12-104957•
',�y�j�® PERMIT
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PROJECT VALUATION
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING )K MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(7enant Name /Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
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CONTRACTOR
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CITY
STATE
ZIP
FAX
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WA STATE CONTRACTOR'S LICENSE 0
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
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NAME
PHONE
MAULING ADDRESS
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APPLICANT
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ZIP
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PROJECT CONTACT
NAME
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(The individual to receive and
MAILING ADDRESS
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respond to all correspondence
concerning this application)
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PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify 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 a part of this application.
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SIGNATURE: DATE
PRINT NAME: lti Q Gt.0 1 S
Bulletin #100 — January I, 2011 Page I of 3 k:\HandoutsTermit Application
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Indicate how many of each type of fvrture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
l
LAVS (Hand s)nks)
VALUE of MECHANICAL WoRR $
/ ✓v
(a copy of bid or estimate must be provided)
Indicate how many of each type offixture
to be installed or relocated as part of this project. Do not include existing fixtures to remain.
( AIR HANDLING UNITS _ .�
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (cmaro c)sp
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of fvrture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /shower combo)
LAVS (Hand s)nks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (lUtchen /utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FECrURRS 4
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
City of Federal Way
F�3
Community & Econ.'Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mel
Pert #: 12- 104957
Inspection Request Line: (253)
Project Name: FEDERAL WAY DISCOUNT GUNS & INDOOR RANGE
Project Address: 1401 S 324TH ST
Parcel Number: 150050
Project Description: Install HVAC system including exterior beat pump with screening.
Owner
Al2plic;ant
Contractor
KILLY II LLC
INDOOR COMFORT SYSTEMS INC
INDOOR COMFORT SYSTEMS INC
6901 WATER ST NE
(GENERAL)
(GENERAL)
FEDERAL WAY WA 98422
118 VIOLET MEADOWS ST
INDOOCS1320H (9120/14)
TACOMA WA 98444
118 VIOLET MEADOWS ST
TACOMA WA 98444
Addiflonal Permit Irtformaton
Mechanical Valuation .................... ........................4323.00 Is this an Online or O.T.C. application? ................ No
Air Handling Units ........................ 1 Compressors / Heat Pumps............ 1 Ducting............ ............................... 1
Fans................. ............................... 2
PERMIT EXPIRES Sunday, May 12, 2013
Permit Issued on Tuesday, November 13, 2012
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 Ci of Federal Way. lr r
Owner or agent: Date:--/�
-� k�-'4L z I I /10/1,&
CITY OF
Federal Way
PERMIT #:
12- 104957 -00 -ME
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 1401 S 324TH ST
Project: KILLY 11 LLC FEDERAL WAY, WA 98003 -8443
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 (4 25)
0 Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
By Date
Date
By
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date