07-106071City of Federal Way
Comm Mechanical Permit #: 07- 106071 -00 -M E
unity Development Services
P.O. Sox 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: THE MUTUAL FUND
Project Address: 32225 PACIFIC HWY S Suite 103 Parcel Number: 150050 0100
Project Description: Relocate ducts diffusers.
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERT
AMBIENT CONTROL CO INC (GENERAL)
AMBIENT CONTROL CO INC (GENERAL)
5113 PACIFIC HWY S SUITE 1E
1411 R ST
AMBIECC101PW (10/25/09)
FIFE WA 98424
AUBURN WA 98001
1411 R ST
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation ................. ...........................6559 Over the Counter Per mit ? ..................... ................ Yes
Mechanical Fixtures
Ducts..... ...... ............................... 1
CONDITIONS:
PERMIT EXPIRES Thursday, November 5, 2009
Permit Issued on Monday, November 5, 2007
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 ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
DATE INSPECTOR AREA AND TYPE OF INSPECTION
r�
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106071 -00 -ME
Owner: HARSCH INVESTMENT PROPERT
Address: 32225 PACIFIC HWY S Suite 103
FEDERAL WAY, WA 98003 -6000
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
C./ Date By Date By Date
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
h •
ary OF A
Federal Way a A CEIVEIPERMIT 1SF MF CO EL PL DE EN FP
COMMUNnYDEVELOPMENT SERVICES
33325 AVENUE. BOX 9718 AP PLI CATI 4 N _
FEDERAL WAY, , WA WA 9 98063 63 NOV -9718 O
253.835.2607• FAX 253 - 835 -2609
www.cttaol(ederalwau.com CtTy
OF FEDERAL
The following is requires j complete application will not be accepted. Please print legibly (in ink) or type.
-L,,5- I Q Q s v -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descript(DN
PROJECT • •
SUITE /UNIT #_
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Namel N tA.4-ai
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
1A A It-se- i ey'�i fz
PRIMARY PHONE
-
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
bv1j -v-b L
OFFICE PHONE
(�S3) If7Gr -
MAILING ADDRESS
t11 I
CITY, STATE, ZIP
A L&64, r-,� w"+ bron j
CELL PHONE
(20(- -• ) s A3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
2r- n5 - /o/ -00 —gc_ /z. 131Aa-f -
FAX NUMBER
(7S3 ) s-7f,
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
A to A 1:E cc- / ,C.)i P�J id
E -MAIL ADDRESS PG r rt.1
A."; I ,+ C-01,4 O C 6 �
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
tt 2 S7_ ,l)t,J
CITY, STATE, ZIP
�b�rt� Floor
CELL PHONE
S'ib - 0/64
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant t►Agent ❑ Other
FAX NUMBER
"T-7` - 3
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender igformation is required (f pro ject value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE e o tm-tK•-kr : a 1 PROPOSED USE Co AA, $4't-v- 0- .114
EXISTING ASSESSED /APPRAISED VALUE $,
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKERAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
s . FT.
TOTAL
SQ. FT.
BASEMENT
D YES D NO
BASIC PLAN?
FIRST
D NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
D YES
D NO
THIRD
D YES D NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
D NO
PLATTED LOT?
D YES D NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
D YES
D NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EIaSTQVV(i
PROPOSED
70TAL
T07'AL E7O5TING 3r
rOTAL PRIR`09ED SP
7'O'PAf. SF
" *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 xtures to remain.
Value of Mechanical Work $ tj 5S`% �' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commer J4
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (or mb /Sh— Combo( LAVS (Bathroom sinks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (miieo
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
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, 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 apart of this application.
SIGNATURE:
Owner
(I S 4-4
D NEW D ADDITION
o ALTERATION
D REPAIR D TENANT IMPROVEMENT
BUILDING SHELL ONLY?
D YES D NO
BASIC PLAN?
D YES
D NO
ZONING DESIGNATION
CHANGE OF USE?
D YES
D NO
NEW ADDRESS REQUIRED?
D YES D NO
UP /SEPA /SU?
D YES
D NO
PLATTED LOT?
D YES D NO
DEMO PERMIT REQUIRED?
D YES
D NO
Bulletin #100 - August 16, 2007 Page 2 of 4 k\Iandouts\Pennit Application