06-1016730 . •l
~
City
of Federal Wa
Community Development Services Mechanical Permit #: 06 -101673 -00 -ME
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: L&L HAWAIIAN BBQ
Project Address: 32225 PACIFIC HWY S Suite 105 Parcel Number: 150050 0100
Project Description: Installation of Walk-in Feezer and refrigerator.
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERT
EMERALD AIRE INC
EMERALD AIRE INC
PO BOX 2708
22043 68TH AVE S
emeraai99kg 12/31/05
PORTLAND OR 97208-2708
KENT WA 98032
22043 68TH AVE S
KENT WA 98032
Additional Permit Information
Mechanical Valuation............................................1500 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
tion Systems ................... 1,
CONDITIONS:
PERMIT EXPIRES Monday, October 2, 2006
Permit Issued on Wednesday, April 5, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
7
Owner or agent: 1)l ,� .,� Date:
/l0 6 rud Arc SSS FILE
i
4%L THIS CARD IS TO REMAIN ON-SITE
CITY OFV;t� Community Development Inspection Retord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101673 -00 -ME
Owner:
Address: 32225 PACIFIC HWY S Suite 105
FEDERAL WAY, WA 98003-6000
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 ,ice Date ' Gni By Date 6 �/
—a& lecx0en-f 72C5 Vk 7z
RECEIVED
Fe . tWay APR 0 5 PERMIT
COMMUNITY DEVELOPMENT SERVICES
333258ERALWY,WAH•POBOX ^ITYOFFEDE ILICATION
FEDERAL WAY, WA 98063-9718V
253-835-2607•FAX 253-835-2609 BUILDING DEPT,
www. dilloffederalwau. com
is
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # L
- an
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
will not be
SF MF CO EL PL DE EN FP
D . r
,ted. Please vrint leaiblu lin ink) or type.
-F ff �4W&4- __6 - SUITE/UNIT #
M
0=60
(Attach separate page for lengthy legal desa*tton)
PROJECT• ' • //
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ��ECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAMJ&
v/ tU
PRIMARY PHONE
OF CCE PHONE��]
INGROESS -71 0-5
CI A E, ZIP /1
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
1
❑ Architect ❑ Tenant ❑ Agent Other (Describe) , �[9>Z
d` -
Cf3MPANY NAME l
A CANT'' ��
OFFICE ONE
MA NG A DRESS
E, ZI // 1
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
Id -11 0--I -Z Q 10-0 B L / /
FAX NUMBER
p
<
V
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
PPIRATION DATE
C PANY NAME
APP CANT NAM
OF CCE PHONE��]
MAI ING ADDRESS
C ST E, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
1
❑ Architect ❑ Tenant ❑ Agent Other (Describe) , �[9>Z
d` -
NAME 'P RY PHONE E-MAIL ADDRESS
C%
Per RCW
17.0 :Lender ir(%orntafion is
NAME
iequired if projsct'value exceeds "$5;000
MAILING ADDRESS
CITY, STATE, ZIP
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)
0
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
WOODSTOVES
FIREPLACE INSERTS
RANGES
FIRST
FURNACES
GAS WATER HEATERS
Ltv sefJ
SECOND
o N0
NEW ADDRESS REQUIRED?
SHOWERS
THIRD
MISC (Describe)
SINKS
DRINKING FOUNTAINS
FOURTH
SUMPS
RAINWATER ,SYST
❑,NO
ADDITIONAL FLOORS (DESCRIBE)
HOSE BIBBS
VACUUM BREAKERS
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
MOSTINO
PROPOSED
TOTAL
TOTAL IMSTINo BF
TOTAL PROPOSED sr
TOTAL RP
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or
MECIiAA7CAL ��y�
Value of Mechanical Work $ �X��-
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/Shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
as part of this project. Do not include existing fixtures to remain.
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
FANS
HOODS (commercial)
WOODSTOVES
FIREPLACE INSERTS
RANGES
MISC (Describe)
FURNACES
GAS WATER HEATERS
Ltv sefJ
GAS PIPE OUTLETS
o N0
NEW ADDRESS REQUIRED?
SHOWERS
WATER CLOSETS (Toilet)
MISC (Describe)
SINKS
DRINKING FOUNTAINS
o YES o NO
SUMPS
RAINWATER ,SYST
❑,NO
URINALS
HOSE BIBBS
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certify under penalty of perfury 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 b de by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the relianc the city, inc ing its officers and employees, upon the accuracy of the information su plied to the city as a part of
this application.
/D&
NAME/TITLE DATE
y I (Signature) t V, (Title)
RELATIONSHIP TO PR ECT O wne ❑ Agent ('-Ckontractor ❑ Architect ❑ Other
❑ NEW ❑ ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑'YES
ONO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o N0
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP/SEPA/SII?
❑ YES'
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
❑,NO
Bulletin #100 - August 19, 2004 Page 2 of 4 Mandouts\Permit Application