16-101986 • • Mech'aial
City of Federal y ,,{{.�
Community&Econ.Dev.WaServices l..� Permit #: 16-101986-00-ME
33325 8th Ave S
Federal Way,WA 98003 ' Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: 99 CAFE
Project Address: 27400 PACIFIC HWY S Suite A Parcel Number: 872992 0010
Project Description: Installation of Type I hood system.
•
Owner Applicant Contractor
SHAWN KUO KI NAM J C&ASSOCIATES
99 CAFE KI NAM ARCHITECT JCASSAI860P2(10/22/16)
27400 PACIFIC HWY S 29605 MILITARY RD S 10610 13TH AVENUE CT S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 TACOMA WA 98444
Additional Permit Information
Mechanical Work Valuation'? .35000 Is this an Online or O.T.C.application? No
Mechanical Fixtures
Hoods 1
PERMIT EXPIRES Saturday, December 10, 2016
Permit Issued on Monday, June 13, 2016
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, ules and regulations of the State of Washington
and the City f Fe ral Way.
Owner or agent: _ Date: ///) //1
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THIS CARD IS REMAIN ON-SITE
CITY
Allii .00 • Construction%spection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-101986-00-ME Address: 27400 PACIFIC HWY S Suite A
Project: SHAWN KUO 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.
0 Mechanical Rough-in(4165) - 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By DatezEF Date t�
f
?T-2 �- By %' Date 4 I�3 I 1 i
D Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
lkii.
0 RecewED PERMI'1" IPPLICATION
crr1r eral Way
of - .. ., APR 2 5 2016
Fed
•
/ _ / (7 CITY OF FEDERAL/WAY c /�j�
PERMIT NUMBER / / �, / j' /-� _ 11.4
TARGET DATE S /
/ 1�
SITE ADDRESS ��IWI�/ �� UUUU �L SUITE/UNIT#
29G,0 / C7*l- Aft,?-- S -*4
-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3;'1)( g - - 2- 7 -2-- - 9 l7 / d
TYPE OF PERMIT L JUILDING ❑ PLUMBING t4 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT T7 6
PROJECT DESCRIPTION — 1_ .PtJ -d 4 t S 1�l J„3l4 (,,, --k-
,--
Detailed description of work to _ -`
be included on this permit only
... NAME PRIMARY PHONE
1;ic vi ,4,, 67s — 9 —/-3,
PROPERTY OWNER MAILING ADDRESSE-MAIL
24- Z,� 1c ij zk- A E ZIP
4b y�
... .. CITY y�'Wv CAA
t. JO
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NAME W o n C Lo i PHONE — —3%�
MAILING ADDRESS E-MAIL-.I-3
Ce7
CONTRACTOR / il -.0.7 -/, t C
CITY (>I (IL/,to G 4? STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME • Ai`444 P �YPH - r ,.ca
/l .--1 f-�/ 5
APPLICANT MAILING ADDRESS
� E�-iMAI/L et r g-e )(frl
af
CITYd-C' `� Gt`d-. S1TlA` ZIP Ci2 0-0J FAX
NAME U PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
-
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 to the city as a part of this application.
, DATE r/ ;;'I
SIGNATURE: �� �%G'
PRINT NAME: /Ir Xj..-1/>r
Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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 2 HOODS(commerdai)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING / GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type o f 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(Electro)
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?
❑ Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY"*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
Area In Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application