05-105828 wo+► w
City of Federal Way Mechanical Permit #: 05 - 105828 - 00 - ME
Community Development Services
P 0 Box 9718
L Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-305€
Project Name: SHIN SUNG RESTAURANT
Project Address: 1805 S 316TH 5t U Elk A i blg Parcel Number: 092104 9304
Project Description: Inspection of gas lines for(12)previously installed BBQ's.
Owner Appl scant Contractor
WESTERN PALISADES INC P C I PERSONAL CONSTRUCTION*PHILLIF P C I PERSONAL CONSTRUCTION*PHILLIF
5515 AIRPORT WAYS 5668 S 295TH PL 5668 S 295TH PL
SEATTLE WA AUBURN WA 98001 AUBURN WA 98001
98108-2202 (206)999-3094
Mechanical Valuation 500.00 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity'
BBQs 12
PERMIT EXPIRES May 13,2006.
Permit issued on November 14,2005
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: - /L. / Date: ./" .4,Vd/
6.- 4d.
\I
THIS CARD IS TO REMAIN ON-SITE ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105828-00-ME
Owner:
Address: 1805 S 316TH ST
FEDERAL WAY, WA 98003-5488
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.
❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) TA Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By 1 \ y Date q(ocs-•-•
/uEc,910 -00'1-0
.f A -
Federal Way PRI CEIVEo ____0_5 0 s g 02
COMMUMIYDByfiWPiBMsBRVKES SF MF Cr, :l EL PL DE EN FP
33325dryAVENUE SOU77f.lOBOX 9711 APPLI CATIO� 4 IC,',-:.,
FEDERAL WAY,WA 98063-9714
' vl---Mil
253-835.2607•FAX 253-835-2609
www.cityoffederalway.com
CITY OF FEDERALI �t1���ppW•
The ollowi • is • fired in orntation-an Inco •fete . ••licatioK-ttrlR IMQ DAtcTe•ted, Please .rint le• .1 n in or
■ PROPERTY INFORMATION
SITE ADDRESS /t ? S . Alli Sr SUITE/UNIT# 744
ASSESSOR'S TAX/PARCEL# ---- den O / / D - / c d'S LOT SIZE(s,/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
µaaahaeparatePay*far lengthy legal d aM
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Ar MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
et- _...., - .triv.
PROJECT NAME(Name of Business or Owner Last Name) JW/71S'Ct.1010if.e.e/at t.1 X?j J-�--� -
NI PEOPLE INFORMATION U
PROPERTY NAME ( r, •RIMARY PHONE
OWNER � J6"I //
MAILING ADDRESS
5S IS iefirt9t1 Vagi S . 611 g6100 ''da��
CONTRACTOR COMPANY NAME (/ APPLICANT NAME OFFICE PHONE
FC I
ivuuLINO ADD cg STATE,ZI CELL PHONE
S & g r P(-- AcAsorAl 280 o I (, I -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBS� EXPIRATI DATE FAX NUMBER
CO CTOR'S REG TION NUMBER loopy of card r gained with each application) EXPIRATION DATE
pc Lp vc -co L c _6 //tel/off - -
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
?c -541 Ca4S-r( ) -
LINOADD S CITY,STATE,ZIP — CELL PHONE
Ce-e- Cava Tc ro r D ( I _
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect a Tenant a Agent a Other(Describe) ( ) _
CONTACT I NAME PRIMARX PHONE I E-MAIL ADDRESS I
LENDER
MAILING ADDRESS CITY,STATE, •
■ DETAILED BUILDING INFORMATION
EXISTING USE PIQ' ' .t dr*.iv._► PROPOSED USE N. — I AM.
EXISTING ASSESSED/APPRAISED VALUE $ t VALUE OF PROPOSED WORK $ I e ic.&/ V.•)c)
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a ' a
WATER SERVICE PROVIDER a LAREHAVEN a HIGHLINE a TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER p LAKEHAVEN O HIGHLINE a PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
/
FIRSfi--_,_ -
SECOND
--
--1_,.
y• '
THIN- ti • • -
FOURTH • .
ADDITIONAL FLOORS(DESCRIBE) •-
•
DECK(COVERED?)
GARAGE 0 CARPORT 0 -
NUMBER OF FLOORS yltsrao NtOrOSED TOTAL Ilt fir* ;4„-.-;
a'f
..-
**NEW HOMES ONLY' --'NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be inetalle'd 7elo•, eel=parr. l • project. s• not inc •e`- ting fixtures o remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANQkU O•(,WNITS • ••... ,` -t.EVISPORATIVE COOLERS _ GAS LOGS REFRIG.SYSTEMS
94-
BBQS FANS HOOD3Ic.mme•44 WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS ' • •,•"••
PLUMBING
BATHTUBS(orT b/shewercombo; SHOWERS WATER CLOSETS(rotkq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS . e R INWATER*SYST. • o •
. ` • _.- WAILING)L CHINES *,:".•,k-' URINALS • • ' ''''.-- - Basi'llIBBS`. ' •
LAYS(Bathrooms a VACUUM BREAKERS �_ FL$C7RIC WATER HEATERS.
-. .. . t: .*- •
DISCLAIMER/SIGNATURE BLOCK
•I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform.the„work for Iphicli HU(pepnit..applieatien is made. I further agree to hold
harptless*he,City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which maty be made by any person,including the undersigned,and filed against the City of Federal Way,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.
, /'
NAME/TITLE -g- �'' r( ` 4-- DATE•, •/.70//1-7—e
(Signature) tie) -
RELATIONSHIP/TO PROJECT ❑ Owner . Agent Contr:, tor ❑Architect 0 Other
Pl3':1 IC�LZt`1-(C)\� iWf:0.0',N gc.pq 'x:':„D v.t1;4 •t-' I'd11,,i) -tCx•,D),A t`
I31M,r1Cae. :):(Din,€. 9.41..7:} J-. " 1__ •;)(€ '+n,;t�E" ' M,if
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application