15-105394 si
F "ii,, • • Mechanical
City of Federal ay
Community&Econ.Dev.Services Permit #: 15-105394-CF0--iVit
33325 8th Ave S FILE
Federal Way,wA 9€003
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: BAN SOMTUM HEALTHY THAI BISTRO
Project Address: 35109 PACIFIC HWY S Parcel Number: 202104 9047
Project Description: Installation of Type I hood.
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
Is this an Online or O.T.C.application? No
Mechanical Fixtures
Hoods 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.
Owner or agent: -- Date: -(16(: -(---,
1$,‘.f\‘`‘
DATE INSPECTOR AREA AND TYPE OF INSPECTION •
ftr`-) _ `i/5 f/(e. Type-- cec( — . fc3 c�,r,
• • THIS CARD IS TO IN ON-SITE ,. -
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-105394-00-ME Address: 35109 PACIFIC HWY S
Project: CHUN SUK OH FEDERAL WAY, WA 98003-8310
Scheduled inspections maybe 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.
Ei Mechanical Rough-in(4165) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By $K.) Date y 15)/i2 By Date By 4417 Date t 124, i I/6
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
f RIVED
CITY OF .. .......y: PERMI4PAPPLICATION
Federal Way OCT 2 2 2015
CITY OF FEDERAL WAY
PERMIT NUMBER 5- /_ 0C 2.
TARGET DATE d-/ /
SITE ADDRESS SUITE/UNIT#
35700 'A 7Y/ 5.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ /,2(00'0 a- C� al / 0 y - 0 c i-03
TYPE OF PERMIT 0 BUILDING 0 PLUMBING,ten MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
bariA � f`t ;51'76
y
PROJECT DESCRIPTION // /j //
Detailed description of work to 7lGl �i� ¢ 0�,1 y
be included on this permit only / k Ie•C t47
;
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY. STATE ZIP
NAME PHONE
,e(✓ 01-Db-3,0129--tD.1-7
MAILING ADDRESS }. AfttE-MAIL r^
CONTRACTOR S---422a "I � 0/'G�SU14(o�.�')e
CITY_ STATF� ZIPQ 5/,3 FAX 6 - 7° t/6_
WA STATE CO RACTOR'S LICENS # '�'//�1,'//// EXPIRATIION DATE FEDERAL WAY BUSINESS LICENSE#
L� .e Ts .�� v? o ?/ D ( //7
PRINAIyI,
46,11A
,�A oMAItY P��.A / / /ti
APPLICANT MAILLING ADD; $ E-MAIL
S-4 r .15ei
3� i/A ••• "- tit.�� � 5 fir.N G1 /P• iJ.
STL ZIP a 1)-04,01)-04,+ 3,)4 7 5-
NAME AX
,, GPS UX. PRIMARY PHONE
PROJECT CONTACTMAt E /`r✓ , 4P I E-MAIL
(The individual to receive and
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$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 Iaws 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 of this application.
SIGNATURE: DATE /0/e)—c)--//dj
PRINT NAME: / 1/'
v.4t
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
S • , �
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 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
Am%
"rr . T .;%s xr %'/r,., /.�.: „1'/r;
FIRST FLOOR(or Mobile Home)
/
..�`i. 'iC'{ +' �'', �,r ,rr f/✓, / fr ,��p�'
i��- rl�� f„
COVERED ENTRY
GARAGE ❑ CARPORT ❑
r
=STINGr PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories / /y
1// �r /"'i 5;r f
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
/ ;�� / /i /
/
TENANT AREA ONLY
PI htg#AREAONLY, ;/,
r
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application