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08-105604 ,.., �tror �, AI? _ / 6 o Federal Wail COMMUNITY DEVELOPMENT SERVICES SF MF CIEL PL DE EN FP 3332STN AVENUE SOUTH• BOX 9718 E N o v 2 () APPLICATION TD FEDERAL WAY,WA 9806363-9718 / / 253.8352607•FAX 253-835-2609 www.cituoffederalwau.corn JI o RAL I t The following is re orma n-an ompiete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS 341-©Z--"/ g? 7kk --_ 5-ttJ SUITE/UNIT# ASSESSOR'S TAX/PARCEL# —? 0 L v 0- 0 _ -Z v J� LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy regal description) II PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING B,MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onhi) 62(15-/ E- �7C 1 S 7 tic.-- GAS Pi/a/A- -- 7 , ,4 -_ - >/-•,,,c24-7`C� /Al G-2m„4_5EA7 64-5 /Jc"?v).9-A-,'/7 PROJECT NAME(Name of Business or Owner Last Name) /v0/2-.-r /`{' $- D/2-C— / H� / C(///',S/ALL--77— S�/v k r MI PEOPLE INFORMATION PROPERTY NAME '- /` - � PRIMARY;HONE OWNER 71 `A� )\J) ) _ MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE }2T f1000 d- DVc_T IZAGHvii -D SA(Tft (2_06 )726 - 04 cep MAILING ADDRESS Cl STATE,ZIP CELL PHONE 6l o O / Z.7" 74//e- 5 E 77 GciA Ifs/� ( 2 Di ) 57 el _O fr�St CITY OFF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER �� IQ9; ¶ ( ) - Cff CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS (Z'7- "H D O 0 ) L- (Z c fl Arco 6) 'Kae P.4-014.% APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE /-hc ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent ❑ Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT 5.4 w+c ( ) - LENDER NAME Per RCW 19.27.095: , Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) ■ DETAILED BUILDING INFORMATION EXISTING USE /2:e:5 r` PROPOSED USE .a_ ----5 -7-- EXISTING EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) i PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 EXISTING PROPOSED TOTAL TOTAL EXISTING Sl TOTAL PROPOSED Sl TOTAL SF NUMBER OF FLOORS "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of furture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ 2_13e- (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS 5 GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS)Commere&i) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS trout) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized 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, 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, but ontl where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied tc the city as a part of this applic o SIGNATURE: DATE ( ( - Z a Q Property Owner and/or Authorized Agent a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES o NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application Mechanical • City of Federal Way Community Development Services Permit #: 0VQ 051.1 • -105604-00-ME P.O.Box 9718 Federal Way,WA 980639718 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 � p q Project Name: NORTHSHORE THAI CUISINE Project Address: 34024 HOYT RD SW Suite F Parcel Number: 308900 0320 Project Description: Adding/altering(5)gas pipe outlets to existing gas piping to accomodate increased gas demand Owner Applicant Contractor BRENT NICHOLSON R&T HOOD&DUCT SERVICES INC R&T HOOD&DUCT SERVICES INC HOTIE TOYTIE,LLC C/O NICHOLSON 6100 12TH AVE S RTHOOD*088QL(12/01/09) INVESTMENT PROPERTIES INC. SEATTLE WA 98108-2702 6100 12TH AVE S 2333 CARILLON PT SEATTLE WA 98108-2702 KIRKLAND WA 98033-7353 • Ad itiot •1 � 1�� Informa t>l�©t1, y lig an ,� j Mechanical Valuation 2132 Is this an Online or O.T.C.application? Yes 14 �., Gas Piping.. ........................ 1 Gas Pipe Outlets 5 CONDITIONS: SEPARATE PERMIT REQUIRED FOR INSTALLATIONOF EQUIPMENT/FIXTURES PERMIT EXPIRES Tuesday, May 19, 2009 Permit Issued on Thursday, November 20, 2008 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the u will be in accordance with the laws, rules and regulations of the State of Washington l�i the Ci of Federal Way. Owner or agent: Date: I t 4144. THIS CARD IS TO kiMAIN ON-SITE CITY OF tommunitY Develo m nt Inspectionection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-105604-00-ME Owner: BRENT NICHOLSON Address: 34024 HOYT RD SW Suite F FEDERAL WAY, WA 98023 • 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. 0 Mechanical Rough-in (4165) Q Gas Piping(4125) Ei Final-Mechanical(4065) Approved Approved to release test Approved By Date By G (A7 Date/2./2.v1 By G � Date/2.„„.tx • For inspector reference only D Rough Electrical O FINAL-Electrical Approved Approved By Date By Date