05-105476 0
4
City of Federal Way Mechanical Permit #: 05 - 105476 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-30513
Project Name: L&L HAWAIIAN BBQ
Project Address: 32225 PACIFIC S Suite105 Parcel Number: 150050 0100
Project Description: Installing gas piping from the meter into the tenant space
Owner Applicant HARSCH INVESTMENT PROPERT MERIT MECHANICAL INC
its:d?C
PO Box 2708 PO BOX 2109 PREDMOND WA 98073-2109 R09
PO Box 2708 !Portland,OR 97208-2708 (425)8 •
Mechanical Valuation 200 Over the C it.
4644, •
P
P . I T EXP r' ,2400
Pe ' sued on ll cto 25
I hereby certify that the above info• ation is ItIrloo . i truc Ntk e above described property and
the occupancy and the use will be 1 Gordan , s, les a e tions of the State of Washington and
the City of Federa W: .
Owner or 1 0/ ' 'ya_ ..Ain Date: /6A10 c
THIS CARD IS TO REMAIN ON-SITE
CITY OF •. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105476-00-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.
f❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125)_Q ri, 0 Final-Mechanical(4065)
IApproved p S` Approved to release test 1M0.9) Approved
By Date By r/ Date �
l I 'a By Date
1 �
A RECEIV
Federal0 ° 5._Y_I--- ,
Or
-
Way OCT 2 5 2005 PERMIT —"
OOMMUNITrDEVELOPMENT SERVICES SF Mk' C ME LPL DE EN FP
333251VN AVENUE SNITN
fE *PPLICATION
V.coa L
The oilowi • is • fired in ormation-an Inco •fete a••lication will not be acce.ted. Please •rint le• •i
IN PROPERTY INFORMATION or p .
1 SITE ADDRESS ? .2)dga'S 126t0 vi c- l l w SUITE/UNIT
' ASSESSOR'S TAX/PARCEL# t 5 TD O c C) L 10 O
— — — LOT SIZE(s,)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (6G f -TTlie-ir}}ter
(Attach seP�tePnrJrWrw kV.,de.aiPBae)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
• 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit. }onlu)
T'/41 ..• G1/ ? f1P1A1C`t, : RRAh'l.. •t'1.Et"'�`�t•�:': . Tp Vt9'tJ14i�i3'- '!.` 4 •e "
0)/ • .
PROJECT NAME(Name of Business or Owner Last Name) I _4 / t cT l
PEOPLE INFORMATION
PROPERTY NAME
OWNER }}�� A
MAILING ADDRESS 14 1 V rIASNT P RoPE-2r16--s (sPRIMc3)2RY PHONE.42 -2900
CITY,STATE,ZIP
t IZL In:v •&40 400 I PoitrL.AJV p , co R 9 zeds
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ftM,Rtir KOC.13A41/411CAc. (so e -e.A e( _ ('42s'143$53 -cid
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
t - - -B. L • / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
tt,t'1Q tr RI- 1123 CM Mb /CI /67
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
•
IKsR Lr )-ct4A•.3tc4 c. ci e' �M (14) 9 -5
MAILING ADDRESS CITY,STATE,ZIP - -.CELL PHONE
cib30 is 3 GZa - Nf 2C-oktomo u,4 qbera- ( )
RELATIONSHIP TO PROJECT
FAX NUMBER
❑Architect o Tenant ❑Agent ((Other(Describe) COAT RACTOR ( ) -
CONTACT I NAME PRIMARY PHONE E-MAIL ADDRESS
��� E � 1 (0 083 - 9224 I
LENDER •,' w', • - " e •• ,.-,•:i�- i%-(i.:^
filr .h:i7, ; NAME
�:
MAILING ADDRESS I CITY,STATE,ZIP 5 5050 - .
•
•
•
• • • • • ■ DETAILED BUILDING INFORMATION .
0
EXISTING USE ) %LUL, tNiC _ PROPOSED USE Re'P 4-A.Yr1 Lac
. EXISTING ASSESSED/APPRAISED VALUE $ 0 0 VALUE OF PROPOSED WO• 0
760
1 SPRINKLE ��.
RED BUILDING? a YES a NO IRE S i ESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 IUGHLINE 0 PRIVATE(SEPTIC) (07.919 o Ogg
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST -
'7,510 S. Zrs OS''-14 7i SbG
SECOND
} !n, 1,5"at ix)i K b co,.b 51
THIRD
FOURTH ' '.
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0 • - .
NUMBER OF FLOORS s7-. PROPOSED taro• 1111.111411111106W' r'j -•i•
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES -
Indicate number of each type offudure to be installed or relocated as part of this prioject. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES .
BOILERS FIREPLACE INSERTS RANGES ' ., .• MISC(Describe)
'*• COMPRESSORS • ' ' FURNACES GAS WATER BEATER'S-
DUCTS
EATERSDUCTS 1 GAS PIPE OUTLETS
PLUMBING•4, , . 4 -
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS genet) MISC(Describe)
DISHWASHERS SINKS - DRINKING'FOUNTAINS •
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE(Ballroom Sinks) VACUUM BREAKERS• ELECTRIC WATER HEATERS
DISCLAIMER/SIGIFATURE BLOCK
•
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,andfiled 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 . . 0 - DATE 010'14!05
itnature) ('title(
./J^
RELATIONSHIP TO PR T ❑ Owner 0 Agent _ :ontractot 0 Architect 0 Other
I:1f .. -;Qoot,gc1if ,$1[,'RLL(b''.,V,0 c) 'ia ,.01::A' - ,-t' F.G P'I.'f%I:):Y[)*1A!,/ Art°' " . •
CPa 1�a'ejdy. Jia ;es _�-
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aeMVie,k '-= .-7(76§') _rCi �r1 (c ,•�-t4. :� clgr N1-61"-z, '"'; •.
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Bulletin#100—January 7,2005 Page 2 of 4 lalandouts1Permit Application