10-103509 ' Mechanical
Ci of Federal Way • • .* ��j(,
Community Development Services Permit #: 1 0-103509-00-M E
PO.Box 9718FILE
Federal Way,WA 9863-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: MCDONALDS
Project Address: 27515 PACIFIC HWY S Parcel Number: 332204 9129
Project Description: Remove/replace gas water heater
Owner Applicant Contractor
MCDONALDS REAL ESTATE CO ACCLAIM PLUMBING AND DRAINS ACCLAIM PLUMBING AND DRAINS
PO BOX 182571 626 SW 312TH ST ACCLAPD042J6(1/5/11)
COLUMBUS OH 43218-2571 FEDERAL WAY WA 98003 626 SW 312TH ST
FEDERAL WAY WA 98003
; • ® a �'
Mechanical Valuation 2900 Is this an Online or O.T.C.application' Yes
• � •r ' .&ter,
Hot Water Tanks 1
PERMIT EXPIRES Saturday, February 12, 2011
Permit Issued on Monday,August 16, 2010
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
�jand the City of Federal Way.
Owner or agent" A zi ��� /� � --�- Date: o9//b/10
FIN*cI V/1(1110
' THIS CARD IS TO IN ON-SITE
CITY OF • . Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-103509-00-ME Address: 27515 PACIFIC HWY S
Owner: MCDONALDS REAL ESTATE CO FEDERAL WAY, WA 98003
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved#.4By Date By Date By A�jDate
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
cf„..v.,,,,A.
RIF _
0 PERMIT 4140 _ / c 7 ....3 50er
w MF COPL DE EN FP
Federal Way
COMMA
INITY DEVELOPMENT SERVICES PPLICATN IORE IVED
253-835-2607.FAX 253-835-2609
AUG 1 6
SITE ADDRESS
CITY OF Fet5FEWAt WAY
S Paci4i, (t,1 C. rjedfazi WaAl tioq coo3 cos
PROJECT VALUATION ZONI G ASSESSOR'S AX/PARCEL#
$ t)2/ .O a 2, 0 0 it- _ 9v
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT i
(Tenant Name/Homeowner Last Name) 1 e:Dryno4.,[,e,f s
A?kAre._. A 5 '
PROJECT DESCRIPTION ( iiJeL-41-
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER V)eTbc,-Y-N a[4 c 05.3)1,2q-3q8.1
MAILING ADDRESS en ,... , i E-MAIL
1-/ 5.--
STATE ZIP
'CIZA 1 t k-)
ri.f . ,el tt)iq 4/800 IS ,
NAME i , , PHONE
i
......--, ---
If.)CC la.114/t yLA ix-0(0g/ ,4.(i i oc (253)g'32
,
MAILING, ADDRESS it A {. E-MAIL •
4‘ ONTRACTOR 4.26 S. ,..3/2:,-S-1
„ 9' CITY 4 STATE ZIP FAX
41/79 1---ditcrzt\ LOoLki W 0 66003
f WA STATE CONTRACTdR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Pea^ti pTh 0'4:2/6# / /
NAMEPHONE
je.cc '1----1/A I- (,1.51.3) 13 c) - 6t 7I
APPLICANT MAILING ADDRESS i E-MAIL
503 0/3"1 i(-) e
CITY11 STATX ZIP FAX
Al if'14-Crin q8 35-9
PROJECT CONTACT NAME —
e --11, - f- Wiq
PHONE
c,1 -
(The individual to receive and jcr C725--)) -19 687/
MAILIN G ADB 1 -
respond to all correspondence DRES
concerning this application) 5-0 3 ..23 r" 1
t-e EMAIL
CITY , STA TZ ZIP . FAX
q535 '-j
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINAN CED
Required value of.55,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized 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 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.
...
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SIGNATUIEr • ...*/,61 , • ,..... DATE 08
ow _.-..... ......---
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Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
0
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VALUE OF MECHANICAL WORK $ ��o700' 00 (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS �_ OT ER De/scribe)
AIR CONDITIONER FIREPLACE INSERTS HOODS[comm.-64IUh A
BOILERS FURNACES HOT WATER TANKS Ices) l,J t- r i-/P.h—
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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Indicate how many of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
BATHTUBS or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Ixitoheo/Utiity) WATER HEATERS(Ekcoic)
SUMPS WASHING MACHINES `':EE `d`317{':1? $'EEEEEE?zE
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes 0 No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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COVERED ENTRY
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GARAGE 0 CARPORT 0
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EXIST= PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
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Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application