07-105371CtityDe Federal Development Mechanical Permit #: 07- 105371 -00 -ME
Gammruriity Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: PEKING EXPRESS
Project Address: 2012 S 320TH ST Suite C
Project Description: Running fuel line to (5) outlets
Parcel Number: 092104 9297
Owner
Applicant
Contractor
ANDREW CRATSENBERG
ACCURATED AIR
ACCURATED AIR
CRATSENBERG PROPERTIES
3720 175TH PL NE
ACCURAH934DA (3/1/09)
PO BOX 3045
ARLINGTON WA 98223
3720 175TH PL NE
FEDERAL WAY WA 98003
ARLINGTON WA 98223
Additional Permit lrllfarmati�rr,
Mechanical Valuation ................. ...........................2000 Over the Counter Permit? ...................................... Yes
I hereby certify that the above information is correct Ind 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
an ' he CitZofF er af Way.
Owner or agent: 11,4 Date: ( 2
w
z
• - THIS CARD IS TO REMAIN ON -SITE
•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105371 -00 -ME
Owner: ANDREW CRATSENBERG
Address: 2012 S 320TH ST Suite C
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 Date By Date /P /1,0
For inspector reference only -
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
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deral Way n
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333258-AVEWAY,WA71/.PO> 9,1j M.I CATI O N
_ FSDBRAL WAY, WA 98063.9718
353.8354607• PAX 25343S FF FFEED N
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The following is required itr{/ormation - an incomplete application will not be accepted. Please print.legibly (in or type.
PROPERTY INFORMATION
11--aITE ADDRESS _ C/ Z. LJ 3 Z-J0 ("1 SUITE /UNrr #
ASSESSOR'S TAR /PARCEL # . ? _( Q - Z� LOT SIZE (s,?
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(6#-h rroUbr hwft 1wd dw "wo
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING O PLUMBING HANICAL
❑ DEMOLITION O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION 0
rl4wx
desgription of ujorA included on this
-Azv"� 3' - Der
PROJECT. NAME (Name of Business or Owner Last Name)
PLICAN
PROJECT
CONTACT
E OTING USE
EXISTING ASS:
SPRINKLERED
VATER SERVII
SEWER SERVII
NAME
PRIMARY PHONE
APPL]` E
(FFJC � PHONE
MAILING ADD 3
CITY, STATE, ZIP
E -MAIL ADDRESS
CO
APPL]` E
(FFJC � PHONE
MA1LiN0 ADDRES i�' � �
�r �
CITY, STATE, /� �
CITY, STATE, ZIP
CITY OF FEDERAL
WAY BUSINESS LllpI ENSS�E NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR• /RSOG o� � B
S]]Q TION DATE
S MAIL ADDRESS
COMPANY NAM 1
APPLICANT NAME
OFFICE PHONE
,N STATE,
( NS
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect 0 Tenant ❑ Agent a Other
NAME PRIMARY PHONE E-MAN. ADDRESS
N E
Per RCW 19.27.095: .
Len ormation is required i j ct value exceeds $5,00
DRESS
,N STATE,
( NS
PROPOSED USE
ED UE i$ VALUE OF PROPOSED ORK
D YES O NO FIRE SUPPRESSION STEM PRO ED /REQ I
❑ LAKE N o HIGHLINE ❑ T MA PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE D PRIVATE (SEPTIC)
Fob,$ ■ �.
PROJECT ••• AREAS
AREA DESCRIPTION EXISTING
S. FT.
BASEMENT
PROPOSED
S. FT.
TOq'y,
$.FT
FIRST
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
SECOND
FANS
GAS WATER HEATERS _ MISC (Describe)
BOILERS
THIRD .
HOODS (CommetcLQ
COMPRESSORS
FURNACES
ADDITIONAL FLOORS (DESCRIBE) loll
DUCTS
GAS LOG SETS
REFRIO. SYSTEMS.
DECK (❑ COVERED OR ❑ UNCOVERED ?)
o YE$
a NO
BATH Ttb /Shoe.rconb
GARAGE -❑ CARPORT ❑
U MISC escribe)
DIS ASHE
RAINWAT 3YST
NUMBER OF FLOORS
msTao
rso•c•so
Toro.
rorv.sasnsosr
roru,rsaross•sr
ronasr
••NEW HOMES ONLY".. NUMBER OF BEDR 90aS ESTIMATE ELLING 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.
MECIIAMCAL .
Value of Mechanical Work '$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATI0IQ
o ALTERATION..
o REPAIR a TENANT IMPROVEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS _ MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (CommetcLQ
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIO. SYSTEMS.
PL N(i
o YE$
a NO
BATH Ttb /Shoe.rconb
LA oom Swk,(
U MISC escribe)
DIS ASHE
RAINWAT 3YST
ACUUM BR 3
D NKING FOU NS
SHOWERS
WATER CLOSETS fro
ECTRIC WATER TE
SINKS
WASHING MACHINES
HOSE BIBB3
SUMPS
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 cert(fy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cat(& that I will comply with all applicable
City of Federal.Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not rsmovt the owner's responsibility for compliance with total, 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 claftA which may be made by any n, including the undersigned, and filed against the city, but only
where such claim arises out of I%s rel of the city, including its eors and employees; upon -the accuracy of the information supplied to
the city as apart of this applicatio
C ✓
6-0 r�17
o NEW o ADDITION
o ALTERATION..
o REPAIR a TENANT IMPROVEMENT
BUl7.DING SHELL ONLY?
o YES. o NO
BASIC PLAN? '
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /$EPA /$U?
o YE$
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin #100 _ August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application .