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12-102543City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: LITTLE GYM Project Address: 1414 S 324TH ST SUITE B109 Project Description: Replace ductwork. Mechanical Permit #: 12- 102543 -00 -ME Inspection Request Line: (253) 835 -3050 Parcel Number: 150050 0080 Owner Al2RIican Contractor THE LITTLE GYM AMBIENT CONTROL CO INC (GENERAL) AMBIENT CONTROL CO INC (GENERAL) 1414 S 324TH ST SUITE B109 1411 "R" ST NW AMBIECC101PW (10/25/13) FEDERAL WAY WA 98003 AUBURN WA 98001 1411 "R" ST NW AUBURN WA 98001 Additional Permit Information Mechanical Valuation ................. ...........................1700 Is this an Online or O.T.C. application ? .................Yes Mechanical Fixtures Ducting............ ............................... 1 PERMIT EXPIRES Monday, December 3, 2012 Permit Issued on Wednesday, June 6, 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 d the City of Federal Way. Owner or agent: Date: A0'4z/ZL r Federal Way THIS CARD IS TO JI&IAIN ON -SITE ` Construction Inspection Record INSPECTION REQUESTS: (253) 835 -3050 PERMIT #: 12- 102543 -00 -ME Address: 1414 S 324TH ST SUITE 13109 Project: THE LITTLE GYM FEDERAL WAY, WA 98003 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 insnector if you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card. 1�r�c� L� � � 'a ✓r ✓.z�XD El Mechanical Rough -in (4165) Gas Piping (4125) ❑ Final - Mechanical (4065) ❑ Approved By Approved to release test By Approved By Date By Date By Date 1�r�c� L� � � 'a ✓r ✓.z�XD El Rough Electrical Approved El Final Electrical Approved ❑ Right of Way Approved By Date By Date By Date PERMIT Federal Way RECEIV COMMUNITY DEVELOPMENT SERVICES P L I C A T I O N 253- 835 -2607• FAX 253 -835 -2609 /� U/U,W.n,t II(]P.ralwaz._mni JUN V 6 2 2 (-TTV nc cc!m -n . / -11 -Z d- 5 3 • MF CO ME PL DE EN FP SITE ADDRESS C S /I/A/ S', z � SUITE /UNIT N 167 PROJECT VALUATION $/700 ZONING ASSESSOR'S TAX /PARCEL M S 0 DS v _ 0 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name /Homeoumer Last Name) PROJECT DESCRIPTION Detailed description of work to / 12-e !A p iJf, e)O be included on this permit only PROPERTY OWNER NAME PRIMARY PHONE 7 q MAILING ADDRESS � E -MAIL CITY /„ � /�ij'°'C, STATE ZIP NAME /� fYI !`t''iG C A4 - PHONE MAILING ADDRESS y C� E -MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE M lit o ( IRATION DATE i FEDERAL WAY BUSINESS LICENSE 0 6S- l©ll/1 -60 DL- NAME PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT (The individual to receive and NAME PHONE t 1 MAILING ADDRESS E -MAIL respond to all correspondence concerning this application) CITY C a oZt STATE LG ZIP //`` 76 Z- FAX ALTERNATE CONTACT NAME: PHONE E -MAIL 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 rp a of the city, including its officers and employees, upon the accuracy of the information supplied to the pn c as a part of t z appliction. a SIGNATURE: DATE _6411 2 /Q PRINT NAME: lw V- Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application VALUE OF MECHAMCAL WORK Indicate how many of each type of fixtr AIR HANDLING UNITS _ AIR CONDITIONER BOILERS _ _ COMPRESSORS _ DUCTING Indicate how many of each type BATHTUBS (or Tub /Shower Combo) _ DISHWASHERS _ DRAINS _ DRINKING FOUNTAINS HOSE BIBBS 1760 G (a copy c to be installed or relocated as FANS _ FIREPLACE INSERTS _ FURNACES _ GAS LOG SETS _ GAS PIPING to be installed or relocated as LAVS (Hand Sinks) _ RAINWATER SYSTEMS _ SHOWERS _ SINKS (Kitehm /utility) _ SUMPS bid or estimate must be provided art of this project. Do not include GAS PIPE OUTLETS HOODS (cotomerciw) HOT WATER TANKS (Gas) REFRIGERATION SYST _ WOODSTOVES f this project. Do not include TOILETS _ URINALS _ VACUUM BREAKERS WATER HEATERS (Electric) WASHING MACHINES u existing fixtures to remain. OTHER (Describe) ng fixtures to remain. WATER PIPING OTHER (Describe) Bulletin #100 — January 1, 2011 Page 2 of 3 k;\Handouts\Permit Application