16-101951Project Name: LEGENDARY DOUGHNUTS
Project Address: 32085 PACIFIC HWY S
Mechanical',
Permit #: 16 -101951 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 150050 0110
Project Description: Installation of (1) RTU, (1) exhaust fan, 20' gas piping to existing line, ducts, diffusers and
grilles***REVISED 6/15/16 TO INCLUDE (2) GAS PIPE OUTLETS AND ADDITIONAL
100' GAS PIPING***
Owner
ARRIIcant
City of Federal Way
Community &Econ. ev. Services
HARSCH INVESTMENT PROPERTIES
33325 8th Ave S
FILE
Federal Way, WA 98003
FOREST CONTRACTING
Ph: (253) 835-2607 Fax: (253) 835-2609
PORTLAND OR 97208-2708
Project Name: LEGENDARY DOUGHNUTS
Project Address: 32085 PACIFIC HWY S
Mechanical',
Permit #: 16 -101951 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 150050 0110
Project Description: Installation of (1) RTU, (1) exhaust fan, 20' gas piping to existing line, ducts, diffusers and
grilles***REVISED 6/15/16 TO INCLUDE (2) GAS PIPE OUTLETS AND ADDITIONAL
100' GAS PIPING***
Owner
ARRIIcant
Contractor
HARSCH INVESTMENT PROPERTIES
WALLY LAUDLE
FOREST CONTRACTING
PO BOX 2708
FOREST CONTRACTING
FORESCI909B8 (2/1/18)
PORTLAND OR 97208-2708
27018 233RD PL SE
27018 233RD PL SE
MAPLE VALLEY WA 98038
MAPLE VALLEY WA 98038
Additional Permit Information
Mechanical Work Valuation?.................................7500 Is this an Online or O.T.C. application? ................. No
Mechanical Fixtures
Air Handling Units ......................... 1 Fans................................................ 1 Gas Piping ......................................
Gas Pipe Outlets ............................. 2
PERMIT EXPIRES Sunday, October 30, 2016
Permit Issued on Tuesday, May 3, 2016
1 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: —C-- Date: v/
Mechanical
City of Federal Way
Community & Econ. Dev. Services Permit #: 16-101951-00-M E
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809 Inspection Request Line: (2
53) 835-3050
Project Name: LEGENDARY DOUGHNUTS
Project Address: 32085 PACIFIC HWY S
Parcel Number: 150050 0110
Project Description: Installation of (1) RTU, (1) exhaust fan, 20' gas piping to existing line, ducts, diffusers and
grilles
Owner
ARRIecant
Contractor
HARSCH INVESTMENT PROPERTIES
WALLY LAUDLE
FOREST CONTRACTING
PO BOX 2708
FOREST CONTRACTING
FORESCI909B8 (2/1/18)
PORTLAND OR 97208-2708
27018 233RD PL SE
27018 233RD PL SE
MAPLE VALLEY WA 98038
MAPLE VALLEY WA 98038
Additional Permit information
Mechanical Work Valuation?..................................7500 Is this an Online or O.T.C. application? ................. No
Mechanical Fixtures
Air Handling Units ......................... 1 Fans................................................ 1 Gas Piping ...................................... 1
Gas Pipe Outlets ............................. 1
PERMIT EXPIRES Sunday, October 30, 2016
Permit Issued on Tuesday, May 3, 2016
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: ' � C9. A/ Date: �' 3 `/b
•
'CITY Op' *��N�M ,•
`Federal Way
.P r
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101951 -00 -ME Address: 32085 PACIFIC HWY S
Project: HARSCH INVESTMENT PROPERTI 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.
Mechanical Rough -in (4165)
Gas Piping (4125)El
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By ft Date -1 11,(16
By 4W jq.2 Date I - % - I �
'K 64; V -,Se-- 'p-4✓l kA Stela BG Ale nw-ed R/ w Tb ulna I -
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
DATE
INSPECTOR
P INSPECTION
AREA, TYPE
Nvw(4 W`<A oo 1,- vt Tb c"ev.
-� I, I
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WECEIVE®
APR 2 2 2016
•
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter;'acityoffederahvay.com
CITY OF FEDERAL WAY
i
CDS
PERMIT NUMBER tl q,5) _yG
TARGET DATE / 3 /
SITE ADDRESS
32'n .5 K&) 1 5
SUITE/UNIT #
PROJECT VALUATION
I /
ZONING
ASSESSOR'S TAX/PAROL # C)
15
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBI NG)4,M ECHANI CAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
l
PROJECT DESCRIPTION
Detailed description of work to
,
I 2T4 C i �h q CSS ` nC n
, 4
` C� '� /1 / U N
/v l i r (� f.
be included on this permit only
NAME
14 µ ( o
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME C) -s— � �`
`
PHONE
MAILING DRESS r1 1���
jl Sly
I
E-MAC j
� �✓
CONTRACTOR
CIT ! e m w e
$p' _T
ZIP
FAX K
WA TA CONTRACTOR'S LICENSE #
L V
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAMEy, _ C S �e� ,
IIAD^^DRESS J
PRIMARY PHONE
APPLICANT
MAILING
EMAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME / /^
l C �i
PRIMARY PHONE
(The individual to receive and
respond to all correspondence
MAIL GAD RESS
! a 33 ` JF,
CITY
STATE
ZIP �^
S
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 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 prdy be made by any person, including the undersigned, and filed against the city,
but only where such cl ' or ' s out o e re once of the city, including its officers and employees, upon the accuracy of the
information supplied t he c s a of th�a/pp�lication.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
C. (.61
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Occupancy Group(s)
L-�,k Q
$
Indicate how many of each type of
fixture to be installed or relocated as Vart
of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commenoia
— _ WATER PIPING
BOILERS
FURNACES —
HOT WATER TANKS rapt
OTHER (Describe)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT"
Occupancy Group(s)
L-�,k Q
t- C
$ o
EXISTING/ PREVIOUS USE -
LOT SIZE (In Square Feet)
EXISTINGFI SPRINKLER SYSTEM?
Indicate how many of each type o
ture to be installed or relocated as
part of this project. Do not include existingixtures to remain.
— — BATHTUBS orTub/Snowercombo)
LAVS (Hand Sinks) —
TOILETS
— _ WATER PIPING
— — DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS _
_ VACUUM BREAKERS
DRINKING FOUNTAINS (
SINKS (Mwh—/UtuiaA _
— WATER HEATERS (eieotdo(
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Occupancy Group(s)
L-�,k Q
t- C
$ o
EXISTING/ PREVIOUS USE -
LOT SIZE (In Square Feet)
EXISTINGFI SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
T
Yes ❑ No
❑ Yes/i