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07-101757r • City of Federal Way Mechanical Permit #• 07- 101757 -00 -M E Comrslrnity Development Services • P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 635 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: JIMMY MAC'S ROADHOUSE Project Address: 34902 PACIFIC HWY S Parcel Number: 185295 0060 Project Description: STFI - Gas piping for new restaurant TI. Owner Applicant Contractor JIMMY MAC'S ROADHOUSE INC PLUMBING EXPRESS, INC. PLUMBING EXPRESS, INC. P O BOX 58977 813 ACADEMY ST PLUMBEI98600 9/20/08 TUKWILA WA 98138 SUMNER WA 98390 813 ACADEMY ST SUMNER WA 98390 Additional Permit Information Mechanical Valuation ................. ...........................5000 Over the Counter Permit?....... ............................... No Mechanical Fixtures Gas Pipe Outlets ............................. 16 PERMIT EXPIRES Friday, April 3, 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 occupanc an a use will be)iccordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: -/ V 3 —07 THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 101757 -00 -ME 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 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 By G e_J Date 4- r 7— o7 Bye— e,,j Date-IC— 31- o Y- CITY OP . ;= , 5 RECEIVED 7 - v? Federal Way PERMIT' sF MF CO E L PL DE EN FP ' CQMMUNITY DEVELOPMENT SERVICES 33325-0 AVENUE SOUTH • PO BOX 9AP R 0 3 2p. FEDERAL WAY, WA 98063.9718 APPLICATION T° I .253- 835.2607• FAX 253.835 -2609 ITY OF FEDERAL WAY / 0 The following is regtfig�YA'Y rma�Pon - an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS JGL go C-. (t&r l l:�. SUITE /UNIT # RAV 0 ASSESSOR'S TAX /PARCEL # - 0 Q Q LOT'SIZE (sf) LEGAL DESCRIPTION (e.g. Acme Estates, Lot]) � (Attach separate page f- lengthy legal description) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING O PLUMBING 4MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCR�TION (Provide detailed description of work included on this permit onlu) PROJECT NAME (Name of Business or Owner Last Name) i` \r �� s JlVly PEOPLE •- • PROPERTY OWNER CONTRACTOR COPY of card eegelred Wlth eae applleatlon APPLICANT PROJECT CONTACT EXISTING USE NAME PRIMARY ONE Q� L- L- C- - MAILING ADDRESS N CITY, STATE, ZIP , l E -MAIL ADDRESS 1 5, ,5vi L7C t:(I g EXPIRATION DATE PANY NAME GSS APPILICANT NAME [ ! . k n 1 - L a�' Y`G OFFICE PHONE q (7-5y ) �D MAILING ADDRESK f3 CELL PHONE CITY, STATE, ZIP e 4 q S' CELL PHONE 2S3 18 28 CITY OF FEDERAL WAY BUSINESS LleENSE NUMBER EXPIRATION DATE FAX NUMBER 2a -0?- .,b© 7 -2,--3-o-7 �9qf CONTRACTQRSREGISTRATION NUMBER EXPIRATION DATE E -MAIL ADDRESS U�^b l V OV (/.^ ^ 0 AjQ COMPANY NAME AP LICANT N ME li OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE 3 w r 7-6-r - )82� RELATIONSHIP TO PROJECT ��IIV✓L(� � ❑ Architect D Tenant o Agent Other bVL41 �O FAX NUMBER " (.e j aj 4r - 1330 N PRIMARY PHONE EMAIL ADDRESS TrcST'rM Gd (453)0- NAME Pe'r RCW 19,27.095: Lender information is required if project txttue exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING ASSESSED /APPRAISED VALUE SPRINKLERED BUILDING? »DES ❑ NO WATER SERVICE PROVIDER WLAKEHAVEN SEWER SERVICE PROVIDER "AKEHAVEN PROPOSED USE VALUE OF PROPOSED WORK $_ /, 0 YZ 6a r FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES ❑ NO • HIGHLINE ❑ TACOMA D PRIVATE (WELL) r • HIGHLINE ❑ PRIVATE (SEPTIC) 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 COP OF BID OR ESTIMATErMUST BE INCLUDED WITH APPLICATION] AIR HANDLING UNITS EVAPORATIVE COOLERS f`(i� i X _LSG_ GAS PIPE OUTLETS —�j u i WOODSTOVES BBQS FANS •GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS Icommercio COMPRESSORS FURNACES _ #,t RANGES Du. z' GAS LOG SETS REFRIG. SYSTEMS PLUMBING UP /SEPA /SU? o YES o NO BATHTUBS )or Tub /shower combo) LAVS )Bathroom Sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rr.a q ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS .i' I cert{jy under.penalty of perjury that the information furnished by me is true and correct tv 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 claiml, 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 a of the city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of this appltcallon NAME /TITLE (%LV vYl GeM DATE (Slgnat a (Tittel RELATIONSHIP TO PROJECT o Owner O Agent o Contractor ❑ Architect O Other o NEW o ADDITION o ALTERATION o REPAIR ❑ TENANT IMPROVEMENT. BUILDING SHELL ONLY? o YES ONO BASIC PLAN? o YES o 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 o NO Bulletin # 100 — January I; 2007 Page 2 of 4 klHandouts\Permit Application