08-105146 i
City of Federal Way • PlumbngQ
Community Development Services Pettit #: 08-105146-00-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: THAN BROTHERS PHO
Project Address: 31434' PACIFIC HWY S • Parcel Number: 092104 9257
Project Description: Relocating plumbing fixtures to different locations.(2)hand sinks and(1)three
compartment sink.
Owner Applicant Contractor
TIEN T LIU LE-UYEN DANG LE-UYEN DANG
33430 11TH PL SW LE-UYEN DANG 3249 NE 96TH ST
FEDERAL WAY,WA 3249 NE 96TH ST SEATTLE WA 98115
98023 SEATTLE WA 98115
e y r �a-4 �:.,.a,.de,: „a ... a a w;a , -, ,. ,i, '2:!.:''''4,7- =-�, Er ._ � .,
Sinks 3
PERMIT EXPIRES Monday, April 27, 2009
Permit Issued on Wednesday, October 29, 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.
Owner or agent: ' (-/- t %t W` Date: (`x'21*. O S'
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THIS CARD IS TO REMAIN ON-SITE
CITY OF •ommunity Developmfit Inspection Record
• Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105146-00-PL
Owner: TIEN T LIU
Address: 31434 PACIFIC HWY S
FEDERAL WAY, WA 98003-5404
•
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.
El Plumbing Groundwork(4190) E Rough Plumbing(4230) CI Gas Piping(4125)
Approved to cover Approved Approved to release test
By G Date /. ?S, 018 By DateBy Date
— ❑ Final-Plumbing(4075)
Approved
By G Lei Date/f /b— °ed.
•
For inspector reference only
D Rough Electrical 0 FINAL-Electrical
Approved Approved .
By Date By Date
A
ei_E- / 0 ,5--/ -f-- c,
. � -� D PERMIT
ETV
?D,: ,., .:. SF MF CO ME EL E EN FP
3332581*AVBWA 98069-9718
PO 69971 9718 PPLI CATI O 1�T
ABA[iRAL WAY,WA 98069-9718
253-835-2607.FAX 253-835-264)C T 2 9 200im / /
www.d1voffederaboau.cora
F labeling gERAiLn v v p T lete application will not be accepted. Please print legibly(In ink)or type.
• PROPERTY INFORMATION
•
SITE ADDRESS_ ; 14-341 P4 c I i L Vv uj S SUITE/UNIT 9
ASSESSOR'S TAX/PARCEL 0 0 9 Z ( 0 • -1 _— 7 LOT SIZE(sf .
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Attach«P Mela►ler•aaw8117dda,v{pekM
NI PROJECT INFORIIIATION
TYPE OF PERMIT 0 BUILDING )(PLUMBING 0 MECHANICAL
CI DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION,Provide detailed description of work included on this permit only) ( 1 . •
.�> t 1 2-r7 C-41) C.-( • - F i 7 ✓l rte-:, n---),7:,n---),7:,nvi-et el t,j f ti riA 11kCAf-(L-3n
PROJECT NAME(Name of Easiness or Owner Last Name) T 1117c Cv rO 4-LE-f C ,a----a' LC r-+,i U f
MI PEOPLE INFORMATION
•
PROPERTY NAMEPRIMARY PHONE
• OWNER \-6-/-N `T . L Lk • ( ) - .
MAILING ADDRESS CITY, ATE, E-MAIL ADDRESS
CONTRACTOR COMPANY�Nr APPLICANT NAME OFFICE PHONE -
MAILING ADDRESS CITY,STATE,28 CELL PHONE
,.. crr OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I V ( -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY N�AMES ^'',. AA 11 APPLICANT NAME OFFICE PHONE
I r�-I'\ ��i-V�rS �Ea tf 41 .1 L. LL C 411 4 ( ) -
8MAILING ADDRESS STATE, CELL PHONE
.3,2--(4-q N' �1b-cI �-4-(L VvA 'FINS i206124 -�7�i'.2-
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant o Agent le-Other l rt1 s L , rr
NAME PRIMARY PHONE
(;Z �: ..c.--(7 - I-0g S�
PROJECTEMAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.096:
Lender lnJ nation Is required If project value meds$5,000
MAILING ADDRESS art,STATE,VP PHONE
( "
• DETAILED BUILDING INFORMATION
:'':. : ' 0 USE PROPOSED USE
•
!XISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
PRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES a NO
ITER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
AERSERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
IIIIIIIIIMIIIIIIIMIZIIZIIIIIIIIIIFIIIIIIIIIIIIIIIMII
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST .
SECOND •
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
•
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
•
msrwa PROPOSED TOTAL TOTAL ssvmroar TOTAL PRO'O.aDsr TOTAL ST
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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BIERS FANS GAS WATER HEATERS MISC(Describe)
• BOILERS FIREPLACE INSERTS HOODS pounistaw
COMPRESSORS FURNACES RANGES . .
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLIIMBThG ' ..614.1•10 .
BATHTUBS iorTub/shower comm) IAVS(see SW* URINALS f MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS frosts •
ELECTRIC WATER HEATERS t SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
I certify under pmmitY of perjury that I am the property owner or authorised 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 cert( that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 law&
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 such claim), which may be made by any person, including the undersigned, and filed against the city,but only
where such claim arises 9P of the relianeo of the city,including its officers and employees,upon the accuracy of the information ation supplied to
the city as a part of this , p n
BIQNATIIRE: .J
�- "/ }''L DATE I D
Owner and/or Authorized Agent
•
a NEW a ADDITION a ALTERATION a REPAIR a_TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a.YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO IIP/SEPA/SII? o YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Ap