05-100644 City of Federal Way Mechanical Permit #: 05 - 100644 - 00 - ME
Commwrity Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: MEAT FOR THE SOUL
Project Address: 34024 HOYTISW SuiteF Parcel Number: 308900 0320
Project Description: Installing 1 new Type 1 exhaust hood and related equipment,including make-up air
Owner Applicant Contractor
HOTIE TOYTIE,LLC C/O NICHOLSON INVE KESSLER BROTHER CONST KESSLER BROTHER CONST
2333 CARILLON PT 6626B TACOMA MALL BLVD 6626B TACOMA MALL BLVD
KIRKLAND WA TACOMA WA 98409 TACOMA WA 98409
98033-7353 (253)444-1555
Mechanical Valuation 9961 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Hoods 1
PERMIT EXPIRES September 6,2005.
Permit issued on March 10,2005
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 W y.
Owner or agent: Date:
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THIS CARD IS TO REMAIN ON-SI1 E " ' r ,
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CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100644-00-ME
Owner: BRENT NICHOLSON
Address: 34024 HOYT RD SW Suite F
FEDERAL WAY, WA 98023
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Bs Date
4101°'
y �,� '�_1_& RECEI�JED( ' wav O 5 - I 0 0 �.�
F (� 1 0 2005 PERMIT SF MF CO E L PL DE EN FP Ili
COMMUA1TYDEVELOP�aaP.S
'33325 8^r AVRRUR SOUTH•PO BOX 9718
111
25 8.35-wA FwA 98062.9718 FEDERAL WAP LI CATI O N
404
4111 of
ILDING ' • •Z I A A
The - i , , Is -. -,A.1., ., . ,,. . _an .. ,let. •.:,•Heaton will not be • -- or
MI PROPERTY INFORMATION
r
SITE ADDRESS • �- . , VP1-i-ok-'T R 6 <.v suITE/UNIT. P
ASSESSOR'S TAX/PARCEL s 3 C_; `e' ci C _ c 3 .Z C LOT SIZE(8n /e3 2--6,
r�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) J ,e A TTA C..ti—
PUMA
/AMA a. fr Patio Pr kny0,y b9.1 d .,WI,al
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XI[ECIIANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENCMNEERUQ 0 FIItE PREVEN TON SYSTEM
PROJECT DESCRIPTION(Provide detailed demotion of work included on this permit only)
AJc A L_L_ AL )vi i)i-t-1 _ AOv«i -T•11 i'r 't r"'_)4 (--+ALA S i (-i-cc- 6 AJo
(R LAYso:b `AL\I F M •;.J..` Lk)l i 1.4 /JI 4 K. L-l; A I R
PROJECT NAME(Name of Business or Owner Last Name) I"1 A i f-c-'t ..1 Fte1 J C%U1.—
.
1.---
PEOPLE I`FORMATION
PHONE
PROPERTY
NERPERTY NAILII.WI "" RPRIMARY-tC i l 1 u 1E- i___Lc...C_ PRIMARY) -
MAG ADDRESS s CRY,STATE,ZIP
23:32' (
ARI L.LoA) KAP;\u-,AtAjb ,A ci4.3Ca3
CONTRACTOR i COMPANY NAME APPLICANT NAME OFFICE PHONE
11,F;5 L.�r `ager 63U,TT c4-1 R is cc e-4 L,.'--...,,- 2 `4i( 'i 1 -/� ..,
MAILING ADDRESS�� CTIY,STATE,ZIP
,^ �. ,,,,:NA- - CELL PHONE
(i1(;,-'2..(4_
(; �(F.RAI B ACCESS JIANSE PAkMBER t B I u'D 'A:-`JEXPIRTION DATE FAX NUMBER
- ABA t S ' _B L / / (2'4Lily -/.4-LYS--
CONTRACTORS REGISTRATION NUMBER(wry of wit reqpikals with.au*.rr>swtlw) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Arv'vc. A°� A'Pc\i‘e-:_ ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT s FAX NUMBER
0 Architect 0 Tenant Agent 0 Other(Describe) ( ) -
CONTACT NAME , -- PRIMARY PHONE E-MAIL ADDRESS
V, ' ( .&-\R�'r SCt-kLE; (7��`'�yyll - j 5 c°„_1)k_.y t);`t r Ii,,v,t ir
LENDER Per ltCW 29.97095: Lewder tlfOrwlatiow is NAME ^ (2.,--/
n4wtnd if prof.ct sats ezeesds 114000
MAILING ADDRESS CITY,STATE,ZIP
,�, • DETAILED BUILDING INFORMATION
morrow USE 2 -) 1 kA KA-1..7 PROPOSED USE ri- i”:1 Le i; "L
EXISTING ASSESSED/APPRAISED VALUE $ 1 CI V/GL-^�<C.'- VALUE OF PROPOSED WORK I /r 1 Cr, I c.:(,
SPRUIKLERED BUILDING? 0ZS 0 NO FIRE SUPPRESSION sYSTEI[PROPOSED/REQUIRED? XYZI3 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a ffiGM= ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHIJNE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EIQSTING PROPOSED ,TOTAL
r BASEMENT SQ.PT. SQ.FT. SQ.TT.
•
FIRST
2-c 132'- ,3zc:
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
1 ammo e1101.01•2 Tart. TanLmerse e► TOTALleanoma TOTAL NI
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIX rERLs
Indicate number of each type off cture to be installed or relocated as part of this project Do not include existing failures to remain.
MECHANICAL ryry Q
Value of Mechanical Work $ 1� -1(01. CC.
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS i= FANS 1 HOODS(commercial WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GASSWATER HEATERS
a DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS(a'n1b/shower combo, SHOWERS WATER CLOSETS model MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom ( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCL MAIER SIGNATURE BLOCK
I
certVg under penalty of perjury that the information furnished by fns 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 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 C�V�a _ C I� 7t(APP) 'h/iA/‘;DATE GZ//f�G
(signature) (Thie)
RELATIONSHIP TO PROJECT D Owner XAgent ❑Contractor ❑Architect a Other
11'01$41,1* tli+Y
o NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
EUILDRNG SHELL ONLY? o YES o 10 BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO
DEMO PER![IT REQUIRED? ❑YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pennit Application