02-102579City of Federal Way
Community Development Services Mechanical Permit #: 02 - 102579 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: MCDONALD'S
Project Address: 1416 S 348TH S -j- Parcel Number: 202104 9088
Project Description: MECH - In-kind replacement of existing gas hot water heater in existing fast food restaurant.
Owner
Applicant
Contractor
MCDONALDS CORP 046 & 0152
HURLEY ENGRNG CO OF TACOMA (GENE:
HURLEY ENGRNG CO OF TACOMA (GENE
AMT OHARE
302 E 26TH ST
302 E 26TH ST
CHICAGO 1L 60666
TACOMA WA 98421
TACOMA WA 98421
(253) 272-9389
Mechanical Valuation..........................................2976
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES December 17, 2002, IF NO WORK IS STARTED.
Permit issued on June 20, 2002
I he,.'eby 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 and
the City of Federal Way.
Owner or agent: See Aunlicat1ln'
�
Date: (' '—Zv & Z
TIiG/oz �nT/
06/17/2002 15:49 FAX 2536614129 CITY FEDERALWAY
1A 002
_ RECEIVED BY
IrI_-,,-r,,,,-%T 7WttMUCTION PERMIT APPLICATIOI
uv> JUN 2 p 20 PLICATIONNUM[3ER: �2- •��Z _� _�v
PLICATION NUMBER:
PPLICATIO I NUMBER:
0"The following is required Information -- Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: / �� S• ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBINGMECHANICAL, 11DEMOLITION
(3ELECTRICAL C3ENGINEERIry FIREE/PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): � 0 V / C- /7G
-PROJECT NAME:
• • •
-PROPERTY OWNER: NAME: —
e (DA�YTIMC iLM�ONE:-
MAILINGAUDRESu (STREETA00RESS; cji: STATE., CIC); �"'� '•+ ✓- �_J
CONTRACToR: NAMc
S"� DA�RME PI IONE'
&UNMORZL�Stel—/—ErT AOOS, 5
)9
<TY Or FE/pE/i��AL W]AY BU/�.'V -S5� NUMBER, _ .. m -'O �=/
[� ii 7-3 FN( NUMBER:
CI OR'S RCGtS7RATIOJ NUMBER_ — — - — — — GS3 7n _ / TO
IXPIRATION DATE:
(cvor r�rore�Rd) 67/OL /
APPLICANT:
DAYTIMe Pt10NC
MAILING ADDRCS (SWECT ii.`DRF55; CITY, STATE, ZIP): - (EVENING PHONE:
RELATION5NIP To lllio IECT: 11fAX NUNRfr1;
_
❑ ARCHITECT 0 TENANT OTHER( DESCRIBE):_ E _
....,.. .E MAIL AODREZ: I
CONTACT PERSON FOR THIS PROJCCI•: ❑ PROPERTY OWNER ❑ APPLICANT 'NLnNTDAerno I
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLF.RED BUILDING? Cl YES F -I NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA C) PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN U t{IGHI.INE 0 PRIVATE (SEPTIC)
06/17/2002 15:50 FAX 2536614129 CITY FEDERALWAY 0 003
R
;NEW RESIDENTIAL CONSTRUCTION ONLY,•
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
ggQ(S)
FAH(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCI(5) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BRCAKER(S) O ELECTRIC IKGAS
DJUNKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSETS)
;NTERCEPTOR(S) SUMP(S)
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 aNses out of the reliance of the city, Including its officers and employees, upon the accuracy
of the information suppli to the city as a part of this application.
�;% �!/1 '�''� - - DATE:
❑ PROPERTYOWNER ❑ APPLICANTCONTRACTOR
COMMUNITY DEVELOPMENT SUkVICES • 33S30 FULST WAY SOUTH' Pp BOX 9718 • MDFRM. WAY, WA 98063-4718 • 2S3.661-4000 - FM 253461-4129
y,yYw�nRcAc.Irlwlv.rnm