06-105190 -
al
REC 0L - /0 , - / O
CITY of
Federalway
CT 1 1 2006 PERMIT
SF MF CO4,EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 ST"AVENUE SOUTH•PO BOX 9718 DAPP L I C AT I O N
FEDERAL WAY,WA 98063-9718 Y p F ED ER :To
253-835-2607•FAX 253-835-2609 r'� / / /0(10
uninn.citgolTedemhoati corn r3UILDING , (� t _JLILJ
The following is re,uired information-an incomplete application will not be accepted. Please print legibly(in in, r type.
IN PROPERTY INFORMATION
SITE ADDRESS 'Tr?'C)-- t7A-G 4.C }"111 J ' .ri- I -0 t-i-- : SUITE/UNI #
/O
c - C` -.1
t
ASSESSOR'S TAX/PARCEL# — .b, SrLOT SIZE(4)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION .
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
.t....
PROJECT NAME(Name of Business or Owner Last Name) \ 'C- VI. , ..41„e
yr 7 v
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER Gl c ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANTNAME OFFICE PHONE
en4e4 '}'S(Itiv L r r paw (dam ) 3 -'{ 4'". .i.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
=r 5 $ 1. P 51- -3eciAI-l to WA ( ) 25-y - Z f
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - / / ( )
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAMEz OFFICE PHONE
Li.ILe 6,1".0 fr'10'." c c- f r7�44A C >( 43 ) - - -/ -s
AI
MLING Ai'DRESS CITY,STATE,ZIP CELL PHONE
69-'02'5-- .2-'4' S-. - - .
__---
% �,w.-k, LOP--2 ( ) A----y- f f i
RELATIONSHIP TO PROJECTii-- -- - FAX NUMBER
0 Architect ID Tenant 0 Agent ❑ Other(Describe) 2 STV .L-)1vim ( ) -
CONTACT NAMEPRIMARY PHONE n E-MAIL ADDRESS
I7av1 � (A -- ( ) 7ff-y - 1
LENDER +�: ) NAME
4 x:
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■'DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ big---1:).
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
7
111 •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL
NUMBER OF FLOORS �(YP �474$�Ffd � ter
:,e 1, .:,a.•'„,istd��. ..,L s s.sx,�'�. tt
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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 $ )L i
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS r" HOODS(commerrist) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sothroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty 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 the city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE � DATE
/ /4 / (.� L.
ignature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect ❑ Other
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Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
City of Federal Way Mechanical Perm#: 06-105190-00-M E
Community Development Services
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: TERIYAKI HOUSE&WOK
Project Address: 35002 PACIFIC HWY S Suite A104 Parcel Number: 185295 0050
Project Description: Installation of 12' Type-I Hood
Owner Applicant Contractor
OPUS NORTHWEST LLC OMS CONSTRUCTION GREAT SUN CORP
OPUS NORTHWEST LLC 6225 20TH ST E GREATSC951D1 (3/21/07)
915 118TH AVE SE SUITE 300 FIFE WA 98424 505 S LANDER ST
BELLEVUE WA 98005 SEATTLE WA 98134
Additional Permit Information
Mechanical Valuation 8500 Over the Counter Permit9 No
Mechanical Fixtures
Hoods,. 1
PERMIT EXPIRES Thursday, November 13, 2008
� ermit Issued on Mol ay, November 13, 2000
hereby ertify that the above information i 4co ct and that the ccconstruction"on the above deScribed-Propierti4nd
the occupancy and the use wilt be in at:co,•--. with the laws,rum ark+r-. ✓tions of the State of Washington
_my• the it o Federal Way.
Owner or agent: Date: // / /'J/v 6
THIS CARD IS TO MAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105190-00-ME
Owner: OPUS NORTHWEST LLC
Address: 35002 PACIFIC HWY S Suite A104
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 G j Daten../ c