Project Description: Installing a new ice machine with backflow prevention valve
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
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 bein accordance with the laws, rules and regulations of the State of Washingtonthe City of Federal Way.
Owner or agent fate:
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THIS CARD IS TO OMAIN ON-SITE
CITY OF ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102497-00-PL
Owner: KIR FEDERAL WAY 035, LLC
Address: 31217 PACIFIC HWY S
FEDERAL WAY, WA 98003-5401
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 By Date By Date
❑ Final-Plumbing(4075)
Approved
By fr." Date ..67;9
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CITY OF l�ECEIVED� C C ( Ca l -- -
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES
SF MF CO ME EL 411�E EN FP
33325 8TM AVENUE SOUTH•63-9718 BOX
FEDERAL WAY,WA 98063 9711 AY 1 8 20A6 P P L I C A T I O N TD
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253-835.2607•FAX 253-835.2609 // . 0
u�ww.dtun(/edemhunit.rnm TY OF FEDERAL WAY 'V
The followinis re u �'infr maon
-an{rico .late a••lication will not be accepted. Please •rint leg{bi in in or
• PROPERTY INFORnMATION
SITE ADDRESS -3(2 ( -7 PGi(A( ii C- HL,/y S . 4- F /•0 1 SUITE/UNIT# T. —(a I
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf
LEGAL DESCRIPTION (e.g. Acme Estates,Lot 1)
/Attach separate page for lengthy legal description]
PROJECT INFORMATION
TYPE OF PERMIT ❑ 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)
j"--,-^54 -- .-C�. '1'7-1 C4 C.-4W'1"-C. l.4 .i L. t-2,,t 6. '(- t:' .•✓ (. -L., . . •._( .. V,:_4:
PROJECT NAME(Name of Business or Owner Last Name) 1 ( 'Y7; - k-�,yc._,:-.-y` c;,-,.-el —74c •r ,,y Pes-t,cc-i.,7
._ MI PEOPLE INFORMATION
PROPERTY �/ NAME / PRIMARY PHONE
OWNER '77��,,o )/. gi
V ( ) -
'�]y/ MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
L, t Wu Calc ' Gt C. f-A CNS -3;`/ (��►4r -L2-(-) $2.2 — 6 S--1 C
M4ILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NU, :. n n /�EXPIRATION DATE FAX NUMBER
- ca- —VrB . l - �� / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of c quired with each application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(_ -. a--eg- 4:,bt,'a/e ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
t 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
(1-a.) Uri - 6S-,
LENDER ' AfWM.yi��:d �r`` "rS ;3"Xq`l' fa'(x NAME
frig
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
' ' ■ DETAILED BUILDING INFORMATION t; i , °, a
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) G Da Y/i3 a
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• - 1
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
L=ISTING PROPOS=D TOTAL tY
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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOOD STOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shower combo) SHOWERS WATER CLOSETS ir.i.) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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 authorized 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.
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NAME/TITLE i �,:.__._ DATE S(/S /`'',t'
(Signature) (Title)
RELATIONSHIP TO PROJECT q Owner 0 Agent .10 Contractor 0 Architect 0 Other
as )b`3 tI a S� ,� �) o a i i t'.
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