07-100927• City of Federal Way
Community Development Services
r i' O. Box 9718
Federal Way, WA 98063 -9718
Ph: 1253) 835 -2607 Fax: (253) 835 -2609
ti
Mechanical Permit #: 07- 100927 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Name: JIMMY MAC'S ROADHOUSE
Project Address: 34902 PACIFIC HWY S
Project Description: Install (5) commercial hoods & (1) return air fan.
Parcel Number: 185295 0060
Owner
Applicant
Contractor
JIMMY MAC'S ROADHOUSE INC
ROBERT MCNEELY
SKILFAB SHEET METAL CO
P O BOX 58977
SKILFAB SHEET METAL CO
SKILFSM169RE 12/13/08
TUKWILA WA 98138
230 COUNTY LINE RD SW
230 COUNTY LINE RD SW
PACIFIC WA 98027
PACIFIC WA 98027
Additional Permit Information
Mechanical Valuation .................. ..........................42906 Over the Counter Permit?....... ............................... No
Mechanical Fixtures
)ucts....f ........ ............................... 1 Fans 1 Hoods.............. ............................... 5
........... ...............................
I hereby'
the occu
Owner or agent:
PERMIT EXPIRES Thursday, March 26,
be in
DATE i OF i
..
O G /'j? t �' t► �i
! ' r THIS LARD IS TO REMAIN ON -SUE
f
cl" of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100927 -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 Date By < t/j Date (a — 6—
240 6 7 tf Z
Li
Federal Way L � R r
COMMUNPPY D91I&OPbBNT SERVICES E, •' _ M 1 T $F MF C ' ME L PL DE EN FP
333 ?FEDA;M WAY, WA 98063 BO 89718 T,1 " l 1 1 O
.253- 835.2607• FAX 253. 835.2609 1 � /
tunna.rlttroll'edrmiwau.com v /J
The following is required information —an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS
ASSESSOR'S TAX /PARCEL N ���� �.��o�f° b� _'J �! LOT: SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) d `� t -� S / —. t °' / f✓ «-"/ ! . Lei %�
IAMIA *Varatepa96f -kWft tega desgWag
PROJECT • •
TYPE OF PERMIT ❑ BUILDING 13 'PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINJMERING ❑. FIRE PREVENTION SYSTEM
PROJECT D SCRIPTION (1 rojyd�d a deta�' ed description of/wq[ ' cluded on this permit only)
/n,cs�nY�',
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
COPY of —4 "ni »d
arith eae appueation
APPLICANT
PROJECT
CONTACT
LENDER
NAME
i �1 15 �0 v^ tt d
PRIMARY PHONE
( )
MAILING ADD
P5T 77
CITY, STAT �ZI /P� (/
l tv
E -MAIL ADDRESS
�-^•
CELL PHONE
I GV �Ul
EXPIRATION DATE
COMPA NA
-IC NT NA E.rt
OFFICE PHONE
®MAI G AD RESS
' STATE , ZIP g� p
CELL PHONE
CITY OF FEDERAL WAYPUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRA OR EG RATION NUMBER
EXPIRATION DATE
E- MAILADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIPTO PROJECT
0 Architect O Tenant 0 Agent D Other
FAX NUMBER
( )
N PRIMARY PHONE EMAIL ADDRESS
NAME
PerRCW 19,37.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
�e
EXISTING USE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ _ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE O TACOMA D PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Indicate number of each type of fixture xture to be installed or relocated as. part of this project. Do. not include existing fixtures to remain.
n�c;tte�vtcv.
Value of Mechanical Work $ '1. 9�✓ 0,, 0 _ A COPY OF BiD OR ESTIMATE MUST BE jNCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
v
BATHTUBS (or rub /showercombo)
DISHWASHERS
DRINIANG FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBS
EVAPORATIVE COOLERS
_ FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
NVJ 113athmom Sinka)
RA114WATER SYST
SHO
—SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commerciq
RANGES '
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS ITenefl
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certi jy under.penaity 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 tha city, i _ its o cers and em yees, upon the accuracy of the information supplied to the city as apart of
this application. ��
NAME /TITLE
C
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent
DATE �; �/ 0
j V (Title)
Contractor ❑ Architect ❑ Other
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES o NO
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 TES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 —January], 2007 Page 2 of 4 MhandoutsTermit Application