07-101756City of Federal Way - Plumbing Permit #: 07-101756-00-PL
Corhmunity Development Services
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835.2609
Project Name: JIMMY MAC'S ROADHOUSE
Project Address: 34902 PACIFIC HWY S Parcel Number: 185295 0060
Project Description: STFI - all above ground plumbing for new restaurant TI. -j
Owner
JIMMY MACS ROADHOUSE INC
P O BOX 58977
TUKWILA WA 98138
Dishwashers ........................... ......
Sinks..................... .......-.
HoseBibbs...................................
Applicant
PLUMBING EXPRESS, INC.
813 ACADEMY ST
SUMNER WA 98390
Plumbing Fixtures
1 Lavatories ....................................... 4
10 Urinals ............................................ 3
6
CONDITIONS:
SUBJECT TO FIELD INSPECTION
Contractor
PLUMBING EXPRESS, INC.
PLUMBEI98600 9/20/08
813 ACADEMY ST
SUMNER WA 98390
Other Plumbing Fixtures ................ 2
Water Closets ................................. 5
PERMIT EXPIRES Thursday, April 2, 2009
Permit Issued on Tuesday, April 3, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a use will be in accordance with the laws, rules and regulations of the State of Washington
City of Federal Way.
Owner or agent: Date. '�
THIS CARD IS TO REMAIN ON -SITE
CITY of %-,ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101756-00-PL
Owner: JIMMY MAC'S ROADHOUSE INC
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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date
BY Date ,. — p BY Date
❑ Final - Plumbing (4075)
Approved
BY Date A, - (- d
CITYM. I \]
FederalwaY , .���. _ r' PERMIT
COMMUNITY DEVELOPMENT SERVICES F MF CO ME ELI DE EN FP
325 D AVENUE i) APPLICATION TQ
PEDBRAL WAY, WA 98U89.,260 / -
753-S35-itiQ7• FAX 353-835-$8g9
wunu. vl vulferlr. rtf lulu rJ.eura
V 1
rII Y AL WAti
The fallowing is requiMA0(gftpM6*i T an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS -3-f 1?6 2, PAr-t
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # - Lz 1(2- n- LOT: SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) TAA O
/Attach separate page/w lengthy legal desaip6n)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING V PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on
,s�ermif �ltluJ-•-.---
r, r �
PROJECT NAME (Name of Business or Owner Last Name) _ _ �/ 1 Pill jn6 ► 1 S l S r,A )I n_0S C
PEOPLE■
PROPERTY
OWNER
CONTRACTOR
COPY.( —
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
LLe.
MAILING ADDRESS
CITY. STATE, ZIP
E-MAIL ADDRESS
118 36h AV S; . Su {CaC]
PANY NAME
A &ICANT NAME
OFFICE PHONE
MA1 NO ADDRESS
CITY, STATE, 1P
CELLPHONE
28
V ✓
- `
C1 OF ED$ L WAY BUSINES SCENSE NUARBER
E.XPI TION ATE
(Z
FAX NUMBER
DO
CONTRACTORS REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
1 tJ
CP ANY NAME
A PLICANT NA I3
QFFICI; PHONE
(ZS3 )`Z
MA JJNO ADD SS
CI ATE, ZIPCELL
PHONE
3 67
S
RE ATIONSHIPTO PROJECT
FAX NUMBER -
❑ Architect []Tenant ❑Agent Other%
(ZS'3)
Nj�l11$ PRIMARY PHONE E-MAIL ADDRESS
- t1J ort c e3 250 -
NAME
PtirRCW 19,27.095:
Lender Wormation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? {STYES ❑ NO
WATER SERVICE PROVIDER ilrtAKEHAVEN•
SEWL'R. SERVICE PROVIDER teLAKEHAVEN
PROPOSED USE
_VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCR"* ['ION EXISTINf---
-BASEMENT S ; FT.
PROPOSED
S . FT.
TOTAL
S : FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (11 COVERED OR ❑ UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
mariso
/ PROPOSM
TOTAL
rani X7 er
roru, Pnorosim sr
rorAL sr
"•NEWHOMESONLNi• NUMBER "EDROOMS ESTIMATED SELLING PRICE $
j cua.ra .yt,c j j.a .,. 'V uc uLotuUcu yr rcwcueeu usPUFL uJ LFLIJ PrUJUM. LO not uicivae exzsungjt�Kes ro rematri.
- ; (A O OF BID DR 1
! '
_ AIR H NDLIN UNITS
EVAPORA VE
FANS
_ V"OIRS
FIREPLACE IRESSORS
FURNACES
Y DUCTS; GAS LOG SETS
PLUMBING 4.
BATHTUBS )ur Tub/Sh—rcombo) LAVS )Bathroom Sinks)
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
-- ELECTRIC WATER HEATERS SINKS
HOSE BI13BS SUMPS
BATE W. BE INCLUDED H APPLICA7III
GAS PI E OUTLETS WOODSTOVES
— GAS W ER HE ERS MIS
(Describe)
_ HOODS ommc aJ
RANGES1
REFRIG. SYSTEMS
3 URINALS At
MISC (Describe)
VACUUM BREAKERS 1 yKQ p .T rLk �,l
f WATER CLOSETS rroueq
WASHING MACHINES .
l certify under penalty of perjury that the Wormation furnished by me is true and correct to the best of my knowledge, and further, that l
am authorized by the owner of the above premises to perform the work for which the permit application is made. I jurt7•Ler 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
�e of the ctty, I iudiny its officers and employees, upon the accuracy of the irtformatlan supplied to the city as apart of
this application, j
NAME/TITLE y'
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent kContractor
❑ Architect ❑
o NEW ❑ ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT -
BUILDING SHELL ONLY?
o YES ❑ NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Bulletin #100—January 1; 2007
Page 2 of 4
MilandoutsTermit Application