06-105823City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name
Project Address
Project Description
PANERA BREAD
2107 S 320TH ST
Mechanical Permit #: 06-105823-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 762240 0010
Mechanical TI for new restaurant to include (9) duct systems, (1) fireplace and (3) hoods.
Owner
Applicant
Contractor
STEADFAST COMMONS LLC
AMBIENT CONTROL CO INC
AMBIENT CONTROL CO INC
1928 S COMMONS
1411 R ST
AMBIECC101PW (10/25/07)
FEDERAL WAY WA 98003-6013
AUBURN WA 98001
1411 R ST
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation............................................31103 Over the Counter Permit?...................................... No
Mechanical Fixtures
Ducts .............................................. 9 Fireplace Inserts............................. 1 Hoods............................................. 3
PERMIT EXPIRES Friday, February 13, 2009
Permit Issued on Tuesday, February 13, 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 agent: _ �� Date: _ 3
1—) THIS CARD IS TO�MAIN ON -SITE
CITY OF �-r Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 3050
PERMIT #: 06-105823-00-ME
Owner: STEADFAST COMMONS LLC
Address: 2107 S 320TH ST
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 On -going 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
By Date j By Date By Date 2 2 U
RECEI
clTY OF ` NOV 1 3 2006 - C7
Federal Way TERMIT
COMMUNITY �pF-gALWA SF MF CO EL PL DE EN FP
3332FED RVEl1ICI Y. WA n 00-9 8 irb Q� F �p P LI CATI O N
FEDERAL 4VhY, tin D&OFi7.9 " gUILDING D rt, '
253-835-2607• FAX 253-8.35-'IM
unuul. r.$fR1l�ICt(±1lcriu.com
The offewiaq is re iced igformation - an incaMi2lete aePlication will not be acceinted. Please Tint 1rvAkLIL(in ink] or
PROPERTY INFORMATION
SITE ADDRESS ��i C �� //yy SUITE/UNIT # (C�
ASSESSOR'S TAX/PARCEL # � CJ C> LOT SIZE fsfj �s
LEGAL DESCRIPTION (e.g. Acme Estates, Lot
lAflnch separate page (or fenglhy legnl descriplinnl
PROJECTINFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
OJECT.DESCRIPTIO IPra defa led descrf�it.fv of work included art his rmi! onli /
la rY� C6C (Ar� C' ppr �1 'Y l /Jd I S - (
IJ X.�n d fA- t� r_ lief -fAlr r li"0 �}Aa A_ .!�" _ A � . , i ALn � r
S Y:SC "A— LS -V% rl� �. �t {
. • ZA4►f�
PROJECT NAME (Name of Business or Owner Last Name)
�C�7-101
PROPERTY
OWNER
�nM •,
,^-.
rra �Ilomt j rj
NinnaN noon s5
CqYj STAM, ZIP
CONTRACTOR
CO
Fn.+r► Y1li
APPtJCAN NAME:
OFFiCF PHONE
MA AOI F.SS
/y
C
•, ZIP
C£i,L AIidA'E:
(206) s 10 -60 z)
iI1' QF FCD .RAI.'&AY BUSR+FSS }.ICrNSF NUMBER
- () 51-7-1 D t 7L / � - B 1,
. I'iRnTrt}Y r7A'1•E:
/3 i '
FAX NumorR
(253) n6 -l�I-
C NT/RfRnCTO SR • }STRATION NUMBK feap nl card r uircd with each appHcocian)
(r3EXPIRAMNrT]A,TI's/'j
APPLICANT
CONTACT YA'i4 PRIMARYPII • E-MAll,n nerss
006)
LENDER Per RCW I9.27.095: Lender information is NAMi:
required if project value exceeds $5,000
MAILING ADOnCSS CITY, STATE, ZIP PRONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
-2,2�`4 %8'
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EXISTING SF
TOTAL PROPOSED SF
TOTAL 5F
`NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of jLrlure to be installed or relocated as part or this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBgS
BOILERS
COMPRESSORS
DUCTS
1 /Q T
BATHTUBS i., T,,b/si,o —c—L I
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS tla lhmnm Sinfcrl
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS Ic�mmr idil
RANGES
GAS WATER HEATERS
WATER CLOSETS [T.aeq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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
(Signature) _ �^ ` title)
w RELATIONSHIP TO PROJECT ❑ Oner Agent ❑ Contractor ❑ Architect. ❑ Other
FOR OFFICE USE ONLY
❑ NEW c ADDITION
❑ ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
D YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
E. NO
Bulletin #100 — January I, 2006 Page 2 of 4 k\Handouts\Permit Application