12-104067City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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Project Name: H -MART
Project Address: 31217 PACIFIC HWY S
Permit #: 12 -104067 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9181
Project Description: Install (1) 6' Type I hood for 6 burner grill and (1) 6' Type H hood for condensate removal
for cookie maker.
Owne
ARRIicant
Contractor
KIMCO REALTY
SUNNY ELECTRIC & REFRIGERATION
SUNNY ELECTRIC & REFRIGERATION
3333 NEW HYDE PARK RD
(ELECTRICAL)
(GENERAL)
NEW HYDE PARK NY 11042
29617 58TH PL S
SUNNYER889NM (8/14/14)
AUBURN WA 98001
29617 58TH PL S
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation............................................16500 Is this an Online or O.T.C. application? ................. No
Mechanical Fixtures
GasPiping ...................................... 30 Hoods............................................. 2
PERMIT EXPIRES Wednesday, March 27, 2013
Permit Issued on Friday, September 28, 2012
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: Date: -.>—T —12 --
IV 3
T-12--
3 r3
VI a-� 1p�".
CITY of
Federal Way
PERMIT #:
12 -104067 -00 -ME
THIS CARD IS TOMAIN Old'r-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 31217 PACIFIC HWY S
Project: KIMCO REALTY FEDERAL WAY, WA 98003-5427
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.
Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test A '0-Ps'j
Approved
ByDate /,0 —,�Z Z
By �G� Date
By Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RECEIVED
APR 13 2015
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER —1!5 , ' _0ff V 3 _ �,:
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS: S12-1:7 Qac. c. Kwy $ ga003
SUITE]UNrr/SPACE #
PROJECT VALUATION
ASSESSOR'S TAIL/PARCEL 9
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
n
adv ; 1 %EM j ceh 4 .c r — fi — M os A- $v Q -t i vn A /- Ko---
PROJECT DESCRIPTION
Detailed description of work: to
be included on this permit only
'. -ri-00 lc hon : +�_ L...`g11 +
Lk0"` L 3F� �" T
PROPERTY OWNER
NAME
m a •� L a�o: [ t S S
PRIMARY PHONE
( -
MA&MG ADDRESS
EMAIL
CITY
STATE
Z!P
( PAZ
t
ELECTRICAL
CONTRACTOR
NAME
SWT 6 621T ELEC`TR=C..
PRIMARY PHONE
(y Z5)3qq - 9 j %0
HAILING ADDEEeS
1%1`410 U G t'L4f i'" S?
R-KAIL
CITY
Kc4,lcVan
I STATE
W
I ZIP
9$03
FAX
1425) 6Y -6315
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE
7- 10T bhG 165 1 LF 2166 1-4
FEDERAL WAY RUSDIESS LICENSE i
Zd-�5-1�16g1-oo-OL
APPLICANT
NAM
Eleckc.CAk-
PRIbIARY PHONE
MAILING ADDRESS
So. w%a- CLS above
E-MAIL
CITY
STATE
ZIP
/ PAZ
t � -
PROJECT CONTACT
NAME
910 vv% A n Q o ckr c d
PRW RY PHONE
(Y K) 34 - 9 i S a
I 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 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.
1 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
i4ormation supplied to the citg g,v a part of this application.
