05-104208 City of Federal Way Mechanical Permit #: 05 - 104208 - 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) 835-305(1
I Project Name: PANDA EXPRESS
Project Address: 31827 PACIFIC S Parcel Number: 082104 9126
Project Description: Installation of gas piping
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC MERIT MECHANICAL INC MERIT MECHANICAL INC
HARSCH INVESTMENT PROPERTIES LLC PO BOX 2109 PO BOX 2109
1121 SW SALMON ST REDMOND WA 98073-2109 REDMOND WA 98073-2109
PORTLAND OR 97205 (425)883-9224
Mechanical Valuation 1100 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity]
Gas Piping 2
PERMIT EXPIRES February 14,2006.
Permit issued on August 18,2005
I hereby certify that the abov- ' •it .on is correct.nd that the construction on the above described property and
the occupancy and the .- will be in do . dance ' 'I the laws,rules and regulations of the State of Washington and
the City of Federal W y.
Owner or agent: /� Date: 51%/Q?'
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104208-00-ME
Owner: HARSCH INVESTMENT PROPERTIES L
Address: 31827 PACIFIC HWY S
FEDERAL WAY, WA 98003-5409
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date ByC Date e.'23 ' fjqBj c Date /6/i 6�''
Fe . n�NI D a_T- l • D_qZ0
C° ^ D8 PERMITS SF MF CO
33326 AL WAY,6. " A P P L I C AT I( $ 2005 LPL DE EN FP
FEDERAL WAY,WA 1106J-l71! ,�
2534.35.2607.FAX 253-435.2609 / /
The otto Y OF FEpERAI-WA
fired i ormation-an Inco •fete a••licat .t ,gyp � d. Please
• ce• tint k•ibi or
PROPERTY INFORMATION •
'
IN
SITE ADDRESS 0,D 1 I ,L('+t, • '�`
'`�"'� � SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _
— — LOT SIZE(s�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Manch sva'awF4wfar 1emowlead drwlpuay
■ PROJECT INFORMATION
TYPE OF PERMIT '0 BUILDING 0 PLUMBING -
�ECHANICAL
• 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (i
.uide detailed description it of work included on this Hermonlu
atati ' opt' I OLI1csit
'v1 t� b>jCI G. .�
41,. .�w ,.,;,.....,-„," „,,A):„...;..„.,,:„1„-• :.. .-. I
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tli
1-1 y 2.-e.kV7 CP----- le7 VS t /
PROJECT NAME(Name of Business or Owner Last Name) r4�[.� gel/ / // ,/f -
/
al PEOPLE INFORMATION
PROPERTYNAME
OWNER L 3C J /y� S j �j'D� TI f S I � )PRIMARY HONE
MAILING ADDRESS c I V I CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME
�/e�1i a nvn �� % /OFICE PHONE
MAILING ADDRESS �L C..�L� %riet'-t.IAtiCrc G g2. O�J - J,1-a-•4
���0 �S� � A)& CITY,STATE,ZIP CELL PHONE
gto/lit ) } r
CITY OF FEDERAL WAY BUSINESS LI NSE NUMBER EXPIRATION DATE - FAX NUMBER
E: / / ( )
_
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application)
EXPIRATION DATE
if�t_E._te.1T Mi 2-L3c /u q / 6- / ate
APPLICANT COMP APPLICANT NAME OFFICE PHONE
MAILING ADDRESS an,STATE,ZIP -
CELL PHONE
RELATIONSHIP TO PROJECT / (
❑ Architect a Tenant a Agent'they(Describel___S%�=`1it' 7 FAX NUMBER( ) -
CONTACT I NAME G.� i'71/zx'V•-4_j PRIMARY PHONE
I E MAIL.ADDRE S
LENDER I I �2) 3 - ...)--?--,-/
I
:r. ;a:
MAILING ADDRESS CTIY,SLATE,ZIP
• ■ DETAILED BUILDING INFORMATION -
EXISTING USE + ,i PROPOSED USE i I Jr i . ,,
•
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ lS� (i)
-+
SPRINKLE
RFD BUILDING? YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER n��Lw VEN a HIGRLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER T(P TTAVFN r' srrnrsr nor. -
PROJECT FLOOR AREAS
REA DESCRIPTION EXISTING PROPOSED TOTAL
111 SQ.FT. SQ.FT. SQ.FT.
16,
FIRST • •
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS "Ism° ri"rOfD TOTAL
**NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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 $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS
BBQS FANS HOODS(Comme,ei4 WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe),
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS 2 GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or7Lb/Shower Combo) SHOWERS WATER CLOSETS Iresoq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(a.throom:tdn) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE 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,Mel the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the yity,ltietuding,its officer and employees,upon the accuracy of the information supplied to the city as a part of
this application.
/
NAIidE/TITLE (� - DATE Ci/ (/
(rifle)RELATIONSHIP TO PROJECT r a 0 a Agent contractor a Architect a Other
r -•'
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septi,Eltk!';,y#5c�ti,c, 04ti,. ? ^?;[ ;`(c; 3;3,,µ`((f a�,t f^,
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•
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application