17-101305 RECEIVED
►. MAR 2 1 2017 PERMIT APPLICATION
CITY OF
Federal Way CITY OF FEDERAL WAY
COMMUNfTY DEVELOPMENT
PERMIT NUMBER I "7 _ I 0 3 0 3/_ r J /�vJ
1111 TARGET DATE ( '
SITE ADDRESS SUITE/UNIT#
31515 Pete Von Reichauer Way S. 112-115
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 41
6,7s-
0 9 2 1 0 4 - 9 3 0 2
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING IX FIRE PREVENTION
NAME OF PROJECT Jasmine Mongolian Grill T.I.
PROJECT DESCRIPTION
Detailed description of work to Add and relocate sprinklers for TA. walls and ceiings
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Hai Wang 206-660-6888
MAILING ADDRESS E-MAIL
2033 2nd Ave #1900
CITY STATE ZIP
Seattle WA 98121
NAME Patriot Fire Protection, Inc. 253-926-2290
MAILING ADDRESS 2707 70th Ave E E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
Tacoma WA 98424 253-922-6150
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PATRIFP099CF 10 05/ 17 19-91-101988-00-BL
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
Same as above
CITY STATE ZIP FAX
PHONE
PROJECT CONTACT NAME Matthew Greene 253-377-2272P
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence Same as above mattg(cx�,patriotfire.com
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 totothe city as�a part of this application.
�/K /
SIGNATURE: 4r/#11 "' DATE 3/16/17
PRINT NAME: Matthew Greene
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
r. r►
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$ 18,675
Indicate how many of each type offixture 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 HOT WATER TANKS(Gas) fire sprinkler
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utnityq WATER HEATERS(Electric
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
304,870 3(Yes❑ No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) 12044
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE D CARPORT ❑
OTHER(describe)
EXISTIBG PROPOSED TOTAL
Area Totals
**xE f HOMES oi r*
ESTIMATED SELLING PRICE$ it OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
NEW BUILDING -
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
in Square Area Feet Occupancy Group(s) Construction # of
Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application