17-101510Mechanical
Comof Federal munity . Permit #:17 -101510 -00 -ME
FILE33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835.2607 Fax: (253) 835-2609
Project Name: PHO TASTY RESTAURANT
Project Address: 35419 21ST AVE SW Parcel Number: 252103 9002
Project Description: Install gas piping to range, griddle, wok fryer and gas water heater
Addi
Mechanical Work Valuations .................................. 1800
I hereby certify that the
and the occupancy and
Owner or agent:
0**"F'
application? .................. Yes
tember, 2017
3,2017
J tHERhe construction on the above described property
e with the laws, rules and regulations of the State of
City of Federal Way.
Date: Y 2
Owner
Applicant
for
WEST PRINCIPLES INVESTMENT
FRANK SOURISHFRANK FIRE
FRANK CTION
320 E MEEKER ST SUITE 102
PROTECTION
8 O (2/26/18)
KENT WA 98056
25919 140TH AVE SE
1 40 SE TH ST
KENT WA 98042
K A 98042
Addi
Mechanical Work Valuations .................................. 1800
I hereby certify that the
and the occupancy and
Owner or agent:
0**"F'
application? .................. Yes
tember, 2017
3,2017
J tHERhe construction on the above described property
e with the laws, rules and regulations of the State of
City of Federal Way.
Date: Y 2
gas
0
gas p
a r .
PHO TASTY
3541 21 ST AVE #B
FEDERAL WAY WA 98023
total BUT
745 000
3/4 125 OOObtu
W
Lu
0 280 000
00
range WOK "
o �
0
GRIDLLE range
Installed by Frank fire protection inc 206 229 5245
RECEIVED
APR 0 3 209
CITY OF FEDERAL WAY
COMMUNITY OEVELOPMENI
r
THIS CARD IS TO REMAIN ON-SITE
cm or ��ww! Construction Inspection Record
WayFecleral
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1710151000 Address: 35419 21ST AVE SW Unit A & B
Project: WEST PRINCIPLES INVESTMENT 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.
U Mechanical Rough -in (4165) U Gas Piping (4125)U Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By— Date <4 V17 By Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
1�C1W OF
Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 35 4 ilv a 1 2'� S W PERMIT#: � !I i si cz�,`
IF YOU HAVE QUESTIONS CALL (253) 835- ea lei M
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
40k
CITY OF
Federal Way
PERMIT NUMBER I :7- _
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Fede 6325
253-835-2607 + FAX 253-835-2609 + permitcente ITJ
d r com
io�5lo_M
APR 0 3 2017
TARGET DATE CITY OF FEDERAL WAY
LUMM[7 DEVELOPMENT
SITE ADDRESSSUITE/UNIT
#
31,5V- 2 A,
PROJECT VALUATION
$ M,60
ZONING
ASSESSOR'S TAX/PARCEL #
z 5- 2 C 0-3_ 9002—
00Z...TYPE
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING 1:1-eECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
�/k�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME �JI/� � • . 1
�l/
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
^ D
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME ,.. I ' , ,!I
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
VVVV�-
PRIMARY PHONE
PRIMARY
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 Iocal, 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 asap of this application.
SIGNATURE: � DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application