15-101661City of Federal way me hAnical
w iry & t=oon. Uev. Services Permit #: 15 -101661 -00 -ME
33325 8th Ave S
Federal Way' VA 98003 Inspection Request Line:
Ph: (253) 835-2607 Fax (253) 835-2609 l (253) 835-3050
Project Name: VIET GRILL & ROLLS
Project Address: 35501 21ST AVE SW Parcel Number: 252103 9002
Project Description: Installation of Type I range hood.
Owner
THANH LUONG
ARpJlcan
MUTUAL INDUSTRIES INC
Contractor
MUTUAL INDUSTRIES INC
VIET GRILL & ROLLS
1605 S 93RD ST SUITE E-5
MUTUAII041D5 (2/25/17)
28437 26TH AVE S
SEATTLE WA 98108
1605 S 93RD ST SUITE E-5
FEDERAL WAY WA 98003
SEATTLE WA 98108
Additional Paroft Irfonvlatlors
Is this an Online or O.T.C. application?.................No
McChankal Fb tttrea!
Ranges............................................ 1
CONDITIONS:
Electric service & Electrical permits by TACOMA POWER.
PERMIT EXPIRES Wednesday, November 4, 2015
Permit Issued on Friday, May 8, 2015
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: & � �
w MY of ' �M •
federal Way
PERMIT #:
15 -101661 -00 -ME
THIS CARD IS TO 7S!:(253)
ON-SITE
Construction In on Record
INSPECTION REQUE 835-3050
Address: 35501 21ST AVE SW
Project: THANH LUONG FEDERAL WAY, WA 98023
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
MechanicalRough-in (4165)as
Piping ( 5)
Final - Mechanical (406
ArAved
Approved to release test
Approved
>4
By Date 6 g .-1 5'
By Date
By P-1,, Date /0
Gfe- se -L%6 -14T Test- o << fAL-
UCT >
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
ViCEIVED
OR os 2015 PERMI APPLICATION
Federal Way
CM OF FEDERAL WAY
CDS /
PERMIT NUMBER _ l / J (� / � TARGET DATE �i , 7 —/T
SITE ADDRESS
SUITE/UNIT •
3 5501 74s' -Ave. <u) cepa* Why, w/ar .i g6L3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ toIm—
— ---- ----
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(C -T &A I LL V, ROLU;
PROJECT DESCRIPTION.21
awc-L4124-:1
Detailed description of work to
D I
be included on this permit only
i�
S r �ls�
NAME
PRIMARY PHONE
PROPERTY OWNER
NOMA elH696 VILLW_'
MAEUNG ADDRESS
E NAIL
t"At 0 194- 2
CITY
N ' 0�
STATE
ZDV
NAME jMDUa[ AJC .
PHONE 7,-o c 3 55 S ! T 6
MAILING ADDRESS 7-
Z -NAD f
CONTRACTOR
CITY ' ??
: STATETE
ZIP $ I 0 $
/QT
FAR (# 6 - ?tIA/�/ - 6611
WA STATE CONTRACTOR'S LICENSE #
EBPIRATION DATE
FEDERAL WAY EUSDiESS LICENSE #
AUTUA T.1 0
02 /ZL
NAME
HAM
PRIMARY PHONE
. 5 d
MAII6 ADDRESSl T
OREsB t'i°� _ L 1 l�
_/-3
hit R K C ,7 ffa� ilffRl
APPLICANT
CITY
STATE
NAME
PRIMARY PHONE
PROJECT CONTACT
LA N K C RALA
ALtMING ADDRESS
E-MAIL
N r
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
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 authorised 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 apart of this application.
I
SIGNATURE: DATE- J /
PRINT NAME: [:4M LA gL U
Bulletin #100 –January 1, 2013 Page 1 of 3 k:\IIandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS Z HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASEMENT
$
Indicate how many o each type offixture
to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (xend Sinks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DECK
DRINKING FOUNTAINS
SINKS (Kitchm/utikty)
WATER HEATERS (Ei-uic)
GARAGE ❑ CARPORT ❑
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURE8
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
BASEMENT
NEW BUUMMO
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKI" SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
SECOND FLOOR
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
NEW BUUMMO
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COVERED ENTRY
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
is Square Feet
DECK
Construction
Type
# of
Stories
Additional Information
GARAGE ❑ CARPORT ❑
OTHER (describe)
TENANT AREA ONLY
Area Totals
zxwurG
PROPOSM
TOTAL
**NEW HOMES
ONLY**
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
is Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUUMMO
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
is Square Feet
Occupancy GrouPls)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application