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CommunityCioFederal Developmentay Services Mechanical Permit #: 05 - 102102 - 00 - ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: GARLIC JIM'S FAMOUS GOURMET PIZZA
Project Address: 34024 HOYTI,$yV SuiteH Parcel Number: 308900 0320
Project Description: Install(1)Type II hood exhaust fan on roof and(1)makeup air fan.Also install of(1)gas piping outlet
for future pizza oven.
Owner Applicant Contractor
NICHOLSON INVESTMENT CORP AMBIENT CONTROL CO INC AMBIENT CONTROL CO INC
2333 CARILLON POINT 1411 R ST 1411 R ST
AUBURN WA 98001 AUBURN WA 98001
\KIRKLAND WA 98033 (253)876-9933
Mechanical Valuation 5500 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity]
Fans 2 Gas Piping I
PERMIT EXPIRES November 59280$.
.
Permit issued on May 9,2005
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 Way.
Owner or agent: / _ !� Date:
THIS CARD IS TO REMAIN ON-SITE
�„�of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102102-00-ME
Owner: NICHOLSON INVESTMENT CORP
Address: 34024 HOYT RD SW Suite H
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 testMPS-
Approved
By Date By f f Date By Date SAr
a. • i
I
Federal ' — - - - -
PERMIT SF MF Coat a LPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES [ 7 3
333258THAVENUE SOUTH WA 9�97 ��RA� APPLICATION °
FEDERAL WAY,WA 98
253.835-2607•FAX 253-835-2609 /
tuturu.eityofYederalwalTY p�FFE a pEpT
•
The ollowi •Vis1 '•, Wein ormation—an inco .tete a••lication will not be acce•ted. Please 'tint le•ibi in in or . .
�ff f "" r■ PROPERTY INFORMATION //
SITE ADDRESS :3 10 P ( 1 100 ►C,(, A G b0 - 0
^� SUITE/UNIT# t-r
ASSESSOR'S TAX/PARCEL# 3 0 6 ! lJ Q- O 3 2- 0 LOT SIZE(sf) I41I3
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) e Cove( aveeit-
(Attach separate pager lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this •ermit onl
.c.I 0 T iv I u!l -. A. ' .G on ✓b, eL I ) L'Jo 411`
PROJECT NAME(Name of Business or Owner Last Name) GOT ki(_ T1 mss
NI PEOPLE INFORMATION
PROPERTY NAME i rI PRIMARY PHONEC
OWNER 30\�� L. 'I (. (2/3 ) [1f z - ./000
MAILING ADDRESS CITY,STATE,ZIP
Po 'fix -Z3r 1( F.edered kg,/ ( (NA , g3,C,g3
CONTRACTOR COMP NYNAME APPLICANT NAME OFFICE PHONE
�r � }IOC
AO\ kt( nccv\ Co . `TeXeg 119{( �•s3) e-i - q613,5MAILING ADDRESS CITY,STATE, IP CELL PHONE
114() (Z 5 , Aul9um u,4 , 9 'I ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of cant required with each application) EXPIRATION DATE
ka5z C, C 1C L F‘A-) ID /Z5 /b5"
APPLICANT CONY NAMEAPPLICANT NAME ++ '' OFFICE PHONE
�m1� � Cb we e, Nie 1�e f (�S3) Eab - q(33
MAILING ADDRESS CI S ATE,ZIV CELL PHONE
Hi) �, 6\-- J ATE,
IAA . ciI ( ) -
RELATIONSHIP TO PROJECT ., ( FAX NUMBER
CI Architect 0 Tenant 0 Agent [)(Other(Describe) C(4 t ria(-Ivr- (253 ) e 14 -'(311
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
(Ct,c 2,,,,...\,,,
(Z ) ONE o - �Q3'3
LENDER LI eI t �s e ia� y r , NAME
MAILING ADDRESS CITY,STATE,ZIP
IIIDETAILED BUILDING INFORMATION
EXISTING USE -``-C-t\ PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ✓,co. co
SPRINKLERED BUILDING? ilyCYES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ci TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
6 .
PROJECD PLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
_ SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
E7QS71RO PROPOSED TOTAL '''.< T. AL FROP0e6D SF -.)••••f'• AL 6rY -;. .
NUMBER OF FLOORS tea; L. • � ��
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL ,Q �
Value of Mechanical Work $ �( Jr sar)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS Zi FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS 1 GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroomsinkm) 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,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 L Z J
`——— w re) �� �� �" Mr (Tide) I b=TE
RELATIONSHIP TO PROJECTwner o Agent o Contractor ❑ Architect ■ e er
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application