01-102888 City of Federal Way
Community Development Services Mechanical Permit #:01 - 102888 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: GENGHIS KHAN MONGOLIAN GRILL
Project Address: 1948 S CAD m In../C3 h S Parcel Number: 762240 0025
Project Description: MECH-Install mongolian barbecue grill under existing commercial kitchen hood.
I i c.It.cies 92S p p;t-1 - rr •
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Owner Applica 5 Contractor
H M A ENTERPRISES-SEA-TAC GENGHIS KAHN MONGOLIAN GRILL K S CONSTRUCTION INC
249 E OCEAN BLVD#3RD 31448 PACIFIC HWY S 1108 SW 320TH ST
LONG BEACH CA FEDERAL WAY WA 98003 FEDERAL WAY WA 98023
90802-4849 (253)927-3593
4.
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Mechanical Valuation 5000 Over the Counter Permit No
Mechanical Fixtures
Description (Quantity) Description 'Quantity Description 'Quantity
Ranges 1
PERMIT EXPIRES January 30,2002,IF NO WORK IS STARTED.
Permit issued on August 3,2001
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: b l O 3 ra
SGS t't7 0 - 2i c c_
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_ r - CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: ®1 - (0 Z I i ir - 00-ire
JUL 2 Li 7R91 APPLICATION NUMBER: - -
• (Ai r cr :,r,L WAY APPLICATION NUMBER: - -
BUILDiNG DEPT. •
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION '
Sea 7 .0 /lea/ .a?/ ',/: y �
SITE ADDRESS: /91e? 6. 3-3,,i4 SCJ a/9)I./ ' fO ASSESSOR'S TAX/PARCEL #: 767 2 Z 067
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): '
= ■ PROJECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING El PLUMBING MECHANICAL ❑ DEMOLITION
El ELECTRICAL ❑ ENGINEERI G❑ FIRE PREVENTION SYSTEM /
PROJECT DESCRIPTION(Provide detailed description): ,f I.,., - is - d —..r..: /11
4--,116e1 r.✓ 4--.S - A /t-
PR - ECT NAME: 6eyk5" Mast, A`e SPez4z. %1'�// '
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■Cv/PEOPLE INFORMATION
PERTY OWNER: NAME: Q� ry..%a DAYTIME PHONE:
�T � ( )
MAILING A RESS(STREET ADDRESS;C ,STATE,ZIP):
CONTRACTOR: NAME: ` DAYTIME PHONE:
k . .S Caasz MA+-/ /i2c ' , ( )9-)7 3 373_1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
//o 1 Si W 3•110 fR )9L ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
redet
w,Ii fd�.-3 2 a-0/ - / Q a ,0 Q z - 0 5L (-23 ) - °YY
CONTRACTOR'S REGISTRATION NUMBER: / EXPIRATIOON DATE:
(copy of card required) i< S C 0 /✓ ' Q O Q- / Z4—1 o/
1
APPLICANT: NAME: DAYTIME PHONE:
I-1a � (� aE1b)g�-a - O%74
MAILING ADDRESS(STREET ADDRESS; ITY, A ,ZIP): Z� ( �Q EVENING PHONE: -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT TENANT ❑ OTHER(DESCRIBE): ( ) -
// `` E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: ,L,/� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: �/1 •• PROPOSED VALUATION FOR IMPROVEMENTS: $ 61.3b0.CC) `
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
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■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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_ 'FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTE,
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) / RANGE(S) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 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: ^ _ DATE: o R/ 1 / o
❑ PROPERTY OWNER ❑ APPLICANT Cl CONTRACT
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: G C — LOT SIZE:
ZONING DESIGNATION: GG —G BUILDING SHELL ONLY? El YES g414-0
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
(YIMMI INITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX-253-661-4129