05-104479 •
E" -
i C Ity of Federal way •al Permit #• 05-104479-00-ME
Community Development Services •
P 0.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ASIAN TERIYAKI & PHO RESTAURANT
Project Address: 29426 PACIFIC HWY S Parcel Number: 304020 0088
Project Description: Install Type I range hood w/rooftop exhaust units.
Owner Applicant Contractor
29426 PACIFIC HWY SOUTH L KING LEE MONARCH TRADING CORP
3103 262ND AVE SE MONARCH TRADING CORP MONARTCO65Q1 3/6/07
SAMMAMISH WA PO BOX 80563 PO BOX 80563
98075-9126 SEATTLE WA 98108 SEATTLE WA 98108
Additional Permit Information
Mechanical Valuation 10000 Over the Counter Permit? No
Mechanical Fixtures
Fans 2 Hoods 1
CONDITIONS:
• F. ' PERMIT EXPIRES•Saturday, July 22, 2006
Permit Issued on Monday, January 23, 2006
I hereby certify that the above information is correct and that the construction on the-above described property and ,
theoccupancyand the use will be in accordance with the laws, rules and regulations of the State of Washington .
and the City of Federal Way. l
Owner or agent: Date: 2 3 t L
. i
THIS CARD IS TO REMAIN ON-SIT,E
CITY of Community Development Inspection' Record 1
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104479-00-ME
Owner:
Address: 29426 PACIFIC HWY S
FEDERAL WAY, WA 98003-3829
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date B 4 J Date 41S-(Ne.--)
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s Federal Way PERMIT — ��
COMMUNITY DEVELOPMENT=VMSSF MF COdi" L PL DE EN FP
33325 dm AVENUE SOUTH•PO BOX 9718
WAY,253435-2607.FAX
X 94063-9718 ��� 0 ,SLI CATI O N
ACV
FEDERAL
8J5 WA 294135 2609 / / .
Ivww.aeuolredey.con• F FEDERAL
GITY O N(,� DEFT.
The o llo • is -•uirredQ •tlon-an Inco •tete a,•libation will not be acce•ted. Please •rint le• •1 in or p .
j■ PROPERTY INFORMATION
SITE ADDRESS ��Z$ l(i L'I�Y7`c ` / to 3 SUITE/UNIT i
ASSESSOR'S TAX/PARCEL 1t lVVlt / t)ZU U U o7
`f- — �,�Q 7-4.•
LOT SIZE(s) 1 3 �i
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) t.,01- S gek' 2 1-17/47 'I r - l Iv J $k'✓ ) 4 c 'ci
Nath aaParateP a far kaflthil&Val dwaipaanl
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XIECHANICAL
• 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESC• I' ON(Provide detailed description of work included on this hermit onlu)
- tL .!. .1' ! i A..'... /� s+.a ..-, 1♦/%9' if _ , .
PROJECT NAME(Name of Business or Owner Last Name) i+0.-ii:arki T`VA/- 0/`(,k/ 1 * fi)o �-r,//(irC fr
• PEOPLE INFORMATION /
PROPERTY NAME -;/i . PRIMARY PHOI[E
OWNER ( Vl y-0iY+ (74.26)
74.2 ) (i�3�-737
IAIki.773 A
MAILING DDRESS CM,STA Z[P G�{/�J l/)
CONTRACTOR COMPANY NAME ii/ eeryA
h
MAILING ADDRESS •.-* ST4XE, ' , CELL PHONE._
p O gin o S� � e. (2'O()} $9 -5073
I• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER r g �qy• DATE FAX NUMBER / - �i
Al119 ‘1
�CONTRA �R�REGISTRATION NUMBERa(N>!!of �with coach application) EXPIRATION DATE
/i TC L 3 // (27
APPLICANT �MP�N1� C 7j/ ( APPLICANT NAME OFFICE PHONE -
MAILING ADDRESS ,`W��//, CITY,STATE,ZIP - CELL PHONE
Sum e 4,O CST ti ( ) -
RELATIONSHIP TO PROJECT �j_ FAX NUMBER
0 Architect ❑Tenant 0 Agent Cl Other(Describe) i± 4 (4',71 ( ) -
CONTACT NAME PRIMARY PHONE ADDRESS
LENDER „ - ;
t ., .c, rFr,,.,Z.'1:„ NAME T_l-Wrr• 1_ k
`_. . r,v: y. rr•S1C •i= :(., �+.,� .t, 3.i,i:h' Y1 V�
NG ADDRESS 77,,zi:xia /4240 �a ci� 1 S . IN , live jio(3
■• DETAILED BUILDING INFORMATION
;� 71'
EXISTING USE ' PROPOSED USE LW j/(, v
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
R
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
go
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGBLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN O HIGHLINE a PRIVATE(SEPTIC) 1,
•
- PROJECT FLOOR AREAS
A
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT. _
BASEMENT ,J
FIRST (117 v r� / fQ/�! �- - � d �rG� ,. C /2,25 rZZ,s
SECOND / J
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ° PROPOSED Toru
1111
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECFIAARCAL Vi)Value of Mechanical Work $ .1 0 V 0 0 ,
i •
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS !'''._ FANS / HOODS(commera q WOODSTOVES
BOILERS V FIREPLACE INSERTS RANGES ' MI 0...Alibell
• COMPRESSORS FURNACES GAS WATER HEATERS �'��I:ir1ir'�� .j
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(ormb/showerCombn) SHOWERS WATER CLOSETS Roue) _ , MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(e.rhroomandcy VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/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
ant authorized by the owner of the above premises to perform the work for which the permit application is made. 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 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 t 4 12)---er° p DATE O / 1
(Signature) /05-
(S� 1 (rifle)
RELATIONSHIP TO PROJECT a Owner ❑Agent k Contractor ❑Architect ❑ Other
f@�i4P ,`6E)of'f`(4J1 ..','V1,3M Yaps t ..... -- �.,,.".•tl`Y .+El ",U +1"r6i.) YcB'F�k',1 `�`
_ �4: ,C1�€ T i��_, ��F' tl * aft
cue il,Dletfe. c1EeDi1,,. e�"1,, . � __ r . }
' =- f.€- 'y:s of •s:+ 1fi Ti,,1 f, ':':',716i-, �(°i
%Cl 7i ft ) :�(e)4,t,:e(c) f i•r1,t,si��fcQ:i t) - iF=i;�:+ `.'4*1 ;(oi
1 i{RW.( ,S C)D):4 �:1 -4- ' E9 1;»I Dk; 'fes - --_ - ' ,l ,
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application