05-105441 •
�► ,.�. �
City of Federal Way Mechanical Permit #: 05 - 105441 - 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) 835-3050
� Project Name: CHIPOTLE MEXICAN GRILL
Project Address: 31827 PACIFIC S SuiteC Parcel Number: 082104 9126
Project Description: Install ice-maker and walk-in cooler w/rooftop condensers.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC ERICKSON REFRIGERATION R B I CONSTRUCTION
HARSCH INVESTMENT PROPERTIES LLC P O BOX 94331 1807 132ND NE
1121 SW SALMON ST FEDERAL WAY WA 98124 BELLEVUE WA 98005
PORTLAND OR 97205 (425)881-1985
Mechanical Valuation..........................................2000 Over the Counter Permit......................................No
Mechanical Fixtures
� Description____ _jQuantity Description _ _�Quantity �__ Description Quantity
I Refrigeration Systems- _---'���
� 1
PERMIT EXPIRES May 6,2006.
�ernut issued on November�,2005
I hereby certify�at the above inforrnation is carrect an,d that#he construcrion on the above described property and
the occupancy and the�tse will be in accordance with the l�ws,-rules and regulations ofthe State of Washington and
the City of Federal Way.
Owner or agent: P�� Date: �� � d�
r
` ' THIS CARD IS TO�MAIN ON-SITE ' � �
��n oF �ommuni Develo ment Ins ection Rec r
ty p p o d
Federai Way IVR INSPECTION PEQUEST PHONE # (253) 835-3050
PERMIT #: 05-105441-00-M E
Owner: HARSCH INVESTMENT PROPERTIES L �
Address: 31827 PACIFIC HWY S Suite C '
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.
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Appmved Approved to release test Approved
By Date By Date By Date /! � Q�'
I
_ ur� � S . ��.�EMUE�U S -
Federa�way PERMIT o05 — — ����
COAfMUM7YDBVELOPMEM'SBRVIC&S +Q C T � � 2 SF MF C E L PL DE EN FP
33325 8TM AVENUB SOU7f1•PO BOX 9718
' FEDERAL WAY,WA 9806J-9718 A p p L I C A'�-��D ERAL W / /
253•835-Y607•FAX 253-B35-T609 ' / ��
•` � "'° . '" BUILDING DEPT. �
- The oIlowt {s re ired fn ormatlort-an inco iete a iicatton wtii not be acce ted. Piease rtnt ie ibI in or e.
'• ' � • • •
SITE ADDRESS �� Ct 'f 1`C.._ SUITE/iJNIT#
ASSESSOR'S TAX/pARCEL�k ��,� � � �- � � �►� LOT SIZE(s�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1 J
(Aetaah aeparaee pnge jorlenpthy fagd deac�iptlon/
�• • ' •
TYPE OF PERMIT O BUII.DING ❑ PLITI4IBING g MECIiAftICAI, -
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prouide de ailed d aiption of work included on this nermit onluJ
Ctl. 'T� OCd Q 2 , ¢.�c-�Ich.- �.�—^ �...L �' `-J �Q
� 4 C���✓�,� , , ..
S
PROJECT NAME(Name of Business or Owner Last Name) C�i1� /�C7'T(� /�@�(+CG v� �y, l -
• ' • • •
PROPERTY NAME
PRIMARY PHONE
OWNER ( , _
MAILIN(3 ADDRESS GTY,S7'ATE,ZIP
CONTRACTOR �MPANY NA APPL[CANT NAM OFFICE PHONE
��-O ADDRESS�\ � �S ` �'KO)�27/ - 7 ���
�ST CELLPHONE
� 9`� � ���2 c: � -.
