07-106273Community Development Community Development Services Plumbing Permit #: 07- 106273 -00 -PL
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: TULLYS AT WALMART
Project Address: 34520 16TH AVE S µ Parcel Number: 212104 9010
Project Description: Adding coffee stand to existing subway restaurant to provide H2O and waste connections
for coffee equipment and 1 dump sink
Owner
Applicant
Contractor
FEDERAL WAY MARKETPLACE
AMERICAN MECHANICAL CORP
AMERICAN MECHANICAL CORP
INVESTORS LLC
PO BOX 1136
AMERIMC071BH 1/8/09
)ERAL WAY MARKETPLACE INVESTORS I
MONROE WA 98272
PO BOX 1136
3700 BEAZER RD
MONROE WA 98272
BELLINGHAM WA 98226
Fit,!
gLED
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106273 -00 -PL
Owner: FEDERAL WAY MARKETPLACE INVESTORS LLC
Address: 34520 16TH AVE S
FEDERAL WAY, WA 98003 -6841
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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final - Plumbing (4075)
Approved
Date l
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
•• RECEIVED - PERMIT -4e �.Z
CoAgVAMmWy AWAZOPAMW 38 V)W V 1 9 2007 SF MF CO ME E PL E EN FP
99925 AM AYtUS1 9A• 0 P6O9.B97X 1A 9 77A
PBBR WAY, WA
2&8&267• Au O F F E D E RA , p LI C ATI O N
/
BUILDING DEPT.
The following is required information - an incomplete application will not be accepted. Please print. legibly (in ink) or type.
PROPERTY • •
SITE ADDRESS .--7T 2.`:s� I �p� ' �, rj SUITE /UNIT 9
ASSESSOR'S TAR /PARCEL 9 ! _ — — — — _ — LOT SIZE (3j)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
�IS�. �. r�ap,•.lerl.�•eywmis..a{�s.,,i
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this aermit onlul
•P�OO�J� '[�.a.� ? LDS S-1-� lv ,�.�c..�c:1�t -. Sv�t��? 'N P2�J�t�
PROJECT- NAME (Name of Business or Owner Last Name)
PROPERTY'
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
N PEOPLE INFORMATION
NAME
PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
MAILING 13DRE39
C1TY, STATE, ZIP
CILL PHONE
2 S LXtZ % 5 SMXXA.,f
M0 o� %2A2
201v 343 - 4k% -q
FAX NUMBER
CITY F FEDERAL WAY BUSINESS LICENSE NUMBER EX T10N DAT
(42s) 4q.4L - 4o)2
CONTRACTOR'S RS6I8TRATION NU AB
Ic4P TION DATE
E-MAIL ADDRESS
14f'\ALL 7l
k -lti4 -Zoo°
COMPANY NAME
ktAtAt'C4..1
APPLICANT NAME
% -,, Gam;,,,
OFFICE PHONE
(247'l.) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
c>
3503 -
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect [l Tenant o Agent Other – l,1AtA•Q, 1Z
( 10 LK 1� _ 4-O} .
NAME PRIMARY PHONE T9:0
ILADDRESS
Per RCW 19.27.0981
Lender b formation is required { jproJsct value excsods $5,000 .
MAILINO ADDRESS
CITY. STATE, ZIP
PHONE
( ) —.
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK !�
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN p HIGHLINE a PRIVATE (SEPTIC)
PROJECT ••
AREA DESCRIPTION
-EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
s . FT.
BASEMENT
BBQS
PANS
GAS WATER HEATERS MISC (Desen'be)
FIRST
FIREPLACE INSERTS
HOODS (commmd.lp
COMPRESSORS
SECOND
RANGES
DUCTS
GAS LOG SETS
THIRD
WASHING MACHINES
4
ADDITIONAL FLOORS (DESCRIBE)
SUMPS
FLATTED LOT?
a YES o NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
a NO.
GARAGE' ❑ CARPORT ❑
NUMBER OF FLOORS
i1°�°o
rQ�°
fO7A0
rmatz�verawu
roretrsawssu
tor.�csr
"bIRW HOMiES ONLY" . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Medianical Work ,$
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
PANS
GAS WATER HEATERS MISC (Desen'be)
BOILERS
FIREPLACE INSERTS
HOODS (commmd.lp
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (.Tub /8eow.rcamb4
LAVS (s"e.swu)
URINALS
2
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
a YES
o NO
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Iromq
CHANGE OF USE?
o YES
ELECTRIC WATER HEATERS �_
SINKS
WASHING MACHINES
4
HOSE BIBBS
SUMPS
FLATTED LOT?
a YES o NO
I cent A under penalty of perjury that I am the property owner or authorized agent of the property owner. I cs
rt(/y that to the best of my
knowledge, the information submitted tit support of this permit application is true and correct. I cert(fy that I will comply with all applicable
City of Pederal,Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of federal Way as to any claim (including costs szponses, 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, but only
where such claim arts*& out of the reliance of the city, including Its gQ4cers and employees; apon -the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE: ni rw
o NEW a ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. a NO
BASIC PLAN? '
a 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—'—*
O '
FLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
a NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . MHandoutAPennit Application