07-100726City of Federal Way Mechanical Permit #: 07-100726-00-ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: THE WELLNESS STORE
Project Address: 1640 S 318TH PL Suite D
Parcel Number: 092104 9208
Project Description: Removing existing RTU and install new RTU (like for like). Duetwork. diffusers and grills
to be altered also.
Owner
Applican
Contractor
SEATAC VILLAGE SHOPPING C
AMBIENT CONTROL CO INC
AMBIENT CONTROL CO INC
1121 SW SALMON ST
1411 R ST
AMBIECCIOIPW (10/25/07)
PORTLAND OR
AUBURN WA 98001
1411 R ST
97205-2000
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation ............................................ 9270 Over the Counter Permit? ...................................... No
Mechanical Fixtures
fft 01�1
Air .........
,Y00* ,Units ............. 11�� ,,)Duct§. ..............
...............................
--W1
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT 9: 07-100726-00-ME
Owner:
Address: 1640 S 318TH PL Suite D
FEDERAL WAY, WA 98003
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 (416TT"" '0 Gas Piping (4125) '0 Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By
%BY Datezza/'v, % ZL- Date <1?116r-7
C 1 r Y OF' c F_ N R D
- _L _n C-D
Federal Way PERMIT SF MF CO OEL PL DE EN FP
COMMUNITY DEVELOPMENT SERV
33325 91v AVENUE SOUTH - PO BOXM 0 9 2007
FEDEJML WAY. WA 98063 9718 JTD
253 835-2607- FAX 253 83jX APPLICATION 4r
'L?vtaCzty0ffe11eMk"1 OF FEDERAL WAY
13UILDING DEPT.
Thefollowing is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
�M-ft p(� pM,j- W,�gihy Wg.1 d�pt)
TYPE OF PERMIT 0 BUILDING El PLUMBING X'MECHAMCAL
0 DEMOLITION N ___ - - — 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
(Prouide detailed description of work included on this permit onitj)
PROJECT NAME (Name of Business or Owner Last Na
PROPERTY
OWNER
CONTRACTOR
COPY of card mquired
with tach application
APPLICANT
PROJECT
CONTACT
LENDER
Ic", 0
NAME I
/WGCY - 1(y
PRIMARY PHONE
MAILING ADDRESS C1-rY,.5TATE,.zIP I I
�01)g X12g 2�4
E-MAIL ADDRESS
CO PANY YAME
APPLICANTNAME
?Qall
OFFICE PHONF_
( C22.e -
J"No
;WDR;t
CITY TAZT, ZIP
I
X aol
CELL PHONE
'CM OP FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
01�__Iolqlef 12 -7
FAX NUMBER
.k_FGISTRATION NUMBER 110 DATE
CCWTRACTW'.�
2 - Z'00:3—
P"7.2
E-MAIL ADDRESS
'0'
COMPAInE C
41��
APPLICANT NAME
OFFICE PHONE
.4T)Idn2&AF�:
TIM"VMESS
MAIL
IY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
Ej Architect D Tenant KAgent 1-1 Other
FAX NUMBER
NAME
"f'k ��
f
PRIMARY PHONE
(M6) P0
E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required ifproject value exceeds $5,000
MAILING ADDRES�_
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? c YES Ej NO
WATER SERVICE PROVIDER o LAKEnXNO [I HIGHLINE o TACOMA D PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN El HIGHLINE D PRIVATE (SEPTIC)
W1,4017 �
PROJECT FLOOR AREAS
AREA DESCRIFFI—ON EXISTING PROPO TOTAL
SQ. FT. SQ. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (0 COVERED OR El UNCOVERED?)
GARAGE El CARPORT 1-1
NUMBER OF FLOORS PR POSED TOTAL TOTAL F-IMTBVG SF TOTAL PROPOSM SF TOTAL SF
"NEW HOMES ONLY" NUMB Y10F BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offix-ture to be installed or relocated as part of this project. Do not include existingfbdures to remain.
AMCHANICAL
Value of Mechanical Work $ tZ
(A C OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
Ei ALTERATION
Fi REPAIR _�TENANTIMPROVEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commercial)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (—rob/Shower Combo) LAVS (Bad ...... Si.k,,) URINALS MISC (Describe)
�A YS
DISHWASHERS NWATER S VA M BREAKERS
S W LOS�
ER A �R
TE C
W
'R I,
DRINKING FOUNTAINS OWERS WATER CLOSETS (Toiteu
ELECTRIC WATER HEAT�S SIN WASHING MACHINES
HOSE BIBBS SUMPS
I certify under penalty ofpedury that the information furnished by me is true and correct to the best of my knowledge, andfurther, 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 arty 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, andfiled against the City ofFederal 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
(Signature)
RELATIONSHIP TO PROJECT Ei Owner KAgent
o Contractor t-1 Architect 0
69-�F_-0-7-
FOR OFFICEUSE ONLY I
o NEW D ADDITION
Ei ALTERATION
Fi REPAIR _�TENANTIMPROVEMENT
BUILDING SHELL ONLY? ii YES o NO
BASIC PLAN? Ll YES
E NO
ZONING DESIGNATION
CHANGE OF USE? i:i YES
ii NO
NEW ADDRESS REQUIRED? Ei YES o NO
UP/SEPA/SU? Li YES
ii NO
PLATTED LOT? ii YES E,, NO
DEMO PERMIT REgUIRED? Li YES
E3 NO
Bulletin# 100 —January 1, 2007 Page 2 of 4 k\Handouts\Permit Application