06-105820i Clof Federal Way
Community
Development Services anPermit Mechanical Pit #' 06 -105820 -00 -ME
ty •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
- acss,.xv RA '-
Project Name: PANERA BREAD Ila=
L
"'
Project Address: 2107 S 320TH ST p Parcel Number: 762240 0010
Project Description: Installation of Shell Mechanical to include: (4) RTU's, (3) Exhaust fans, (1)8" flue for oven,
(1) make up air unit, and (2) refrigeration systems. Refrigeration systems supplied by
customer, installed by Mechanical Contractor.
Owner
Applicant
Contractor
STEADFAST COMMONS LLC
AMBIENT CONTROL CO INC
AMBIENT CONTROL CO INC
1928 S COMMONS
1411 R ST
AMBIECC101PW (10/25/07)
FEDERAL WAY WA 98003-6013
AUBURN WA 98001
1411 R ST
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation............................................43425 Over the Counter Permit?...................................... No
T 1N IW "" -"ca `Fixtures
Air Hans( tgjpa its ......................... 5 Fans............ ... 3 Refr geratic
is
of
PERMIT EXPIRES Thursday, December 11, 2008
Permit Issued on Monday, December 11, 2006
....... 2
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: Date:
i THIS CARD IS TO REMAIN ON-SITE ~
Cin OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105820 -00 -ME
Owner: STEADFAST COMMONS LLC
Address: 2107 S 320TH ST
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
Date
By
Date
By
Date 2 2V02
RECEIVE®
cnr OF ` 1 3 X006
Federal Way NO VYERMIT
COMMUNITY DEVELOPMENT SERVICES
3332FEDER FEDERAENUE L
9806OBOX9d Y OF FF PLICATION
FEDERAL WAY. WA 98063-_260 BUM)IN
'153-8352607• FAX 253-835-2609
iumu:.cif ural7erlerulr.uml."Om
The_foilowinq is required information - an incomplete annlication will n
SITE ADDRESS C -,W /.0 v C
ASSESSOR'S TAX/PARCEL # (0 �(
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1/
3
Y, L-)
(Nmdi separate pope l- tenglhy legal description)
'LJ�'--L _S7 2
SF MF CO(MUL PL DE EN FP
D (( / /
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,ted. Please Print leaiblu !in ink) or tune.
SUITE/UNIT #
LOT SIZE (st)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITIONC=._ ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
S'PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PR �A/R(�y PHONE
t" W— ave�'ll 4��
MAILING AUi7RF5S CITY, STA1T, ZIP Cl`�/' ,
ell q-? an S'�/�/
XCj NAME
o�
App;, U --A NAME
/gym Gni l
OFFICE PHONE
(z6 -33
(LING ADDRESS
Y
CITY. ATE. ZIP
to
CELL PHONE
(z ab S7a - Za
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBFR FXPIRA11ON DATE
o v -0 S- 1 O 1 g 1 1-B L z- /3 j/ (�
FAX NUMBER
CONTRACTOR'S REGISTRAllON NUMBER(copy of card rggoI pith each application) Q XPI(�IO�ATF
//
COMPA ' NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY. STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
11 Other (De�sc�ri�be)
❑ Architect C Tenantt��
FAX NUMBER
( -
/i❑IAgent
NAME,,
PTAYPNE FMAIL
^ADDRES
A�
(r�••0) Ho
Per RCW 19.27.095: Lender information is
required if project value exceeds $5,000
NAME
MAILING ADDRI,S5
CITY. STATE. ZIP
PHONE
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
E. NO
IV/. c v.^
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
FANS
BOILERS
FIREPLACE INSERTS
FIRST
FURNACES
DUCTS
GAS PIPE OUTLETS
SECOND
CHANGE OF USE? c YES
c NO
NEW ADDRESS REQUIRED? ❑ YES o NO
THIRD
c NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ExtsTDVG
PROPOSED
TOTAL
TOTAL -MG SP
TOTAL PROPOSED SP
TOTAL Sr
"NEW HOMES 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 fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 3 � d
;67u . Q ((on.a k+� ✓
-
AIR HANDLING U ITS
EVAPORATIVE COOLERS
T�
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (-T,misn--C-1)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (BAth-- Smky)
VACUUM BREAKERS
GAS LOGS
HOODS (Commercial)
RANGES
GAS WATER HEATERS
-2 REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS (T.ne)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
MISC (Describe)
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 information supplied to the city as a part of
this application. /
NAME/TITLE�y �V r nem' A&W DATE O
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner ent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW c ADDITION
o ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES o NO
BASIC PLAN? ❑ YES
c NO
ZONING DESIGNATION
CHANGE OF USE? c YES
c NO
NEW ADDRESS REQUIRED? ❑ YES o NO
UP/SEPA/SU? o YES
c NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100—January 1, 2006 Page 2 of 4 k\Handouts\Permit Application