09-101816 A ` ` Mechanical
City of FederaWay Permit #: 09-101816-00-M E
Community Development Services
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: HERFYS BURGER RESTAURANT#31
Project Address: 2125 SW 356TH ST SUITE D Parcel Number: 252103 9011
Project Description: Installation of gas piping for range,fryer and griddle appliances
Owner Applicant Contractor
KWANG S&SUSAN SO FRANK FIRE PROTECTION FRANK FIRE PROTECTION
2125 SW 356TH ST 15405 SE 310TH ST FRANKFP928CO(2/20/10)
FEDERAL WAY WA KENT WA 98042 15405 SE 310TH ST
98023-3058 KENT WA 98042
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Mechanical Valuation 1400 Is this an Online or O.T.C.application? Yes
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Gas Pipe Outlets 4
PERMIT EXPIRES Saturday, November 14, 2009
Permit Issued on Monday, May,18, 2009
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.
r
Owner or agent: Date: 5--)j"- a 9
THIS CARD IS TO REMAIN ON-SITE
CITY Of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101816-00-ME
Owner: KWANG S & SUSAN SO
Address: 2125 SW 356TH ST SUITE D
FEDERAL WAY, WA 98023-3058
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date G - Z2 aS By Date
•
•
For inspector reference only_
0 Rough Electrical D FINAL-Electrical
Approved Approved
By Date By Date
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FEDERAL WAY,WA 98063-9TI8 / /
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The following is required G&Sation-art incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS- 2) 2 5- S L L . 345,4v, 5-J- SUrwuNrr# i
ASSESSOR'S TAX/PARCEL# 2 5'2 1 C)3 - ( D / / LOT SIZE(sJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
( ~pr ,
Ili PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING >ZI MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlul
GJs' )2)po)\g- 1 4. ,C yr- Gv a
PROJECT NAME(Name of Business or Owner Last Name) 14 ey.0( '3,(jY.21C._'4" �/
® PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP EMAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
OCITY OF FEDERAL WAY BUSINESS LICENSE NUMBER t )
/ EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME rnAPPLICANT NAME OFFICE PHONE
,i rr�' vr-._r �a-rnk ( rpt t,c t i) d3)--�Z9P
MAILING ADDRECITY,STATE,ZIP CELL PHONE
b5711.)S -v )t:c.2 ) ti'Nit \,Nhcee_ (2 ' ) 229 - i.2.Y—
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME
PRIMARY PHONE E-MAIL ADDRESS
CONTACT �'6,.'I J�
�i��-1�
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
/� ' r 3 1 e,c,I m,1- 1APt Q d"0I("l (2-47 )2 . -52�.
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 4 / -5----
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ / °6
Qo'
SPRINKLER=BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑LAKEHAVEN ❑HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
wow= raororm TOTAL Tom wan iosr TOTAL PROPOSED al Torecsr
NUMBER OF FLOORS
**NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
® FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MBCBAMCAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS / GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODStcommady
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMING
BATHTUBS(or Tub/ShowerCombn) LAVS pathos=Woks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crones
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
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 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, 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: (� ��^ DATE J '/t)"r 0
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SII? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES n NO
•
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application