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06-102028a .. City of Federal Way Em F& Community Development Services echanical Permit #: 06- 102028 -00 -ME P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (2553) 8355 -3050 Project Name: CROSSINGS - BUILDING L Project Address: 1413 S 348TH ST Parcel Number: 185295 0090 Project Description: Shell Only installation of gas piping outlets for RTUs installed by others. Owner Applicant Contractor OPUS NORTHWEST LLC CURT GILBERT OPUS NORTHWEST LLC EVERGREEN STATE MECHANICAL 915 118TH AVE SE SUITE 300 5415 S 331ST ST BELLEVUE WA 98005 AUBURN WA 98001 Additional Permit Information Mechanical Valuation ................. ...........................6200 Over the Counter Permit?....... ............................... No 6 Mechanical Fixtures - THIS CARD IS TO MAIN ON -SITE t C ommuni t3 Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 06- 102028 -00 -ME Owner: OPUS NORTHWEST LLC Address: 1413 S 348TH ST 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) ❑ Final - Mechanical (4065) Approved Approved to release test Approved By Date By i Date t f - 14/ - G? (� D s 6" CITY Or RECEIVE FederalWVay PERMIT coA(AfUM7Y DEV6LOPM8NT 3ERV1q� 933158^IMWA,W.9•639718,818R 2 zone PPLICATION FEDERAL WAY, o 98069 -9718 153.8352607• PAX ?5=V OF FEDERAL WAY unuw.dtuo(Tedemllrm BUILDING DEPT. The following is required information - an incomplete application will not be L 12-14 .SF MF C i ME LPL DE EN FP [D 5_ i � i0� epted. Please Print leaibly /in ink► or tune. SITE ADDRESS /,3 ``�• • 3 y g 1-4 S� nn SUITE /UNIT # ASSESSOR'S TAX /PARCEL # J (� D V LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) gc y IAUach aq—te page /a 1-g ft legal do -dpdoN PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING PLUMBING IX MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Proulde detailed description of work included on this permit only) PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME PRIMAAY PHONE opus (LIZ, y�, 7 --L-WO MAILING ADDRESS CITY, STATE, ZIP COMPANYls^ 5.,�.r.�t -� APPLICANT NAME OFFICE PHONE MAILING ADDRESS 5y /s- 'S-0 3315" 5-r- CITY, STATE, ZIP 3v� V,4- yYX l CELL PHONE p ow - 733 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE Za - b 3- I v z S & -Z--B L /Z / 3/ / 0b- FAX NUMBER ( 3 Y-73'S- - l35 Z CONTRACTOR'S REGISTRATION NUMBER (copy of card required with epch eppucadoul EXPIRATION DATE v 9-, s m/ Key �- l 3 / C) C., e COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRES CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑Tenant ❑ Agent ❑ Other escribe) Syt3�dN7�fU� FAX NUMBER NAME PRIMARY PHONE 1006 -�3 3 S E -MAIL ADDRESS uzrE- iL��7'r`3r� I NAME MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING ASSESSED /APPRAISED VALUE 7$_ SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN SEWER SERVICE PROVIDER ❑ LAKEHAVEN PROPOSED USE VALUE OF PROPOSED WORK ($ FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO • HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) • HIGHLINE _ ❑ PRIVATE (SEPTIC) Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include MECRAMCAL `o Value of Mechanical Work $ t° Z ©` AIR HANDLING UNITS BBQS BOILERS COMPRESSORS .DUCTS PLTJXUAW BATHTUBS (arT,b /sh wacem" DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (Bathro m swW EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES 7� GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS REFRIG. SYSTEMS HOODS icewwrcwl WOODSTOVES RANGES MISC (Describe) GAS WATER HEATERS WATER CLOSETS rroueq MISC (Describe) DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS I cert{jy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorised by the owner of the above premises to perform the work for which the permit application is .inade. 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 elaing, which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the ir{%rmation supplied to the city as a part of this application. NAME /TITLE � /•f— ` '�3 /v��/ ���/ DATE ° �> + O (signature) (Title) RELATIONSHIP TO PROJECT Q Owner o Agent 13 Contractor ❑ Architect O' Other t ')Tins; Page 2 of 4 WiandoutsTernlit Annlication