06-106105City of Federal Way
Community Development Services • Mechanical Permit #• 06 -10610540 -Mt
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: TALL TIMBERS TAVERN
Project Address: 2140 SW 356TH ST
Parcel Number: 252103 9002
Project Description: Reroute/replace Class I hood duct exhaust system. Does not include new equipment.
Owner
Applicant
Contractor
DAVID HOEK
B & G HEATING AND COOLING LLC
B & G HEATING AND COOLING LLC
DAVID'S FEDERAL WAY LLC
PO BOX 24957
BGHEAHC9590G (9/7/07)
DAVID'S FEDERAL WAY LLC
FEDERAL WAY WA 98093-1957
PO BOX 24957
PO BOX 8164
FEDERAL WAY WA 98093-1957
TACOMA WA 98418
Additional Permit Information
Mechanical Valuation............................................5500 Over the Counter Permit?...................................... No
Mechanical Fixtures
Ducts.............................................. 1 Fans................................................ 1
PERMIT EXPIRES Sunday, December 14, 2008
Permit Issued on Thursday, December 14, 2006
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 a City of Federal Way. /�
Owner or agent: Date: / V �c- 0�
���
THIS CARD IS TO REMAIN ON-SITE -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106105 -00 -ME
Owner: DAVID HOEK
Address: 2140 SW 356TH ST
FEDERAL WAY, WA 98023-3058
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 - echanical (4065)
Approved Approved to release test Approved
By Date By Date B Date — '-87
CITY OF �ECy.�1\1E / 0� — ( / -e
Federal way •+eY PERMIT 11LL
tJ� SF MF C ME L PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES- i 1 1 LICAT O
33325 81H AVENUE SOUTH • PO BOX 9718 UEC O i
FEDERAL WAY, WA 98063-9718 r/z
253-835-2607• FAX 253-835-2609 12
z /
www.cittlo(jederalwau.com CITY Of- FEDERAL
DING DEM
The following is require formation -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •. •
`7
SITE ADDRESS I `td W 3�� f t+� ( wt, �/iJt / pOZ-�SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #5- Z __L - d 0 oZ LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) I r �5 L7 prt 6A J,4,-5: ,p
(An—h—porute page f r lengthy legal descnptfon)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed description of work included on this permit only)
art • a or — •t _ • __ - _ .r r%
PROJECT NAME (Name of Business or Owner Gast Name)t / !I+i^�i �tt tl�✓/✓
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
110 eK
ADDRESS
M LNG AD RESS
�
CITY, STATE, ZIP
q8` elle
E-MAIL ADDRESS
l
40—'�_
CITY,TATE, ZIP
Cy
CQIviP NAME
ICooi,,Gcc
APPLICANT NAME
d A
OFFICE' PHONE
ADDRESS
S r
,,s
6�e ,q e
RELATIONSHIP TO PROJECT ,1
❑ Architect ❑ Tenant ❑ Agent (� Other oa �r Try %il/L�C
-
MAILING ADDRESS
C 33r✓(�Utsr.�
CITY,TATE, ZIP
CELL PHONE
5'
a d�
cc%.{
3 7
-/09
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
%063%b -00 L
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DAT
E-MAIL
P�lG
6 A He 0
OV07 a0 %CaT
=Tar
CO PAKY NAME.
11z_ATl.UGMAILING
APPLICANT NAME
OFFICE PHONE
ADDRESS
_C�I ATE, ZIP -
CELL PHONE
RELATIONSHIP TO PROJECT ,1
❑ Architect ❑ Tenant ❑ Agent (� Other oa �r Try %il/L�C
FAX NUMBER
—j ) 715-'j' 'q
NAME PRIMARY PHONE E-MAILADDRESS
�N 7 - 10
N E
Per RCW 19.27.095:
GI �' 17.A
Lender if4%rmation is required 1f project value exceeds $5,000
AILING ADDRESS
CITY, STATE, ZIP
PHONE
1 -
An il�jg
C10 -411L ww11(
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SSo'
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
•9-41
-- AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
o YES o NO
BASIC PLAN? a YES
n NO
FIRST
CHANGE OF USE? o YES
o NO
SECOND
o YES ❑ NO
UP/SEPA/SU? o YES
o NO
THIRD
o YES o NO
DEMO PERMIT REQUIRED? o YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EXISTING SP
TOTAL PROPOSED SP
TOTAL SP
"NEW HOMES ONLY`* NUMBER OF BEDROOMS ESTIMATE SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do of includ existing fiztur t remain.
_ l .� e fi . , .�� n q _ . _ n (k:
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
rSH1H 1-U tSJIor T�y/c rCombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
rl
(A- COPT' OF BIA
EVAPORATIVE. COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom swco
WNWATER SYST
SINKS
SUMP°
TE MUST BE
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (commercial)
RANGES
REFRIG. SYSTEMS
URINA MISC (Describe)
UUM BREAKERS
G' WATER CLOSETS (Toilet)
WASHING MACHINES
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. n
NAME/TITLE :C 41 Wei, i 111/ad 06
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑Architect ❑ Other
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN? a YES
n NO
ZONING DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP/SEPA/SU? o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED? o YES
a NO
Bulletin #100 — January 1, 2006 Page 2 of 4 k\Handouts\Permit App**' cation