07-103113 •
City of Federal Way •
Community Development Services Mechanical Permit #: 07-103113-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BLUE ISLAND ROLL& SUSHI RESTAURANT
Project Address: 35002 PACIFIC HWY S Suite A101 Parcel Number: 185295 0050
Project Description: Installation of roof top exhaust and make up air units for hood
Owner Applicant Contractor
PAUL CHOI SUNG WOON(JOHN)CHANG KOOLTRONICS REFRIGERATION INC
BLUE ISLAND ROLL&SUSHI KOOLTRONICS REFRIGERATION INC KOOLTRI942D9(3/29/08)
9019 NE 28TH ST 31500 1ST AVE S SUITE 15-205 31500 1ST AVE S SUITE 15-205
CLYDE HILL WA 98004 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation `` 9500 Over the Counter Permit? No
Mechanical Fixtures
Hoods 1
PERMIT EXPIRES Saturday, June 13, 2009
Permit Issued on Wednesday, June 13, 2007
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: " —misuo "."1 Date: 127 ,
DA N I
1
6/2017 r C/ZG tJ" �ve.:T Z)_5 475'ft117-; lefitY;
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• THIS CARD IS TO r AIN ON-SITE
CITY OF Community Developine it Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 845-3050
PERMIT#: 07-103113-00-ME
Owner: PAUL CHOI
Address: 35002 PACIFIC HWY S Suite A101
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) Q Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
if
,d.1Lr` –6afe %� �f � :y Die By —1�-� Date e,3
/41j Zk �
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIVE
CITY OF 01'4"1*---....._ ill 0 7 -7 — iO
12, 3
Federal Way pF R1VI IT �
COMMUNITY DEVELOPMENT SERVIC, JN 0 7 2007 SF MF 'k/ ME EL PL DE EN FP
33326 8r"AVENUE SOUTH•PO BOX 9718 PLICATION 7D
4
FEDERAL WAY,WA 98063-9718
253-836-2607.FAX 253-83e�6pSY OF FEDERALCie AAP t( /07
os^±t�_�.cituo7lerirn:;:onu.eom BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY aGe
INFORMATIONyy �7 d
SITE ADDRESS j.4,,,r- /$ 4/J 7 QLC.f ,5USH1`c. 3 "-z:vz `'n -6 SUITE/UNIT# —/01
(J
ASSESSOR'S TAX/PARCEL# ( 5 A 9 5' 0 0 5 o LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for Lengthy legal description)
■ PROJECT INFORMATION.
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING !MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu,)
EX. 4.(4.4, o 0.(62 04A- UA/Cas f-e5L 1460 Ci tA,.‹. }eel
PROJECT NAME(Name of Business or Owner Last Name) 9L(L /5Z,-/t)n jvx. ---/"c(2SXn ReSpeaditi7
• PEOPLE INFORMATION
PROPERTY PRIMARY PHONE
OWNER SP_aR�SsZ`O/lL
)
MAIL ADDRESS. - A „�y/ ` CI ,STATE,Z/ �.- _ MQ y E-MAIL ADDRESS
CONTRACTOR COMPANY NAMENI AP (CANT NVAM/E�///�/ OFFICE PHONE
( r -C 124. i,-444. C ahe.s L,J sv, ( 2 Q g s-3 = 34i .' I
MAILING
GAADDRESS
L��..,� /`f ,� CITY,STA ,ZIP ��j1 /� CELL PHONE
II'Y OF'FEDI044 W15.BUSINESS LIC E NUMBERLk ' EXPIRATION 5'E 1 41 FAX NUM)ER
co, ',rcq,12e CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATEE-MAILD) ESS 0 Z'
a< Ill I(O L T) ' 4 2 D q
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILDDRESS�S O`6' CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Jh1� Chan, (Z,o6)8 - rq 4I
LENDER NAME Per RCW 19.27.095:
nder information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUiLDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VAL OF PROPOSED WORK $
s
SPRINKLERED BUILDING? o YES ❑ NO /FIRE SUPPRESSION SYSTE PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED ..TOTAL
SQ. IIIII SQ. FT. SQ. FT.
BASEMENT III
FIRST
SEW ND b.
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) `
GARAGE 0 CARPORT 0
EXISTING PROP D TOTAL - TOTAL EEISTXWG SI TOTAL PROPOSED SJ TOTAL SJ
NUMBER OF FLOORS
**NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ 9 t012_ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS L�
PLUMBING
BATHTUBS for Tub/shower Combo) LAVS(Bathroom Sulks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS troii<t)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
�- -� 6/7// J
NAME/TITLE — DATE E7/ '?` O 7----
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent i Contractor 0 Architect 0 Other
.+ B F-Ti 0 i "6:tis 7 : 7,
o NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#1100–April 2,2007 Page 2 of 4 k\Handouts\Permit Application