04-102967City of Federal Way
Community Development Services Mechanical Permit #: 04 -102967 - 00 - M
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: COCKATOO'S RESTAURANT
Project Address: 33130 PACIFIC S Suite5 Parcel Number: 797880 0240
Project Description: Install a commercial Type -I hood
Owner
Applicant
Contractor
MCMILLIN BUILDING PROPS L
HUNG S LEE
SERVICE TOWN INC
33100 PACIFIC HWY S #12
8715 119TH CT E
8012 SOUTH TACOMA WAY, #13-11
FEDERAL WAY WA
PUYALLUP WA 98373
TACOMA WA 98499
98003-6445
(253) 475-1786
Mechanical Valuation..........................................4500
Mechanical Fixtures
Description Quantity Description Quanti ; Description Quantityl
Hoods —
PERMIT EXPIRES February 12, 2005.
Permit issued on August 16, 2004
I 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 and
the City of Federal Way.
Owner or agent- Date:
THIS CARD IS TO REMAIN ON-SITE"
A 4
CITY OF Community Development Inspection Rec6rd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102967 -00 -ME
Owner:
Address: 33130 PACIFIC HWY S Suite 5
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 Date Cf —
A.
of
FVederal Way
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-661-0115• FAX 2536614129
www. d(motlederalway.mm
The followinq is require
�P � a� G�d),✓ess ✓ Q � -
PER 1%LG61 ED SF MF C
APPLICATI�QLIOT 2004
- an
Please
or
SITE ADDRESS C7r` #SUITE/UNIT #_
ASSESSOR'S TAX/PARCEL # _ - LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
IA"adi-pa,ate page jor lengthy 1egd —,ip j_)
TYPE OF PERMIT O BUILDING ❑ PLUMBING3# MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ NGINEERING P SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name) LJ E•7 — y I
k�
—�
PEOPLEINFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
CP17-f-lf r" CrE P " ALL wA (P --?V
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
r a'C".sTRu eTfoecI.
Kn/L•7- Z�
('-s`�) �6K - �jd
M ING ADDRESS CITY, STATE, ZIP
CELL PHONE
C� E FEDERA� A � SINE LI� S�MB� E PIRATION DA
/j�gl (Jn �j
1 to
FAX NUMB
1//Le
-
B L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
COMPANY NAME APPLICANT NAME
CdC/�gT�as (2�-r/yuClCT CTr�
OFFICE PHONE
(2d!�2 ) -a a
MAIUNG ADDRESS ? /�� CITY, STATE, ZIP
(l K ( l 'e
daft
CELLPHONE
l ,
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
NAME
PRIMARY PHONE
E-MAIL ADDRESS
Per RCW 19.27.095. Lender information Is
NAME
required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE (']�
VALUE OF PROPOSED WORK $ 7, �l 00 .
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
ff)
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
a NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY? o YES ❑ NO
BASIC PLAN?
o YES
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
FOURTH
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
o NO
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL ExiSTMG
TOTAL PROPOSED
TOTAL EmsTDVG AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
im
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECUAAYCAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAYS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commcrciai)
RANGES
GAS WATER HEATERS
WATER CLOSETS (Toact)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
1 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 !i/��A/� op DATE
(Signature) f (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor o Architect ❑ Other_
1712-1 Al
FOR OFFICE USE ONLY
a NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑ NO
BASIC PLAN?
o 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
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100—March 30, 2004 Page 2 of 4 k\Flandouts — Revised\Permit Application
1`025 )52—(oui "S"r;
Di Pr' R.TIVEtir'T' OF_
LABOR. AND INT.)USTRIES
REGISTERED AS PROVIDED By LAW Ai
CONST CANT GENERAL
..
P. r • '
F'crTIV bid
1/x$/2003
SERVICE TOWU INC
8 012 S TACOIKA WAY
LAKE 0 D WA 98499
at