11-104394M
City of Federal Way
Community Development Services
P.O. Box 9718 -
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
s� * Ntechanical
! �N Perlf t #: 1 1 - 104394 -00 -M E
Inspection Request Line: (253) 835 -3050
Project Name: JOE'S DINER
Project Address: 1230 S 336TH ST Unit C
Parcel Number: 926503 0050
Project Description: Mechanical work for tenant improvements including gas piping, vent fans & HWT.
caner
A[)[)Iicant
Contractor
HASSEN PROPERTIES INC
S A CONSTRUCTION
S A CONSTRUCTION
3727 S 194TH ST
16 CASCADE KEY
SACONC *894K5 (5/25/13)
SEATTLE WA 98188 -5360
BELLEVUE WA 98006
16 CASCADE KEY
BELLEVUE WA 98006
Mechanical Valuation ................. ...........................1500
Is this an Online or O.T.C. application ? .................Yes
�,,, a,� 50- ": �., � ,.��.��. .,�, � � ,,'�..,•�;: �..
Fans ................. ............................... 2 Gas Piping....... ............................... 1 Hot Water Tanks ............................ 1.
PERMIT EXPIRES Saturday, April 28, 2012
Permit Issued on Monday, October 31, 2011
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
Owner or agent: Date: /,e 3 !�
P;wAx> Z14117,
4
CITY OF
Federal Way
• THIS CARD IS TO MAIN ON -SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 11- 104394 -00 -ME Address: 1230 S 336TH ST Unit C
Project: HASSEN PROPERTIES INC FEDERAL WAY, WA 98003
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.
E] Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test J0 s"
Approved
By �� Date 2- Z /Z-
By Date Z - 2 TL
By Date Z
❑
Rough Electrical
Approved
El
Final Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
CRY OF
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253- 835 -2607• FAX 253 -835 -2609
www. d t yo(federa[wau. cope
`PERMIT � L -
MF i
APPLICATINCEBIt I�
OCT 31 201
O ME PL DE EN FP
7C� S7F/
SITE ADDRESS
I 30 -5 -33Z �' Sf CITY OF FEDERAL WAY
SUITE /UNIT B
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/ PARCEL N
TYPE OF PERMIT
❑ BUILDING } PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
n
-jo
PROJECT DESCRIPTION
FAm A %'Cvt% -
Detailed description of work to
HC -f
be included on this permit only
PROPERTY OWNER
NANtE Sg Q o M
PRIMARY PHONE
NtNH.1N � DR� � �
B-�,
CITY -E'ct e
NAM r
• C � YLtC 'D .nn
PHONE
NIAILIIiG ADDRESS
I' f CA /� (
E-MAIL
CONTRACTOR
__
crrY �JP P V uo-
STATE
�5pdD D
FAX
WA STATE CONTRACTOR'S LICENSE Y
-5,14 it C -X k S
ERPIRATION DATE
61r, /
FEDERAL WAY BUSINESS LICENSE 0
NAME �.�� =irre
PHONE
APPLICANT
MJ%ILING APD Q
E NfAIL
Crrr �elleV td
yla or, .
FAx
PROJECT CONTACT
(The individual to receive and
NAME
PHONE [
MAILING ADPRESS
respond to all correspondence
concerning this application)
CITY AoI /e
STATE
ZIP 4�1
FAX
ALTERNATE CONTACT HAKE:
PHONE
E-MAIL
PROJECT FINANCING
Required value of $5,000 or more
NAME
OWNER: - FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1 certify under penalty 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 certify that I will comply with
all plicable_ City -of- Federal - Way- regula #ors -pert reiieg trrthe- by- the - issuance of-a- permtt r- tm&erstan-d-tVuit-tiiie - --
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.
1
SIGNATURE: s /C�2'2� ✓� DATE
PRINT NAME: LoiIE' 1q• 79 A-)
Bulletin #100 — January 1, 2011 Page i of 3 k:\Handouts\Permit Application
VALUE OF MECHAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES X HOT WATER TANKS pas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING ' _ GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS )or Tub /Shoa rCombo) LAVS (Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES
Bulletin #100— January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application