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07-103439w City of Federai Way Mechanical Permit #: + Community Development Services • P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835-30550 Project Name: DOMINO'S PIZZA Project Address: 1426 S 324TH ST Suite A108 Parcel Number: 150050 0080 Project Description: Install (2) split HVAC systems with RTUs (replacement units) including ductwork & exhaust fans. Install Type II hood exhaust. Owner Applicant Contractor HARSCH INVESTMENT PROPERTIES AMBIENT CONTROL CO INC (GENERAL) AMBIENT CONTROL CO INC (GENERAL) 851 SW 6TH AVE SUITE 550 1411 R ST AMBIECC101PW (10/25/07) PORTLAND OR 97204 AUBURN WA 98001 1411 R ST AUBURN WA 98001 t A1114 K _ Additional Permit Information Mechanical Valuation .................. ..........................34994 Over the Counter Permit? ...................................... No Mechanical Fixtures AirHandling Units ......................,.. 2 Ducts ............. ............................... 1 Fans................. ............................... 2 Furnaces'... .................................... 1 Hoods.............. ............................... 1 PERMIT EXPIRES Monday, July 27, 2009 Permit Issued on Friday, July 27, 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 accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: Z 7 0. ` THIS CARD IS TO REMAIN ON -SITE , CITY OF Community Development Inspection Record, Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 103439 -00 -ME Owner: HARSCH INVESTMENT PROPERTIES Address: 1426 S 324TH ST Suite A108 FEDERAL WAY, WA 98003 -8444 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 C,;- . 3 By Date By Date() For insp �7 Rough Electrical Approved r By Date reference only ❑ FINAL - Electrical Approved By Date V F i M iV d GIST OF `�' JUN 2 5 2007 0 � _ 3 J CITY, STATE, ZIP Federal Way CITYOF FEDERAL RMIT COMPANY NAME 4 s c��T2o� c�. LNG APPLICANT NAME s/ OFFICE PHONE (363) - 9°/9`33 MAILING . ADj1RE61. N � BUILDING DBp (�> (E- PHONE ); � - 7p CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE .19p -05, -,oa BL 1 3 t�00 SF MF CO ME L PL DE EN FP COMMUNITY DEVELOPMENT SERVICES a APPLICANT NAME S4A 4s Gom A OFFICE PHONE ( ) SSE 333258T°L AVENUE WASOUTH• PO-BOX FEDERAL WAY. 93063 9713 253 -835 -2607• FAX X 253 -535 -2609 APPLICATION CELL PHONE ( ) 54A4 RELATIONSHIP TO PROJECT ❑AMArrchitect 11 Tenant ❑ Agent ip/Other fl (/AG C2_ �C Cy� FAX NUMBER I('atll.((hlallE'dE:!nILUGh. L'alll N Y CA LAKF 'V (RW6)H - I,O- % �(E �) "l"'1���✓IT 2 k Jd'♦ O' NAME Per RCW 19.27.095: Lender information is required if project value exceeds $5,000 The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS 0�_ (r� 3c� (�1y - _ SUITEfUNIT # _s{,��0 ASSESSOR'S TAX /PARG/ „� V �V D O LOT SIZE (s� LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Minch separate pagelar lengthy legal de.scriphon) PROJECT • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING •MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Prouide detailed description of work included on this hermit onh] —1'.v57-4L64 TJ•o'N OF TWO f&XT CYSTE4 , T U2 fid.c/ 415/37,T 4✓i1t Af � PROJECT NAME (Name of Business or Owner Last Name) pamx It -a S F7774 PEOPLE l • • PROPERTY OWNER CONTRACTOR COPY of card required with each application 1 APPLICANT PROJECT CONTACT LENDER I EXISTING USE NAME i��1Q5 c N 3.vv &ST ,c�T PQoPET,�'�'S PRIMARY PHONE ( ) - MAILING ADDRESS CITY, STATE, ZIP E -MAIL ADDRESS COMPANY NAME 4 s c��T2o� c�. LNG APPLICANT NAME s/ OFFICE PHONE (363) - 9°/9`33 MAILING . ADj1RE61. N � �cd�t�9u p' 4(, 4:4 6 V 4/ (�> (E- PHONE ); � - 7p CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE .19p -05, -,oa BL 1 3 t�00 FAX NUMBER ((9!i3 )876 - 70 CONTRACTOR'S REGISTRATION NUMBER EXPIRATLON DATE �M a 'E c 1©� PV �a 2� �? �E _� u1� A "°` : Coy �/o /• corn COMPANY NAME 4 I Co of. co. NG APPLICANT NAME S4A 4s Gom A OFFICE PHONE ( ) SSE MAILING ADDRESS MM E CITY, STATE, ZIP V mf CELL PHONE ( ) 54A4 RELATIONSHIP TO PROJECT ❑AMArrchitect 11 Tenant ❑ Agent ip/Other fl (/AG C2_ �C Cy� FAX NUMBER N Y CA LAKF 'V (RW6)H - I,O- % �(E �) "l"'1���✓IT 2 k Jd'♦ O' NAME Per RCW 19.27.095: Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING ASSESSED /APPRAISED VALUE $ 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) b PROJECT ••' AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL S . FT. S . FT. S . FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS (DESCRIBE) DECK (❑ COVERED OR ❑ UNCOVERED ?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 111111111� IN Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ . V0(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) Z AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS -Z— FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS _ HOODS tc --mmi) COMPRESSORS FURNACES RANGES DUCTS $ y GAS LOG SETS REFRIG. SYSTEMS PLUMBING BATHTUBS lorn,b /snowcr comno) LAVS (B,th oo,n Sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS iTouou ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS CHANGE OF USE? I certify 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 authorized by the owner of the above premises to perform the work for which the permit application is made. 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 person including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the ci , 'ncludin its officers an employees, upon the accuracy of the information supplied to the city as a part of this application. NAME /TITLE DATE / S /qeV7 [Signature) (Title) RELATIONSHIP ROJECT ❑ Owner ❑ Age Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION E REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES E: NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? c YES ❑ NO UP /SEPA /SU? ❑ YES r NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 — April 2, 2007 Page 2 of 4 k \Handouts\Permit Application