07-106446 a
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CityofFederal Way Mechanical Permit #: 07-106446-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: SAMPAGUITA ASIAN FOOD AND GIFT SHOP
Project Address: 31220 PACIFIC HWY S Parcel Number: 092104 9110
Project Description: Installation of Type 1 hood. (2) Make up air units and (2) fans are mounted on rooftop.
Owner Applicant Contractor
ROBERT SHIN MUTUAL INDUSTRIES INC MUTUAL INDUSTRIES INC
PO BOX 169 9832 I7TH AVE SW MUTUAII04ID5 (2/25/09)
SNOQUALMIE PASS WA 98068-0169 SEATTLE WA 98106 9832 17TH AVE SW
SEATTLE WA 98106
Additional Permit Information
Mechanical Valuation 9200 Over the Counter Permit9 No
Mechanical Fixtures
Hoods 1
CONDITIONS:
Painted rooftop appurtenances are required and will be exempt from screening.
PERMIT EXPIRES Wednesday, March 3, 2010
Permit Issued on Monday, March 3, 2008
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: 4,4"04-111' (,y1yt Date: (g/,q/CW
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THIS CARD IS TO REMAIN ON-SITE ;'
CITY OF "'• Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-106446-00-ME
Owner: ROBERT SHIN
Address: 31220 PACIFIC HWY S
FEDERAL WAY, WA 98003-5452
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Gcdj Date/ ,�v$ By Date By GCS Date/%3-a8
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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FEDERALWAY,WA 980639718
$PPLICATIONTp7533767, 75609 UV O .n 204 lit / /
The following isWititired f.n a koik.Aan incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION . _
SITE ADDRESS_ 3 f -Z O ,P t<' I C 7'VW S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# Z / O - / / 0 LOT SIZE
l (Sf) •
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desolption)
■ PROJECT INFORMATION
•
TYPE OF PERMIT 0 BUILDING 0 PLUMBING t3 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
it/11,,,4,6( Sn' Type z 41 1 ;r 4ti, i-?' _
•
PROJECT.NAME(Name of Business or Owner Last Name) �� - T G R.b s�C�''-'7(? (�
U PEOPLE INFORMATION
PROPERTY NAME (� (_ _ PRIMARY PHONE
W
OWNER ICA'� 4- Slit ‘-el (`IK) 3 y -bfb
MAILII S ADDRRSS CITY,STATE,ZIP E-MAIL ADDRESS
t'e l"D X l(fl CF
CONTRACTOR COOMPPANYY NAME 7- _0_ / APPLICANT' NAME/ OFFICE PHONE
" �t�(/.i 1-A.oWi/YI a 74PC . CITY,S7eN it-O ��' (ELL PHONE
MAILINGADDRESS'
'',�V/� /Lp /l
CITY OF FEDERAL WAY BUSINESS 1 NSI�MBER EXPIRATION DATE�/DATE,ZIP � FAX NUMBER
//, - ( C.)Lc e?' -C'7 -CC''') C Z r? ,' s9 0 ( )
C'/ti CONTkACTOR'S REGISTRATION NUMBER EXPIRATION DATE • E-MAIL ADDRESS
/1'IuTu �1 0 � ��� _a3 - 06
APPLICANT COMPANY NAME, APPLICANT NAME OFFICE PHONE
( .O/11NiG(_ V D )a( L ( ) -
MAILING ADDRESS CITY STATE, P CELL PHONE
.���.1 .' ��cr .244 * St r�✓A- rce'/ 7 (2 b) 817 - 6(4-/
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant V Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE
CONTACT E-MAIL ADD Ess ,.62.(j
LENDER NAME Per RCW fl"?1795:
C / Lender information is required if project value exceeds$5,000
MAILING ADDRESS x CITY,STATE,ZIP PHONE
( )
. ..._. ■:DETAILED BUILDING INFORMATION -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
• ■ PROJECT FLOOR AREAS
AREA DES ION EXISTIN PROPOSED TOT.y..
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS r'Q°Ta0 PSOTO9ED TOTAL TOTAL LVSTOM SI TOTAL PROPOSED EP TOTAL er
*NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U 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.
MECHANICAL
Value of Mechanical Work$ —(A COPY,gF BID R ESTIMATE MUST BE INCLUDED WITH APPLICATION)
• .0\et,
AIR HANDLING UNITS EVAPORATIVE'COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerci4
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower combo) LAVS(Bathroom sink.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
• SIGNATURE
•
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 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 a part of this application.
SIGNATURE: DATE //7Za/6
Property Owner and/or Authorized Agent / '
a NEW o ADDITION a ALTERATION o REPAIR u TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES g,NO
ZONING DESIGNATION CHANGE OF USE? o YES ?IO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES e-NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES VICY
Bulletin#100-August 16,2007 Page 2 of 4 k'Handouts\Permit Application