16-104302City 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: KOSNOSKI EYE
Project Address: 2314 SW 336TH ST
Project Description: Installation of ducts and diffusers.
•
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Mechanical
Permit #: 16- 104302 -00 -ME
r
Inspection Request Line: (253) 835 -3050
Parcel Number: 132103 9097
Owner
Ap lip cant
Contractor
GOLD INVESTMENT L L C
UNIVERSAL REFRIGERATION INC
UNIVERSAL REFRIGERATION INC
33615 7TH PL SW
(GENERAL)
(GENERAL)
FEDERAL WAY WA 98023
PO BOX 614
UNIVERI159RF (4/1/18)
AUBURN WA 98071 -0614
PO BOX 614
AUBURN WA 98071 -0614
Additional Permit Information
Mechanical Work Valuation ? ...... ...........................3225
Is this an Online or O.T.C. application ? .................Yes
Mechanical Fixtures
Ducting............ ............................... 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, February 27, 2017
Permit Issued on Wednesday, August 31, 2016
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 Fed ay.
Owner or agent: �, �`'��1 Date:
Y .�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO ON -SITE
Construction Ins ectionyRecnrd
INSPECTION REQ TS: (253) 835.3050
16- 104302 -00 -ME Address: 2314 SW 336TH ST
GOLD INVESTMENT L L C FEDERAL WAY, WA 98023
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sgquential 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
Rough Electrical
Approved
as Piping (4125)
Fina - Mechanical
Approved
11
Approved to release test
By
Approved
Date _ ka,-
By
Date
By
Date aA —LA
MtON - ("Z'A 'OK-6-0.
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Way
Approved
By
Date
By
Date
By
Date
DECEIVED
CITY of �� AUG A016
Federal WayCm, OF FEDERAL war
CDS
PERMIT &PPLICATION
PERMIT CENTER + 33325 81' Avenue South + Federal Way, WA 98003 -6325
253 - 835 -2607 + FAX 253- 835 -2609 + ne rrnitcentPrCaritvoffederalway.com
PERMIT NUMBER / /„ _ _/ 0_2 — ±jL_ TARGET DATE
SITE ADDRESS
SUITE /UNIT #
PROJECT VALUATION
$ "--
ZONING
ASSESSOR'S TAR /PARCEL •
-L Z _v - I o -?-
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING 4tf 1VlECRANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
KQ 5 k j v�j /< / ye, Ce P�
Sn
PROJECT DESCRIPTION
Detailed description of work to
y) ��^� �� �` Cl< PS Q /
be included on this permit only
NAME
-aI�
PRIMARY PHONE
1
H a %1 Yl P/— Z H/
X-�
PROPERTY OWNER
g8vz
NAME J J' / iY a
PRO
]WAILING ADDRESS � / � P /►� /
f
K-YAIL
CONTRACTOR
�" � i u,� W"l
WA
up
98oj>/
I"
f - XV XZ-
WA STATE CONTRACTOR'S LICENSE i
EXPIRATION DATE
oY of 18
FEDERAL WAT BUSINESS LICENSE I
I9'97 /07097 W 5
NAME
PROfARYPHONE
MAILING ADDRESS
11 MAIL
APPLICANT
CITY
STATE I
ZIP
FAX
xA1[S
Ca �V�h
PRIMARY PHONE
PROJECT CONTACT
v ' �
MAILING ADDRES
� �K l0 /'� ht-
X-MAIL
auni ✓'i .
( individual to receive and
respond to all correspondence
concerning this application)
CITY / "6"
"'[
2Lj776077
F�
PROJECT FINANCING
NAME
❑ OWNER-FINANCED
When value is A000 or more
I/AHdNG ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I cent ffly under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(fy that to the best
of my knowledge, the information submitted in support Rf this permit application is true and correct. I cmtft 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 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
be by any including the undersigned, and flied against the city,
the investigation and defense of such claim/, which may made person,
but only where such claim art*** 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.
SIGNATURE: DATE
if Cif W /'i�
PRINT NAME•
Bulletin #100 - January 29, 2016 ~ Page 1 of 2 k:\Handouts\Permit Application
�"i
MECHANICAL PERMIT
CRITICAL ARIAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
VALUE OF EI 6=G nWWVEMENT6
f ri
Storks
Additional Information
$ IS oa
Indicate how mww of each type of
re to be installed or relocated as
part of this project. Do not include exist( res to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS icomme mil
RAINWATER SYSTEMS
BOILERS
FURNACES
HOT WATER TANKS (a—)
SHOWERS
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
SINKS Witehm /uti i"A
DUCTING
GAS PIPING
WOODSTOVES
SUMPS
PLUMBING PERMIT
CRITICAL ARIAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUamnvG WORK
VALUE OF EI 6=G nWWVEMENT6
f ri
Storks
Additional Information
NEW BUU.Dma
Indicate how many of each type o
re to be installed or relocated as
art o this project. Do not include exis
' fixtures to remain.
BATHTUBS (or9Lb /ShmerCombo)
IAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
d of
Storks
DRINKING FOUNTAINS
SINKS Witehm /uti i"A
WATER HEATERS (ei—wiq
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL F=TURES
GENERAL INFORMATION
CRITICAL ARIAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EI 6=G nWWVEMENT6
f ri
Storks
Additional Information
NEW BUU.Dma
MaWrINO /PREVIOUS USE
LOT SIZE (In SqU� FNt)
ZM TINO FIRE SPRIMQ,ER SYSTM?
PROPOSED FIRE SUPPRESSION MT=K?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
BASEIT t t r ,
FI) ST FLOOR (or Mobile Home)
$EC,O,N� FIR4R
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals mvnnG Pwrosw 7MA&
I # OF
FOR OFFICE USE
'COMMERCIAL — NEW/ADDITION r
AREA DESCRIPTION
Area
Feet
Occupancy Groups)
Construction
e
f ri
Storks
Additional Information
NEW BUU.Dma
ADDITION
COMMERCIAL — REMODEL /TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy C
upancy ron
Group(s) l
Construction
Type
d of
Storks
I Additional Information
TOTAL BUILDDi(+
TENANT AREA oNLT
PROJECT AREA ONLY
Bulletin #100 - January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application