07-105754,unityD Development Mechanical Permit #• 07- 105754 -0048
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) $35 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: RITE AID
Project Address: 32015 PACIFIC IIWY S Parcel Number: 150050 0110
Project Description: Install 1.5 ton ductless split system & relocate & install existing diffusers
Owner
Armlicant
Contractor
HARSCH INVESTMENT PROPERTIES
PERFECT CLIMATE INC
PERFECT CLIMATE INC
851 SW 6TH AVE SUITE 550
4426 221ST PL NE
PERFECI969RN (12/15/08)
PORTLAND OR 97204
REDMOND WA 98053
4426 221ST PL NE
REDMOND WA 98053
F '�
THIS CARD IS TO REMAIN ON -SITE
,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105754 -00 -ME
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32015 PACIFIC HWY S
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) 0 Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By , -� Date " l �� " ` % By Date l� /
For inspector reference
D Rough Electrical E) FINAL - Electrical
Approved Approved
By Date By Date
,am
f • RECE1 VE
W, jay OoMMUMTYDSV&OPMW SW,fc 3 OCT j 7 7 PERMIT SF MF CO EEL PL DE EN FP
3337S Eft AVSNUS SOUTH • PO BOX 9719
FS 33.2 WAY, WA 98063-9TM P/ Q p L I C AT I O N
7536357607•FAX753.357509 at OlNo ��y(- WAY I /Q
'EnP�- j
The following is required ir{/'ormation -an incomplete application will not be accepted. Please print. legibly (in ink) or type.
• • ERT'f 111F0r4AATI01V
SITE ADDRESS SUITE /UNIT' ti
ASSESSOR'S TAR /PARCEL 9 . (� - 4 LOT SIZE (3)7
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
( Afladi +e�Pa�JBrlwpfhjllgddaolP1
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING . PQ MECHANICAL
0 DEMOLITION O ELECTRICAL 13 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlu)
-')t )S--lyzyl\ 10 S Tt) U a T S\< S'IiE0'1
PROJECT NAME (Name of Business or Owner Last Name) 2 i .
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME '
7 C x'121 Sl-L
PRIMARY PHONE
('-( ))7 -9 Z j
MAILI O ADDRB33
114! � 2�l S'r
CITY, STATE, ZI
`�4' O
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
PHONE
MAILING ADDRESS
L14ZL 'L2� 5' A
CITY, STATE, ZIP
2�
CELLPHONE
N�LQUO - 6
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBlut NUMB
B& TION DATE
EMAIL ADDRESS
R G U2 7 _
-- )1'— 0
C_ t_) 0V-"
MPANY NAME
APP CANT NAME
OFFICE PHONE
CITY, STATE, ZIP
PHONE
MAILING ADDRESS
L( - z S3 �
CITY, STATE, ZIP
53
CELL PHONE
Z -c
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect ❑ Tenant o Agent o Other _ C G,L� _ L:, Z f'
NAM1PRIMARY PHONE L ADDRESS
1� `'L1 M
NAME
Per RCW 19.17.095:
Lender bVormation is required f / project value exceeds $5,000 .
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXIOTING USE PROPOSED USE =YES EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK �SPRINKLERED BUILDING? O YES 13 NO FIRE SUPPRESSION SYSTEM PROPOSED /REQ D? o NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 13 HIGHLINE O PRIVATE (SEPTIC)
re-N–, C'
AREA DESCRIPTION
-EXISTING
80. FT.
PROPOSED
80. FT.
TOTAIL
00. FT. •
BASEMENT
GAS WATER HEATERS MISC (Deamibe)
BOILERS
FIREPLACE INSERTS
FIRST
VIM
COMPRESSORS
FURNACES
RANGES
S D
{
GAS LAG SETS
REFRIG. SYSTEMS'
a NO
THIRD .
a YES a NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
a YES a NO
DECK (O COVERED OR ❑ UNCOVERED
DEMO PERMIT REQUIRED?
a YES
a NO•
GARAGE 0 CARPORT O
NUMBER OF FLOORS
a
r1O'°ri'
TOTAL.
"r'aMrmosr
roru rsoroesoer
for"
'•NSW 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,
�MECIZAhTC4L I -_
Value of Mechanical Work $ g < `'y (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 (Deamibe)
BOILERS
FIREPLACE INSERTS
HOODS rc .0 wao
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LAG SETS
REFRIG. SYSTEMS'
9`
BATHTUBS (or Tub /Mww%rCembo)
DISHWASHERS
DRINKING FOUNTAINS
RI.ECTIUC WATER HEATERS
HOSE BIBBS
I.AVS Im star.►
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS .
VACUUM BREAKERS
WATER CLOSETS (r v"
WASHING MACHINES
MISC (Describe)
I certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner. 1 cert(& that to the best of my
knowledge, the information submitted in support of this permit application is true and correeb t certify that will comply with all applicable
City of Fsderal.Woy regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not roman the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental law.
I further agree to hold harmless the City of Federal Way as to any claim ( including costs, —PS-08, and attorneys' fees incurred in the
investigation and d4jinse of such claim), which may be made by any person, including the undersigned, and filed against the city, but only .
when such claim arises o the reliance of the city, including its officers and employees, upon -the accuracy of the Wormation supplied to
the city as a part of this c#plfqbtiojL
SIGNATURE: - -- - ] / /c
Owner
IQ -1:2 07
o NEW ADDITION
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL O Y?
o YES. o NO
BASIC PLAN? '
a YES
a NO
ZONING DESIGNATION
CHANCE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
a YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO•
Bulletin #100 "August 16, 2007 Page 2 of 4 . Mandouts\Pennit Application .
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