07-105161City of Federal Way
Community Development Services Mechanical Permit* 07-105161-00-M•E
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-260987 e " trlwection Request Line: (253) 835-3050
Y
Project Name: DAE JANG GUM RESTAURANT
Project Address: 33324 PACIFIC HWY S Suite 203 Parcel Number: 797820 0025
Project Description: ALT - Gas piping on tenant improvement for restaurant to include (20) outlets
Owner
Applicant
Contractor
ARTHUR & SHIRLEY INC
ESTHER FOERDERER
PLATEAU MECHANICAL
ARTHUR & SHIRLEY INC
MAN -REE CONSTRUCTION INC.
PLATEM*008PU (10/30/08)
33310 PACIFIC HWY S
14605 9TH PL NE
24412 SE 470TH ST
FEDERAL WAY WA 98003
SHORELINE WA 98155
ENUMCLAW WA 98022
Add]
Mechanical Valuation............................................2500
Gas Pipe
I hereby cerl
the occupa
Owner or agent:
Over the Counter Permit? ...................................... No
........................... 20
PERMIT EXPIRES Saturday, September 19, 2009
describedproperty and
e State of Washington
THIS CARD IS TO r'MAIN ON-SITE Y •
CITY OF �,omntunity Development Inspection Record
Federal Way IVF. INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105161 -00 -ME
Owner: ARTHUR & SHIRLEY INC
Address: 33324 PACIFIC HWY S Suite 203
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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
Approved
By
Date
By
Date 0 .
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
I
C"r OF
PF.RMTT
Co 4 2p07 SF MF Ca`M EL PL DE EN PP
9�?5�"207-�"•lb __ PLICATION
FEDERAL WAY, WA 98063.971 /
ZSs 8JS?607• FAX?53 d9S?609
. r 76
Bulto, N DEPT,
The following is required information- an incomplete application will not be accepted. Please print.legibly (in ink) or type.
PROPERTY• •
SITE ADDRESS
ASSESSOR'S TAR/PARCEL f
C
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(• � • �• Fro• h• �r lw•l d«i
PROJECT•• •
SUITE/u= q �2
LOT SIZE (sj)
TYPE OF PERMIT O BUILDING O PLUMBING (MECHANICAL
O DEMOLITION O ELECTRICAL C3 ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT. NAME (Name of&smesg or Owner Last Namel � 6 -um C6C--til L E O
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
MAILING S
AT , ZIP
E-MAIL ADDRESS
COMPANY NAME
CA
APPLICANT NAME
OFF!C PHONE
L'Am L KA LP
PHONE
(
_
MAILINGADDRESSIMT,
IZ
, E, ZIP
STATE, ZIP
PHONE
RELATIO S IP TO PROD
O Architect o Tenant O Other
gent
2
-3-459
CITY OF FEDERAL
AY BUSINESS LICENSE/ NU BER .
EXPIRATIO TE
FAX NUMBER
CONTRACTOR'S REGISTRATION NU
WO TION DATE
&MAIL ADDRESS
COMPANY NAME
CA
OFFICE
CITY, STATE, ZIP
L'Am L KA LP
PHONE
(
_
MAILINGD
st
—
, E, ZIP
CELL P!{ON
FAX`X NUMBER
_
RELATIO S IP TO PROD
O Architect o Tenant O Other
gent
()j
I PRIMARY - � 19 -MAIL ADDRESS
HAMS
Per RCW 19.27.098:
Lender information is required j f project value exceeds $5,000
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLFIM BUILDING? O YES O NO
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
AREAS
•EXISTING
SQ; FT.
PROPOSED
SQ. FT,
TOTAL
SQ. FT.
BASEMENT
o YES. o NO
BASIC PLAN?
a YES
FIRS,,, e
ZONING DESIGNATION
CHANGE OF USE?
S yy._ ,.. • ..F
o NO
NEW ADDRESS REQUIRED?
o YES o NO
. l HM
o YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
o NO.
DECK (❑ COVEREDOR ❑ UNCOVERED?)
GARAGE -❑ CARPORT ❑
NUMBER OF FLOORS
mO
tx'rwss
rore�
ran�csmmYeu
ranwrsaoesssr
rortcu
••NEW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
gal tift4w
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS j.T-/slmwerc.mb4
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (a.fr..m Sink.o
RAINWATER SYST
SHOWERS
SINKS
SUMPS
2 OAS PIPE OUTLETS
OAS WATER HEATERS
HOODS Icomm.rdo
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS ir.n q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certV0 under penalty of perjurg that I am the property owner or authorised agent of the property owner. I
eert(jy that to the bast of my
knowledge, the btformation submitted in support of this permit application is true and correcA I cert(& that I Will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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, kVonses, and attorneys' fees incurred in the
investigation and defense of such ciatmb which may be made by any person, including the undersigned, and flied against the city, but only
when 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 apart of this applieait
SIGNATURE:
Owner i
a NEW o ADDITION
o ALTERATION.
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\HandoutsNPermit Application