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05-102525 , City of Federal Way Mechanical Permit#: 05 - 102525 - 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) 835-305C Project Name: WILLIAMS c�jjx Project Address: 4530 SW 321ST'UnitR4 Parcel Number: 512600 1560 Project Description: Vent fans and dryer duct Owner Applicant Contractor CARL WILLIAMS ALL IN FAVOR CONSTRUCTION ALL IN FAVOR CONSTRUCTION PO BOX 971 31134 53RD AVE SW 31134 53RD AVE SW RENO NV 89504 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Mechanical Valuation 50 Over the Counter Permit Yes Mechanical Fixtures . ?4tYaicrtptlatt:' :;: t te , . ,Description - IQUantity Ducts 1 Fans 1 PERMIT EXPIRES November 27,2005. Permit issued on May 31,2005 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: Q \ 4. ti THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050 PERMIT#: 05-102525-00-ME Owner: CARL WILLIAMS Address: 4530 SW 321ST ST Unit R4 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) ❑ Gas Piping(4125) gi Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By �' J Date f*kcs-- f i acro•AOS- 5- 2 C- Federal WayCIVE® -Z —P COMMUNITY DEVELOPMENT SERVICES ERMIT I T SF MF C• LPL DE EN FP J3325iMAVENUE SOUTH•roBOX l7i/1dA� TT FEDERAL WAY,WA 91063.9711 WI ki 3 1 Al�,J Y L I C AT I O Nim / • 2534352607•FAX 253435-2609 Www.(iruolfederalwaa.coni CITY OF FEDERAL WAY The ollowi • is •ub 11 ,r, ,_,fir.• j- an •• •tete . ,•1lcation will not be acce•ted. Please •rint le•ibl 'n or IJ0 PROPERTY INFORMATION SITE ADDRESS '5.3o S cc9 321 s1- St On;t le* SUITE/UNIT ll ASSESSOR'S TAX/PARCEL# - _ — _ LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Awad.•mentsPage for iange y legal description! IN PROJECT INFORMATIONAVJECHANICAL TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESC ON(Provide de description of work included on this permit only) 14 AI" aAl' f drio er c/ect PROJECT NAME(Name of Business or Owner Last N• - V) (•I((CAAA't IPS PEOPLE INFORMATION PROPERTY NAME / PRIMARY PHONE OWNER ( ci r ( Li;/J e Q rt S ( ) - MAIUNO ADDRESS CITY,STATE,ZIP P© £o)c ?W Pe•,o IV‘.1 8?so `f CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE r A !n f 'o r Co ostruc.X' ( ) - MAILINO ADDRESS CITY,STATE,2IP CELL PHONE (. ) r CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER / CONTRACTOR'S REGISTRATION NUMBER(copya[card B Lapplication' / ( ) - required with each EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE RELATIONSHIP TO PROJECT ( ) FAX NUMBER a Architect O Tenant ❑Agent ❑Other(Describe) ( ) CONTACT NAME et l// Jai /h/$1 s PRIMARY, ' ) DJa PHONE ( - 2rS9� E-MAIL ADDRESS y-mow LENDER • ••• r• .1,..1( .i, • p,_ 4,.<1.t -'r•i.R,Ir.. MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE • • •• D USE L 4 TING ASSESSE• ••PRAISED ' UE $ VALUE OF P• •POSED WORK $ i ''SP• I • ERED s !'DING? ❑ YES ■ • ^el' SUPPRESSION SYSTEM PRO'• .ED/REQ I 1:. D? a YES a NO WATER S •VICE PROVIDER O LAKEHAVEN a HIGHLINE 0 TACOMA ❑PRIVA (WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a HIGIILINE a PRIVATE(SEPTIC) - PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TAL " SQ.FT. SQ.FT. SQ.FT. BASEME b, ^FIS SECOND THIRD FOURTH , ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 - NUMBER OF FLO• • T010 PROPOS= TOTAL e' -*it glik�. "NE . rI ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ / FIXTURES - ( Indicate number of each type offixture to be instatle• .r •located as part of this project. Do not include existing fixtures to remain. V MECIiANICAL of Mechanical Work $ ,J c, Value , AIR HANDLING UNITSGAS LOGS REFRIG.SYSTEMS BBQS x FANSEVAPORATIVE COOLERS HOODS(c.d.]) WOODSTOVES MISC(Describe) BOILERS FIREPLACE INSERTS RANGES ' COMPRESSORS FURNACES GAS WATER HEATERS _ DUCTS GAS PIPE OUTLETS PLUMBING • c- (.rTub/sewn •.bel SHOWERS WATER CLOSETS maws MISC 'eacribe) DISH . ,'HERS SINKS DRINKING FOU‘i . NS GAS PIP •UTL r: PS RAINWAT: SYST WASHING MACHINES URIN R O'' • BBS LAVS(e.m,..maiaq V UUM 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 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 ty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE DATE --5.-7:3/7S (Signature) (Title) RELATIONSHIP TO PROJECT ❑__& wner a Agent a Contractor a Architect a Other f@D1:Y ,v-t)t)1'004 i ','4t'Rl 'J',titl 0 '-' '') 4.V 1 Y • .) t , l .' cli,ii,iaar€, z.4iDit,r c<;(�,, . •n7': ',;(ti ;s.ii iCe at,;I;r, -� `(p) '�W\Pl; ?+ re` 7) 's(r)�4.b t(o1�( '.c l ,� c :,;,o �,,i� y:' y `re, - - S, ;( !__ fit „,�rr'i�:,'. ;`,F-k-4'.'4" ,`4)-)DY0a—.t i:,roatil,JD4DY,J ."*.:1 ;`(6; I 4,f.),it T1 F=:irr'[•• �':k , ;6) 1D ) i(,o) rii)ai,',(c, il C:!,fit :d:it.ri1 a1... 'ay ac'' Bulletin#100—January 7,2005 Page 2 of 4 klHandouts\Permit Application