16-100302 CITY OF PERMITfP.PLI CATION
Federal Way ,., t.,Iigvt
0 /� JAN 2 1 2016
PERMIT NUMBER I _ �/ ' I •1 +AORG L / i I X/
0I
40,
SITE ADDRESS SUITE/UNIT#
i;5"/001 Pac; l(c. -/wyS _
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 0 __.�_- a - 7 0 6/ /
TYPE OF PERMIT ❑ BUILDING 0 PLUMBINGMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT J/Gw1 Sr'�Vl V V� /� �`��ll f/O
PROJECT DESCRIPTION . 1 `" ( Q'- W 1k— �` `) �� � A`�
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAMEA,- .L A 5�^ PHONE ?),2--q•
�q c V -7
MAILING ADDRESS 4- ` s E-MAIL
CONTRACTOR ..1-5--- jl�Gtls(/J2<n/P L3`�'I
CITY 1STAAT/EE- ZIP _ FAX /
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(�a "I f (i �•' v J / '/ / / "/
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESSj.�f / E-MAIL
�i �� , k f--A.&vi✓, .500 curt Co'l l
CITY STATE ZIP FAX //
NAME, ' PRIMARY PHONE
PROJECT CONTACT /.j,I\ `� , -C,C —& 3-/( /l/
MAILING ADDRESS E-MAIL `�
(The individual to receive and 1.-J-'-'
t Zj 4.. �/.€
respond to all correspondence ''i "L- ' /' ' " - ie 6k ei1✓ZGaSUGIcO/`'-G)kr,
concerning this application) CITY _ STATE 1 ZIP FAX
%� L1��1 11 (''''
.,(- �1 7 94/c
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP . PHONE
(RCW 19.27.095) i� %- _z
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.
SIGNATURE: G _ DATE //�l /�
�/` l
PRINT NAME: 7'
Bulletin#100—January 4,2016 Page 1 of 3 k:AHandouts\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 HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS 7 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(Electric)
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 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—January 4,2016 Page 2 of 3 k:\Handouts\Permit Application
-� 44, • Mechanical
City of FederWay Permit #: 16-100302-00-ME
Community&Econ.D
ev.Services
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: BAN SOMTUM HEALTHY THAI BISTRO
Project Address: 35109 PACIFIC HWY S Parcel Number: 202104 9047
Project Description: Install(1)walk-in freezers and refrigeration equipment
Owner Applicant Contractor
CHUN SUK OH KEITH TA GREAT SUN CORP
DUK SUN GREAT SUN CORP GREATSC951D1(3/21/17)
705 SW 353RD PL 5930 1ST AVE S 5930 1ST AVE S
FEDERAL WAY WA SEATTLE WA 98108-3248 SEATTLE WA 98108
98023
Additional Permit Information
Mechanical Work Valuation? 10000 Is this an Online or O.T.C.application? No
Mechanical Fixtures
Refrigeration Systems. 1
PERMIT EXPIRES Saturday, October 1, 2016
Permit Issued on Monday, April 4, 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, rules and regulations of the State of Washington
and the City of Federal Way. ��11�
Owner or agent: Date: 7(
THIS CARD IS TO ON-SITE
CITY of Construction In ection Record '"`
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-100302-00-ME Address: 35109 PACIFIC HWY S
Project: CHUN SUK OH FEDERAL WAY, WA 98003-8310
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 By Date By Mtn Date lot Zsitte
.f.003611)V‘14".k
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date