01-103666City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Plumbing Permit #: 01 - 103666 - 00 - PL
Project Name: GENGHIS KHAN MONGOLIAN GRILL
Inspection request line: 253.835.3050
Project Address: 1948 S SEATAC MALL Parcel Number: 762240 0025
Project Description: PLMB - Install (1) prep sink, (1) floor sink, and (1) hand lay.
Owner
Applicant
Contractor
H M A ENTERPRISES-SEA-TAC
GENGHIS KAHN MONGOLIAN GRILL
P C I PERSONAL CONSTRUCTION
249 E OCEAN BLVD #3RD
31448 PACIFIC HWY S
FEDERAL WAY WA 98063
LONG BEACH CA
FEDERAL WAY WA 98003
90802-4849
(206) 910-1124
Plumbing Fixtures
Description Quantit Description lQuantit Description Quanti
Lavatories 1 Sinks 2
PERMIT EXPIRES March 18, 2002, IF NO WORK IS STARTED.
Permit issued on September 19, 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: lb
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R E 0E--I E
�'W X-- CONSTRUCTION PERMIT APPLI TION
E== C-= � PPLICATION NUMBER: �� — D 3f�
PPLICATION NUMBER: - - —
CITY OF FEDERAL WAY — — — —
13UILDING DEPT. APPLICA110N NUMBER: -
**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.
SITE ADDRESS:] S ��cl/�/ ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): _
TYPE OF PROJECT (This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
/ i �s
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
0or 5(4/c
�xm is(/ -
NAME: DAYTIME PHONE: f /
O -O�
MAILING ($!BEET ADDRESS; LTTS' ATE, ZIP):
NAME:
`DAYTIME PHONE -
MAILING D (STREET MDR STATE, ZIP):
EVENING PHONE:
14 t! -
FEDERAL WAY BUSINEZTAIOENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; , $TA ZIP): ' /EVENING PHONE:
J -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ESCRI ): -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ PLICANT ❑ CONTRACTOR
JINFORkMION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $^
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
- ' ' ■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: L
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( J
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
_ RAIN WATER SYS. ` _ VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( }
SUMP(S)
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 a city as a part of this appliCali
NAMEITITLE: _ ~�f- DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑.REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
-ZONING DESIGNATION :::
BUILDING SHELL ONLY? ❑ YES ❑ NO
_COMP PLAWDESIGNATION
BASIC PLAN? " ❑ YES ❑ NO
SECTION .TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129