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06-1057014 City of Federal Way Gon1?runity Development Services Mechanical Permit #: 06-105701-00-M E P.O. Box 9718 Feaex�i Way, WA 98063-9718 Ph: (263) 63;5-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: HONEYBAKED HAM Project Address: 31501 PACIFIC HWY S Parcel Number: 082104 9181 Project Description: REP - Reinstall walk-in cooler & compressor; replace reach in 2 -door display freezer Owner Applicant Contractor KIR FEDERAL WAY 035, LLC JAMES VALENTINE HUSSMANN CORPORATION KIMCO REALTY CORPORATION HONEYBAKED HAM CO 14USSMC*134JZ 1/30/01 3333 NEW HYDE PARK RD SUITE 100 13804 NE 20TH ST 7625 S 180TH ST NEW HYDE PARK NY 11042 BELEVUE WA 98005 KENT WA 98032 Additional Permit Information Mechanical Valuation............................................15412 Over the Counter Permit?...................................... No Mechanical Fixtures Owner or agent: 14 7iL-C�- Date: / / - l `/ ` 6�( THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Recor - Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -105701 -00 -ME Owner: KIR FEDERAL WAY 035, LLC Address: 31501 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 Date By Date By G Date . ( (0— p G. s ,4111 � C6 of C 5Z OL Federal WayR 2QD6 PERMIT SF MF CO E E DE EN FP AC,O"hfMUN17'YDEVELOPMENrSERVIt�A O 3332E D AVENUE SOUTH • BOX G T° FEDERAL WAY, WA 98063-'7111 �06PLICATION / / 253-835-2609• FAX 253-835-2609 DF F NG wu,w.cituoffederalwau.rni•+`� n` `"D\ a I H1 The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type. M PROPERTY INFORMATION SITE ADDRESS 3150 Pae t ' gc / A 7 6 tC (! SUITE/UNIT # 147 0 3 ASSESSOR'S TAX/PARCEL # 2—LJ - l •'� LOT SIZE (sj) 27 2 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separa[e page for lengthy legal desrnpdonJ PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBINGK01NGINEER1NG ECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onh/ C Yt ! �� ' riw C0 b 4t--4ori- C n1n 19✓ C-. vI G I`f -Ls lC e, ce-tcfGIn /VA Ase ez . �-� rz� Zc.►-� N'►Ur�l � /� 1- z - �S c /� PROJECT NAME (Name of Business or Owner Last Name) &0-711.7 /_-�a A�Y e 116 k", (. �• PEOPLE•- • PROPERTY OWNER NAME Q �t°GC��ICfLo 4, C_ PRIMARY PHONE / ) G - 726 Z e Wl MAILING ADDRSS CITY, STAT , ZI E-MAIL ADDRESS EXPIRATION DATE FAX NUMBER C ' N `s C O✓[� EXPIRATION DA . CONTRACTOR COPY of —d mquired rith each appli—ti— APPLICANT PROJECT CONTACT LENDER COMPANY NAME APPLICANT NAME OFFICEPHONE OFFICE PHONE &y/ - Z 946 e Wl MAILING ADDRESS vD CITY,,STA,T�EP f- I ® CELL PHONE - 1!!V�`II CITYI OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER S • Gp� re vltuJ� >'t '-r ' y- 2(� C3lL � � Z4/ " 42Cs CONTRACTOR'S NUMBER EXPIRATION DA . RE01_91RATION % SS vt RELATIONSHIP TO PROJECT COM ANY NAME Cd APPI l NT NAM,E� ` "Vc^c (�u�v�-4 OFFICE PHONE &y/ - Z 946 e Wl PHONE ❑ LAKEHAVEN MAILING ADDRIESS � CI , ST %k ZIP �(1 '9� CELL PHONE !o zzV- 7,0114 D �)E S t RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect Tenant ❑ Agent ❑ Other NAME 1 1 ! ��. ( PRIMARY PHONE E-MAILADDRESS I� l i w► V �f l e 10 / I r Q. Zz - .il Y© i i < � 16, I -'J NAME Per RCW 19.27.09'5.- 9.27.095:Lender information is required ifproject value exceeds $5,000 Lender MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE Ke EXISTING ASSESSED/APPRAISED VALUE $ PROPOSED'USE 1<-e '1z' I - VALUE OF PROPOSED WORK SPRINKLERED BUILDING? jVj= ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES �<NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) C ........... _..... ._............_....._. ...._ ...................... ............._ ....................._..... .. EXISTING PROPOSED SQ. FT. SQ. FT. _ _... S . F AREA DESCRIPTION BASEMENT URINALS MISC (Describe) DISHWASHERS RAINWATER SYST � t DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Toaeq �,. SECOND SINKS WASHING MACHINES HOSE BIBBS THIRD ❑ YES o NO DEMO PERMIT REQUIRED? ❑ YES a NO ADDITIONAL FLOORS (DESCRIBE) DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED SJ TOTAL SP *"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 $ 'o' m (ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS Z EVAPORATIVE. COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS J REFRIG. SYSTEMS PLUMBING o ALTERATION o REPAIR o TENANT IMPROVEMENT BATHTUBS (or Tub/Shower combo( LAVS (Bathroomsinks( URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Toaeq ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS ❑ YES o NO 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. A l �+ NAME/TITLE uIy-J -1 tZ 4 — (Signature) RELATIONSHIP TO PROJECT ❑ Owner XAgent ❑ Contractor (Title) ❑ Architect ❑ 11 -k -o6 o NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES o NO NEW ADDRESS REQUIRED? ❑ YES o NO UP/SEPA/SU? o YES ❑ NO PLATTED LOT? ❑ YES o NO DEMO PERMIT REQUIRED? ❑ YES a NO Bulletin #I - 00 — January 1, 2006 Page 2 of 4 k\Handouts\Permit Application kk