07-100259a
Cjty of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit #: 07- 100259 -00"ME
r I Inspection Request Line: (253) 835 -3050
Project Name: HOSS (HOMETOWN OFFICE SUITES & SOLUTIONS)
Project Address: 33530 1ST WAY S Parcel Number: 926500 0360
Project Description: Install (5) new VAV boxes & install (1) exhaust fan for kitchen. Ductwork for TI
Owner
Applicant
Contractor
ACROBAT FINANCIAL SERVICES
EVERGREEN REFRIGERATION INC
EVERGREEN REFRIGERATION INC
7517 GREENWOOD AVE N
727 S KENYON
EVERGRL954R2 01/06/2008
SEATTLE WA 98103
SEATTLE WA 98108
727 S KENYON
SEATTLE WA 98108
1 `r0
THIS CARD IS TO REMAIN ON -SITE `
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100259 -00 -ME
Owner: ACROBAT FINANCIAL SERVICES
Address: 33530 1 ST WAY S
FEDERAL WAY, WA 98003 -6210
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)
Approved Approved to release test Approved
By Date By Date By 1jf- Date o7 / (j
cl, -, A RECEIVED
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES JAN 1 7 2007
33325 AVENUE SOUTH • 9718 APPLICATION
FEDERAL WAY, WA 98063 63 -971971 8
253 - 835- 2607• FAX 253.835.26bITY OF FEDERAL WAY
Ilnulu;c �nj(edeml�pa�;com
BUILDING DEPT.
The following is required iriformation - an incomplete application will not be
SITE ADDRESS - 3 3 5 3 b 1 s+ W (',y" -S'
ASSESSOR'S TAX /PARCEL # & O 0
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
0 3 ( b
® -? - ( 0C) ?S_1
SF MF CO �;EL PL DE EN FP
SUITE /UNIT #
LOT SIZE (sfi 5 70
(Attach separate page for Lengthy legal d —oflnN
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING (MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
1:n,54-01 VAV 9, ^xc5,S z� �n lul( ( ex eIe1 ��.n Fir
Kr-1 c,� n PLkL. tL- � K \O --ten c A* bxlrn�ve �v�en^�
PROJECT NAME (Name of Business or Owner Last Name) c�S 5 6 C-ei S LA ,1 e
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
I -
ICJ
MAILING ADD SS CITY, STATE, ZIP
33 5 3 Ise Wes. S Flesal W� w A 9 L
COMPANY NAME APP1.1(:AVr NAME
4L }L gpn OFFICE PHONE
_ '�- '� (7t� ls�+) Z �• 3.._ i 7 • y
MAILING ADDRFSS� CITY. STATE. ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAY *TTTMBER
Z•0. -D (9- - 1 0 G 7 k / — - B L iZ /3t / 07 (Y- ) 7 &`3--Z3��1
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
COMPANY NAME
vet, ern
A6- ep c vn
I APPLICANT NAME
-Tc4c ,S 4&n•j�
OFFICE PHONE
(1-00 763 - 174/4/
MAILING ADDRESS
721 Soo+ti
ke^yw S+
CITY, STATE, ZIP
S E-tlC, IAi/� c?&Io?
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent brother (Describe) (\* -Col
FAX NUMBER
) - 9-91
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HI
SEWER SERVICE PROVIDER ❑ LAKEHAVEN El �iIG
PROPOSED USE
VALUE OF PROPOSED WORK $
)N SYSTEM PROPOSED /REQUIRED? ❑ YES
• TACOMA ❑ PRIVATE (WELL)
• PRIVATE (SEPTIC)
❑ NO
00
Llot•�
"" A �
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT S . FT. S . FT. S . FT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS sxisT ° cSD TOTAL a84 svT(PRS1 a� avlsr
* *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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 Mechanical
TO
�" g is
of Work $
/
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS REFRIG. SYSTEMS
BBQS
_ �_ FANS
HOODS (Commemtsq WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
BATHTUBS (ortuh /snower combo) S WERS WATER CLOSETS
nouet) MISC (Describe)
DISHWASHERS NKS DRINKING FOUNTAINS
GAS PIPE OUTLETS S P RAINWATER SYST
WASHING MACHINES URI HOSE BIBBS
LAVS (S.throom Slnks) VA UM B S ELECTRIC WATER HEATERS
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�y�lGCc(CC(G.L�u! DATE / 17' 0
(Signature) (T1Ue)
RELATIONSH TO PROJECT ❑ Owner ❑ Agent (Contractor ❑Architect ❑Other
Bulletin #100 —January 1, 2006 Page 2 of 4 MandoutsTermit Application