SIGNATURE:
PRINT NAME:
a
Z11111 -5 -
Bulletin
1 -5 -
Bulletin #150 - January 1, 2013 Page 1 of 2 kAllandoutsUectlical Permit Application
•
,, EIVED 4101- --2__ - d e. 7--
CITY OF PERMIT SF MF CO 46, PL DE EN FP
Federal jO5 2012COMMUNITY DEVEIAPMECES AP P LI CAT I O N
253-835-2607•FAX 253-835-2609 TIP'
, 1/ 1 0/3A
u«,«.«<„oU. e r , it FEDERAL WAY , ` l
CDS
SITE ADDRESS
SUITE/UNIT#
S -Df c`c- lS reciertA (oY / ki A- ( o
PROJECTVALUATION ZONING ASSESSOR'S /PARCEU#
$t6o _ rg- z1 o1 - 9r
I
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT i
(Tenant Name/Homeowner Last Name) -I— ti• ry r
PROJECT DESCRIPTION d ` u 1
-tyre e r 1`o o D t, 6 l/`N 61ti.tl
Detailed description of work to AIN4 (1 J b 1 "�J Fe IL {.Hoot) f• Cy yl p A Ss
be included on this permit only Vvv 1
&be)t i,v4t)...,._
NAME PRIMARY PHONE
PROPERTY OWNER 14—ty v,-1--
MAILING ADDRESS E-MAIL
\\ %"'" 3(. -t 7 PA I�w'( 5
*
CITYr"eeZIP
/,, S�T�AT)EpA ZIP p
ay
NAME UNN eC-f-�.� a AQ-T3'e -.ai", E-MAIL i -
MAILING DRESS
CONTRACTOR . ...1/217 ys T L —5 Icy 62 ACii sf v ct
CITY STATE ZIP FAX i
61,4r^ a;-A etgtbt
WA STATE CNAME viitONTRACTOR'S LICENSE# EXPIRAyyTIO DATE f, FEDERAL WAY BUSINESS LICENSE#
Cc 5t'N IJyEI .,.:$ Nil '2 / l4' i iq. PHONE
APPLICANT MAILING�D gs P S E-MAIL
CITY STATE ZIP FAX
-ltburin oft-- 448ce I
PROJECT CONTACT NAME PHONE
(The individual to receive and eke vta yam- "�'et+. 3'.
respond to all correspondence MAILING DRESS E-MAIL
concerning this application) 1 7 4$ tk P L ..S
CITY , STATE ZIP FAX
Km l'irl " (go
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS.CITY,STATE.ZIP PHONE
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: ,01.16-...e-" DATE +—,...------1"101
PRINT NAME: ,A s I .-
V
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• 111Pyou.:A .�
P3'""'",u P 1 i� � M 4 ,.
VALUE OF MECHANICAL 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 (1.) HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING 0 GAS PIPING WOODSTOVES
e, �w Puo-1 a ' . ° ,44 "i�r VPOyu ,Vis;
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/shower Combo) 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 TOTAL FIXTURES
llpai v ?>taN,_5' ? ;fin °(4oa.uv �� a?st.-s-o - aa"'° iiihllNiiit�i!, ti�.ro ipid
'_ r� �i� end fitly ) �� 11 OP' r�
�� d..rklsrJ'�I
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?
❑Yes ❑ No ❑Yes ❑ No
rr ec
�wc ate p rn imawa ra
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
r4os." NOU "', pEaala 'Nu a'I(i�� # i�sr
Naha M "rw
.........................................................................................................................
FIRST FLOOR(or Mobile Home)
W�, n1 - rpm�- d N a Hip di i1� itiit n�i ... .. ... .......................... ........ .. ....... .. .. .. .. .. ... .... .... .._......,....
gtc
O iii pall a ?Ndrp ia!M ii iii arP : d 4ri4 �IpriN� ilii)4' �
,,,,4 1t111-, �ru�R�i. I�IiillpFl t Pik � �.
COVERED ENTRY
Ir�"� y pili��r�., r: �
DEO* ) �pWed _ '41411411733- a R ,-,4111111133
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3111h,111111,1-1#---- - 111Ui 33' ,o�a.ii��KV: ........... .. .. ..... ..
GARAGE ❑ CARPORT ❑
gr I'pG�li - pN i C . ... ....................... .. .. ... .......... ....... .. .. ... .... ............ .. ... .. .. ..........
O '� ide K;d�� l� � 01N19'
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�'r? ... - r Jia �- '��"�6�ar 'i° �!*at.. r-P W... 11pti,r '.,, � ' (11I .. ..
EXISTING PROPOSED TOTAL
Area Totals
,;r'w4ru,n
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S uare FeetType Stories
okra "' a �'a 'pre' Iiii�
i
.. r
"-I'�cn ,3a . :. i Ga � r✓ .�..�'k°i u�N4�� wx,I,ili��llhl���
..=?m , �
ADDITION
�`m�q-. .a., ..� 1 " � `
AREA DESCRIPTION Area Occupancy Group(s) Construction #mof Additional Information
I in Square Feet �„ nType Stories
N9 p11II4t� 4r41�`f`w " i101i!�(��N°" .4,;;;411„,--",-"'7; ` IV���� -P F -+.. ,, yii(,�p-'r" r it
TENANT AREA ONLY
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application