07-103327.w
City of Federal Way
ommunityDevelopment Services Mechanical Permfo#. 07 -103327 -00 -'ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253)$35-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: MCDONALD'S
Project Address: 34814 PACIFIC HWY S r Parcel Number: 185295 0070
Project Description: Installation of (3) Class I hoods, reffi+i r ti 1h*ping for walk-in cooler, freezer &
ice -machine.
Owner
Applicant
Contractor
DOUG BATES
UNIVERSAL REFRIGERATION INC.
UNIVERSAL REFRIGERATION INC.
MCDONALD'S CORPORATION
PO BOX 614
UNIVER1159RF 4/1/08
12131 113TH AVE NE SUITE 103
AUBURN WA 98071-0614
PO BOX 614
KIItKLAND WA 98034
AUBURN WA 98071-0614
Additional Permit Information
Mechanical Valuation............................................14200 Over the Counter Permit?...................................... No
Mechanical Fixtures
.....................��
THIS CARD IS
+ TO AIN ON-SITE
C1W of ltommunitY Develo mtInspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -103327 -00 -ME
Owner: DOUG BATES
Address: 34814 PACIFIC HWY S
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 GCj Date 7.23.0 7 By Date By C� gj Date
For inspector reference only_______
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RE.CFOED
air.
Federal Way jUN 1 9 2007 PERMIT
COMMUNnYDEVELOPMENT SERVICES SF MF CO EL PL DE EN FP
33325 AVENUE SOUTH • Po eoj p
FEDERAL WAY, WA 98063-9RY�� O F F E D E /
253 835-2607• FAX 253-835-2609 BUILDING D LI CATI O Nr 77
0
wrt� ur. cttuo(Wernlwau. con
/07
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SUITE/UNIT #
LOT SIZE (si
(Attach separate page for lengthy le9al descrl xo d
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUII.DING ❑ PLUMBING 'MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onl
r
PROJECT NAME (Name of Business or Owner Last Namel r9 H �w,yi�?4 5
PEOPLE•• •
PROPERTYPRIMARY
NAME PHONE
OWNER kla (Z/y-) //—'
CONTRACTOR
PROJECT
CONTACT
LENDER
EXISTING USE
MAILING ADDRESS CITY, STATE. ZIP E-MAIL ADDRESS
1717-6, SE' Z 9f�1 �l�. 8e�/ _V� 179008
t
94 l6
CITY OF FEDERAL WAY BUSINESS I
/q- qq-/o 7c
CONTRACTORS REGISTRATION NUI
NAME
' tA e-5; CA h4/ 1464vA
07
( Z") f3i'
CELLPHONE
FAX NUMBER
(Z5'3) 739 - 3Y3z
COMPANY NAME /_ APPLICANT NAME OFFICE PHONE
SPZi A60V� ( ) _
MAILING ADDRESS CITY, STATE. ZIP CELL PHONE
RELATIONSHIP TO PROJECT 1 FAX NUMBER
❑ Architect ❑ Tenant �CAgent ❑ Other fo Gby+'T�C[ �✓� ( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
1<71L L(/l7 / f� (z ) - O i u/9 ive✓s r ` co�yj
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
-
CITY. STATE. ZIP
PHONE
t
94 l6
CITY OF FEDERAL WAY BUSINESS I
/q- qq-/o 7c
CONTRACTORS REGISTRATION NUI
NAME
' tA e-5; CA h4/ 1464vA
07
( Z") f3i'
CELLPHONE
FAX NUMBER
(Z5'3) 739 - 3Y3z
COMPANY NAME /_ APPLICANT NAME OFFICE PHONE
SPZi A60V� ( ) _
MAILING ADDRESS CITY, STATE. ZIP CELL PHONE
RELATIONSHIP TO PROJECT 1 FAX NUMBER
❑ Architect ❑ Tenant �CAgent ❑ Other fo Gby+'T�C[ �✓� ( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
1<71L L(/l7 / f� (z ) - O i u/9 ive✓s r ` co�yj
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
NAME PRIMARY PHONE E-MAIL ADDRESS
1<71L L(/l7 / f� (z ) - O i u/9 ive✓s r ` co�yj
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 11 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
AREAS
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ NEW ❑ ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY? ❑ YES o NO
BASIC PLAN?
❑ YES
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
e>asrvio
PROPOSED
AL
mraczz�nrosr
ron+arRorasrasr
rarntsr
"NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing, f fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOM
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (orTub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
_ HOODS (Commerciap
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS frolleU
WASHING MACHINES
WOODSTOVES
/ MISC (Describe)
MISC (Describe)
I certM under penalty of perjury that the iryormation 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 4f 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 Wormation supplied to the city as a part of
this application. /)
NAME/TITLE DATE G, - �4% - 0 %
( re) (Rile)
REIATIONS"PRO,TtT ❑Owner ' Agent Contractor ❑ Architect ❑ Other
QB1rIC1t Us3ONLiI
r:
❑ NEW ❑ ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES o NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - January 1, 2007
Page 2 of 4
k\Handouts\Permit Application