07-102492City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 07-102492-00-ME
Inspection Request Line: (253) 835-3050
Project Name: JIMMY MAC'S ROADHOUSE
Project Address: 34902 PACIFIC HWY S
Parcel Number: 185295 0060
Project Description: Installation of walk in cooler and walk in freezer and refrigeration
Owner
OPUS NORTHWEST LLC
915 118TH AVE SE SUITE 300
BELLEVUE WA 98005
AApplicant
SEA -TEMP
20838 SE 240TH ST
MAPLE VALLEY WA 98038
Additional Permit Information
Mechanical Valuation.............................................8783 Over the Counter Permit?
Contractor
SEA -TEMP
SEATE**971C4 (2/24/09)
20838 SE 240TH ST
MAPLE VALLEY WA 98038
IN
Mechanical Fixtures
Compressors .................................. 5 Evaporative Coolers....................... 5 Refrigeration Systems.................... 5
PERMIT EXPIRES Thursday, May 21, 2009
Permit Issued on Monday, May 21, 2007
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 ent I Date' 1 ___
THIS CARD IS TO 1R FMAIN ON SITE
C1W°F %- ommunity Deveiopm�'jat inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-102492-00-ME
Owner: OPUS NORTHWEST LLC
Address: 34902 PACIFIC HWY S
FEDERAL WAY, WA 98003
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 Ongoing inspections
are logged on the back of this card.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test
\ Approved
Bye Date -5-- p.-C,-7 By Date By Gc�.J Date S'= ►
For inspector reference only
® Rough Electrical ❑ FINAL - Electrical
Approved
Approved
By Date
BY Date
CITY OF _ S�
Federal way 0,*10 PERMIT
MF CO LPL DE EN FP
COMMUNITY DEVEWPMENTSF.RYIc (�j
3332E D AVENUE SOUTH • 63 9718 ®1,o A P P L I C AT I O N rG / /
FEDERAL WAY, FAX
S3-8 3 -260 / ��
253•il35-?6f>7• FR.'f 753.835•2609
t"Iorj . jp •Tlcnrhunl .coo+ ON
The following is required infon,.k.4ion - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS ' t�. SUITE/UNIT # - _—
ASSESSOR'S TAX/PARCEL # __ _ — ' -- LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal desorption)
PROJECT! •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING-OKMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
COPY of card required _tom
with each application I r)
APPLICANT
PROJECT
CONTACT
LENDER
C0 f,Al i 1 C3 APP4re NY�C'1 /OFFICE PHONE —
ZIP 1 Gj-.oL rnunn f
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant zgent ❑ Other ( -
EXISTING USE _ -- —
EXISTING ASSESSED/APPRAISED VALUE.-
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PRIMARY PHONE Is• Ir1A11. n uu tc n as
Ip -S361
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
CITY, STATE, ZIP PHONE
(
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
C] HIGHLINE o PRIVATE (SEPTIC) _
❑ NO
Indicate number of each type of fixture to be installed or relocated as part•of this project: Do not include existing furtures to remain.
MECHARZCAL
Value of Mechanical Work $ QO . M (A OOpy OF BID OR ES77MATE MUST BE INCLUDED WrIII APPLICATION)
AIR HANDLING UNITS a EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BFANS GAS WATER. HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commerclel)
—�� COMPRESSORS FURNACES _ RANGES
DUCTS GAS LOG SETS `? REFRIG. SYSTEMS
PLUMBING
BATHTUBS )or Tub/shower Co bu) LAYS (Bsth—.Sinks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER C) OSETS
(follet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I cert(fy render pan alty of perjury that the irtformat#an furnished by me Is true and correct to the beat of kiyowledge, and further, The! I
am authorlxed by the owner of,the above premises to perform the work for which the permit appI#caftan is made. I further agree to hotel
harmless the City of Federal Way as to any claim (including coats, expanses, and attorneys' fees incurred in the investigation and defense of
such claim], which may be made by any person, intruding the undersigned, and filed age#net the C#Ty of Federal Way, but g I where such claim
thisout of the reliance of the city, including its officers and employees, upon the aceteracy of the ir{formattan supplied to the city as a part of
Phis application. �
NAME/TITLE
RELATIONSHIP TO
o NEW ❑ ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
PLATTED LOT?
❑ Owner Agent ❑ Contractor
(Th1c)
❑ Architect ❑
TE r)
o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
❑ YES o NO
BASIC PLAN?
o YES
o NO
CHANGE OF USE?
o YES
o NO
o YES ❑ NO
UP/SEPA/SU?
O YES
❑ NO
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100—April 2, 2007 Page 2 of k\Handouts\Permit Application