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01-104026 o - "39Z 0/. /3 98r City of Federal Way Building - Commercial Permit #:01 - 104026 - 00 - CO Community Development Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: GENGHIS KHAN MONGOLIAN GRILL Project Address: 31448 PACIFIC HWY S Parcel Number: 092104 9113 Project Description: TI-Exterior alterations to close off an exterior door of an existing restaurant. Owner Applicant Contractor Lender Tien Tsai&Chuen H Liu Tien Tsai&Chuen H Liu A NAM YANG CONSTRUCTION LI NONE 31448 PACIFIC HWY S 31448 PACIFIC HWY S ANAMYCL992B5 9/18/03 FEDERAL WAY WA 98003-5404 FEDERAL WAY WA 98003-5404 1913 SW 325TH PL FEDERAL WAY WA 98023-5435 NONE Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: A-3 Construction Type: Type V-N Occupancy Load: 81 Floor Area(Sq.Ft.): 1208 Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical No Number of Stories 1 Permit for Building Shell Only No Permit for Foundation Only No Plumbing No Will Certificate of Occupancy be Issued? No Zoning Designation CC-F PERMIT EXPIRES April 29,2002,IF NO WORK IS STARTED. Permit issued on October 31,2001 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: /e)/3//c/ PO.HIS CARD ON THE FRONT OF BUILD. • ar.or -tt .-.. - -- CONSTR•I ION PERMIT APPLICATION CATION uv L_ APPLICATION NUMBER: et - ()GT 18 2001 APPLICATION NUMBER: - - - APPLICATION NUMBER: - - iYtowi - - - **The olr ng is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. rr ■ PROPERTY INFORMATION SITE ADDRESS: 3 [44G pACt'l C w1 , cC) ASSESSOR'S TAX/PARCEL #: v f Z i Of- I/c LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): <. ';',•-: -': ....:• . _ , • PROJECT INFORMATION TYPE OF PROJECT(This application): 'Ns BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ EN'GIINEERING❑ FIREPREVENTIONSYSTEM y� ' PROJECT DESCRIPTION(Provide detailed description): C- L_O(1 AN) E C(( l ( AJ G `)©C) (, I I V "Tir-tE NO("i-k sE1C O F RC lLD1 NG PROJECT NAME: 6 cf� '' /$ fr;'"' , " G4/om.7 6-,,e_4, G'�. ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: l j k DAYTIME PHONE: �T (�_(si /y (Z2)91.1 - 0i-00 M ): 3 Nk ADDRESSI SCJ p1 `- 14) . CO . T. •V • WA 1 c 3 CONTRACTOR: NAME: „ DAYTIME PHONE: Nit Nt \{j/�N� LDf�NSTRuG��p� ( ) - • MAILING ADDRESS(SIRE ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - ( ) CONTRACTQ REGISTRATION NUMBER: EXPIRATION DATE: f (copy of card requir / / APPLICANT: \S "' _ DAYTIME PHONE: T (c- J I---t(t ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJE FAX NUMBER: ❑ ARCHITECT NANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: PROPERTYOWNER ❑ APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: KE T4 u Rl 1V ¶ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 3 00 Q O D PROPOSED USE: RE: rikaRA\ ► PROPOSED VALUATION FOR IMPROVEMENTS: $ c--0 O 00 SPRINKLERED BUILDING? ❑ YES LNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES Li NO WATER SERVICE PROVIDER: igi LAKEHAVEN Cl HIGHLINE LI TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: KLAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL _ BASEMENT FIRST © SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) — HEAT SOURCE: ❑ ELECTRIC ❑ GAS P ING BATHTUB(S) /CAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) / RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) DISCLAIMER/SIGNATURE BLOCK 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. f NAME/TITLE:: ��' - ��ti DATE: ` " ( ( g to I /TI PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ,ALTERATION ❑ REPAIR El TENANT IMPROVEMENT CENSUS CODE: 4'7 7 LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ';.❑ YES ❑ NO COMPPLAN DESIGNATION BASIC PLAN? ❑ YES 0 N SECTIOPJA, = TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES Q NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX 253-661-4129