06-103839r
City of Federal Way Mechanical Permit #• 06-103839-00-M E
Community DeSrelopment Services •
` P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: FATBURGER
Project Address: 1507 S 348TH ST Suite K201 Parcel Number: 185295 0100
Project Description: Install walk-in cooler/freezer unit.
Owner
Applicant
Contractor
BOB BENARDOUT
ERICKSON REFRIGERATION LLC
ERICKSON REFRIGERATION LLC
BENARDOUT ENTERPRISES, LLC
PO BOX 94331
ERICKRL954BM (1/14/07)
6245 147TH PL SE
SEATTLE WA 98124
PO BOX 94331
BELLEVUE WA 98006
SEATTLE WA 98124
Additional Permit Information
Mechanical Valuation............................................3500 Over the Counter Permit?...................................... No
`t
THIS CARD IS TO REMAIN ON-SITE
CITY OF . Community Development Inspection, Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -103839 -00 -ME
Owner: OPUS NORTHWEST LLC
Address: 1507 S 348TH ST Suite K201
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 (40651
Approved Approved to release test Approved
By Date By Date By Dateq—/S
RECEIVED
ctrr eF
Federal way PERMIT
c, J"UMIYGEYBLOFMwsERY1C83"' 0 3 2006
999 p58•+M,Wvnl•FOBOX9718 pLI CATI O N
f FEDERAL WA WAY, WA 98
2S9.89S•Z607•FARZ59.VIU9OF FEDERAL
uww.dtvulie&7uturtywm UILDING DEPT,
jThe -following is n uired information -an incomelete SepUcation will n
PROPERTY•
ASSESSOR'S TAIL/PARCEL 11
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
3
SF MF CO 6�L PL DE EN FP
r <�� / /6 Ca I
SUITE/UNIT # le --20 /
(Aewd�+eparatevnwlarJatWW►apata..oryual
PROJECT•- •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ><IECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESC ION (Provide detailed description of work included on this Permit onl �
r r�t,Yci-t crin U c,.L 4- T, COV •ev 4 pi6
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
CONTACT
LENDER
NAME I\jPRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRtM fi
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CELL PHONE
o,� 4
B L'
�s
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with e}ch application) EXPIRATION DATE
FAX NUMBER
C ANY NAMEAP
CANT NAME
OFFICE PHONE '
-172
MAILING ADDRESS
C , STAT IP
98��
CELL PHONE
o,� 4
�G w4
�s
RELATIONSHIP TO PROJECT/� L
FAX NUMBER
❑ Architect 0. Tenant o Agent Other (Describe) l fA�"�/c.t�7 iJ✓
( -
EXISTING USE 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 ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL o
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE 11 CARPORT ❑
tMMO raorosso rorty.
NUMBER OF FLOORS
'•NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include
Value of Mechanical Work /vJti-_oC. � 'L
AIR HANDLING UNITS EVAPO E COOLERS OAS LOOS REFRIG. SYSTEMS
BBQS FANS HOODS jcommmviA WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
.DUCTS GAS PIPE OUTLETS
BATHTUBS (or1Lh/shots combo) SHOWERS WATER CLOSETS rrwn q MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS (Bathroom Sb*4 VACUUM BREAKERS ELECTRIC WATER HEATERS
I certVg under penalty of perJury that the trVormation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .inade. I further agree to hold
harmless the City of Federal Way as to any claim lincluding 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 flied against the City of Federal Way, but only where such claim
arises out of the reliance o city, i - 14-0-g its officers and employees, upon the accuracy of the ir{formation supplied to the city as a part of
this application.
e9 -2
NAME/TITLE
DATE -GJ �O
Si tar (Title)
RELATIONSHIP TO PROJEC ci Owner O Agent o Contractor ❑ Architect o Other
Bulletin #100 — January 1. 2006 Page 2 of 4 k\Handouts\Permit Application