CITY OF FEDERAL W BUSIN L[CEN NUMB EXPIRATION DATE -- FAX NUMBER
- ` B..�, / � �Y�-S ) ��? -�'S8$
CONTRAC7'OR5 REQISTRATION ER(cop�o[car reqalred wlth�a aPPllcatloa) EXPIRATION DATE
E t� i _ _ L 1� � il l5 i�l �`` _ / /
APPLICANT COMPANY AME APPL[CANT NAME OFFICE PHONE
'� ic�t� Q2. � �-, ,. �Q�S (2A�O) 7�5 -4�7�
MAILINO ADDRESS CITY,�ATE� �G �� �ELL PH�NE
t�o �C �'�33� � � -
REIATIONSH[P TO PROJECT I FAX NUMBER
❑ Architect O Tenant ❑Agent Other(DescribeJ�Lf�CU�ti"�l,�C,✓� (1k2,� � � -�j�V
CONTACT NA PRIMARYPHONE E-MAILADDRESS
� Vt�. 20(. �35 -`f72Z r�' (Ze �' � +2�.
LENDER N,U„�� n C�
MA(WNQ ADDRESS G7Y,STATE,ZIP
1 � : 1 1 � • •
EXISTING USE OPOSED USE
EXISTING ASSESSED/APPRAISED VALUE � VALUE OF PROPOSED WORK !�
SPRINKLERED BiTILDING? ❑YFS ❑NO SIIP �SSION SYSTEM PROPOSED/R.EQUIgED? ❑YES O NO
WATER SERVICE PRUVIDER O LAKEHA ❑ HIGHLINE�p It89�A p PRIVATE(WELL �
SEWER SERVICE PROVIDER O L N ❑ HIGHLINE o PRIVATE SEPTIC) ,
•. . • -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
s .�r. s .�r. s .�r.
BASEMENT
FIRST .
SECOND
THIRD
FOURTH .
ADDITIONAL FIAORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
WSTINO �ROl0.S6D TOTK . ........ . . , .. _.............
NUMBER OF FLOORS *reo w:3r:. : --;it::ei•.t.::
�''
r'
•'NEWHOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ;
► � -
Indicate number of each type of fizture to 6e insta(!ed or relocated as part of fhis project. Do not incfude existing fuetures to remain.
MECEL9 Mechanical Work $ �- OO�,Q C� �� aC�. Ob C,..°4��1 '
A[R HANDL[N�UN[TS EVAPORATIVE COOLERS OAS LOGS � REFRIG.SYSTEMS
BBQS FANS HOODS�co�� WOODSTOVES
BOILERS FIREPI.ACE INSER15 RANQES MISC(Desciibe)
� COMPRE3SORS FURNACES QAS WATER HEATERS
DUCT3 QA3 P[PE OUTLETS �
PLUMBING i
BATHTUBS(orllib/showercomeo� SHOWERS WATER CLOSETS Roueq MISC(Describe�
D[SHWASHERS SINKS DRINHING FOUNTAINS
<3AS PIPE OUTLETS SUMPS RAINWATER SYST
WASHINO MACHINES URINALS HOSE BIBBS
I.AVS�e.�ms� VACWM BREAKERS ELECTRIC WATER HEATERS
� •
�I cert�y under penaity of perfr�ry that the f�{�orn�aHon furntshed 6y me ts true and correc!to the 6est of my knoru(edge,and further,that I
am ar�thorised by the owner of the above premises to perjorm the work jor whtch ihe permlt appitcaHon is made. I further agree to hold
hannless the Clty oj Federai Way as to ang cialm(tnci�ding costs, ezpertses, and attorneys'jees Incurred in the investtgallon and dejense oj
such alatmJ,whtch may 6e made by any person,includtng the understgned,and filed agatnst the City oj Federa(Way,but oniy where such clatm
arlses out ojthe reitance of the ctty,inc[uding tts ojJicers and emp(oyees,upon the accuracy of the ir4jormatton supp[ted to the ctty as a part of
this appitcaHon.
NAME/TITLE DATE l�/2 3/2�S
(s at � (fitle�
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent �(Contractor ❑ Architect ❑ Other
�
� Bulletin#100-January 7,2pp5 Page 2 of 4 k�Eiandouts�Permit Application