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02-104074City of Federal Way Community Development Services Mechanical Permit #:02 - 104074 - 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: BARRIGALLENA SANDWICH SHOP Project Address: 30420 PACIFIC S Suite2 Parcel Number: 092104 9107 Project Description: MECH - Install (2) 3 feet of gas piping Owner Applicant Contractor BARRIGALLENA SANDWICH SHOP R&T HOOD DUCT SERVICES INC. R&T HOOD DUCT SERVICES INC. BARRIGALLENA SANDWICH SHOP R&T HOOD DUCT SERVICES INC. R&T HOOD DUCT SERVICES INC. 1, 30420 PACIFIC HWY S SUITE 2 6100 12TH AVE S. 6100 12TH AVE S. FEDERAL WAY WA 98023 SEATTLE WA 98108 (206) 726-0940 Mechanical Valuation.........................................200 Over the Counter Permit ...................................... Yes Mechanical Fixtures ©escrlpilort _J`Qntl-.... Cies rptlotty Gtuanti; ?escription�uantl] Gas Piping PERMIT EXPIRES March 19, 2003, IF NO WORK IS STARTED. Permit issued on September 20, 2002 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 \ ay. Owner or agent: Date: �C( 5 Pr ,� r r vt D /< �' Z S~- a 2. --vim/ C9� Z-Z7—o3�(J h p.Ec q CffYo. G CONSTRUCTION PERMIT APPLICATION V u � PPLICATION NUMBER: 02-- LOA iii - RECF'\jF-D PPLICATION NUMBER: _ _ - _ _ _ _ _ _ - _ _ APPLICATION NUMBER: **The fjjEfnces6�= Information - Please print (in Ink) or type** Please note: Electrical, Fire PreventiopA,&jteNjkXnd Engineering permits may require a separate application. SITE ADDRESS: 3C<0 PALI' c odi f- 4�oZ ASSESSOR'S TAX/PARCEL #: L Q 1 t - g L Q -1 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): A1&1LLWA SANVy/ k44 5.)6p PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ECHANICA ❑ DEMOLITION ❑ ELECTRICAL ❑ ENNGGI,NEE�RRIINNG- ION SYSTEM PROJECT DESCRIPTION (Provide detailed description):�„,�+.._ li�-x,o—n� PROJECT NAME: A99r--N.[�J? PEOPLE.• PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: DAYTIME PHONE: ) MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): , NAME: DAYTIME PHONE: 0b0 C 17 - K Uov, )7x24. -bc p MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ,p (o (fib V ., J i$!a ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - J- - CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) g �, O (J S �r U- /6( / d ( o(a) 7a(r, MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: bb ill 5 9g ti ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): (2*, ) M-7 CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT PkCONTRACTOR DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: PROPOSED VALUATION FOR IMPROVEMENTS: $�,�b0 ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **N=NUMBER ENTIAL CONSTRUCTION ONLY** OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROSECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT BUILDING SHELL ONLY? ❑ YES o NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO FIRST NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) BBQ(S) FAN(S) HOOD(S) BOILERS) FIREPLACEINSERT(S) RANGE(S) COMPRESSOR(S) FURNACE(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) GAS PIPE OUTLET(S) PLUMBING LAVATORY(S) RAINWATER SYS. SHOWER(S) SINKS) SUMP(S) REFRIG.SYSTEM(S) WOODSTOVE S _I/ MISC. ~ ,d 'k HEAT SOURCE: 11 ELECTRIC 3 GAS URINAL(S) WATER HEATER(S) VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS WASH MACHINE OUTLET WATER CLOSET(S) MISC. ( ) 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 Informatlo supplied to the c as a part of this application. ��}} p l NAME/TITLE: DATE: -L'I l —C) C ciPROPERTYOWNEW ❑ APPLICANT ACONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES o NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.cityoffederalway.com