16-102786 s
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Mechanical
u
City&Federal Way Permit #: 16-102786-00-M E
Communi &Econ.Dev.Services
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: BIBAP RESTAURANT
Project Address: 31646 PACIFIC HWY S Parcel Number: 092104 9292
Project Description: Extend gas piping for kitchen equipment.
Owner Applicant Contractor
BETHANY INVESTMENTS LLC J D DESIGN INC J D DESIGN INC
16532 NW VE11'ER DR 3521 160TH PL SE JDDESD*863JW(4/19/18)
PORTLAND OR 97229 BOTHELL WA 98012-5433 3521 160TH PL SE
BOTHELL WA 98012-5433
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Additional Permit Information
Mechanical Work Valuation? 1200 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
CONDITIONS:
STFI
PERMIT EXPIRES Monday, December 5, 2016
Permit Issued on Wednesday, June 8, 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 bein accordance with the laws, rules and regulations of the .tate of Washington
and the City of Federal Way.
Owner or agent: // Date: Oft f20(
THIS CARD IS Ial REMAIN ON-SITE , i .
CITY OF • Constructionspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-102786-00-ME Address: 31646 PACIFIC HWY S
Project: BETHANY INVESTMENTS LLC FEDERAL WAY, WA 98003-5408
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 Date riS Date(-- l O_( •By > Date $/Z5 /AI
0 Rough Electrical 0 Final Electrical CIRight of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
.
tUN082016PERMIT APPLICATION
CITY OF
Federal Way CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / _ / /7j _ e TARGET DATE
SITE ADDRESS !� SUITE/UNIT#
5((-04-6 ?ac1L V�(
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# `�
$ ooa0 — _
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING Ly MECHANICAL ❑ DEMOLITION ❑ ENGINEERING D FIRE PREVENTION
NAME OF PROJECT V a p z2 5t .c.t
PROJECT DESCRIPTION Com& p lv �o I ( 1 e_aux
Detailed description of work to Y l.� �p C
Dwut
be included on this permit only
NAME ��,n c / _ PRIMARY PHONE
PROPERTY OWNER e l s 1 1 (IVL IA 4-5
MAI((/LIN ADD7jR S N� I� t( E-MAIL
V -(f
CIT STATE ZIP
Qo r-LAv7 6
1' 221 ��
NAME $�
Ve P nrc O(0� V " ` 1033
MAILING ADDRESS E-MAIL �
CONTRACTOR ?2-I 1�,0' r'L- S*- k
d, JNA ( p 1 °
� "VAQ.•CGAJ1
CITY ( TA_
S_T¢TE ZIP eO I �/ FAX
WA STATE CONTRACTOR'S LICENSE# \WI EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CC3 )tESD 66$ . 4 /261d
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME 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 • • s out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci a part of this application.
'
SIGNATURE: DATE
ó/(2
, Z°1;6
PRINT NAME: Nkki 1 d VAI�I/1
Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ ( e349e
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(commeria1(
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS a / GAS LOG SETS REFRIGERATION SYST
DUCTING �/ GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
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(EleMrie(
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 `mea In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application