10-103460I- I Mechanical
City of FedtralDevelopment
Way yLAW
Permit #: 10-103460 00 ME
Community Development Services '
P.O. Box 9718 •
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: ELTRICH
Project Address: 37211 8TH AVE S Parcel Number: 322104 9116
Project Description: Install heat pump
Owne
Applicant
Contractor
CHRISTOPHER ELTRICH
UNIVERSAL REFRIGERATION INC
UNIVERSAL REFRIGERATION INC
37211 8TH AVE S
(GENERAL)
(GENERAL)
FEDERAL WAY WA 98003-7430
PO BOX 614
UNIVERI159RF (4/1/12)
AUBURN WA 98071-0614
PO BOX 614
AUBURN WA 98071-0614
Mechanical Valuation............................................4275
Air Handling Units ......................... 1'
Is this an Online or O.T.C. application?.................Yes
PERMIT EXPIRES Monday, February 7, 2011
Permit Issued on Wednesday, August 11, 2010
1 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: �� ��
CITY OF 10'&
Federal Way
PERMIT #:
Owner:
THIS CARD IN TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
10 -103460 -00 -ME Address: 37211 8TH AVE S
CHRISTOPHER ELTRICH FEDERAL WAY, WA 98003-7430
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 Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
• ` Building Division
CITY OF 33325 Eighth Avenue South
Federal WayPO Box 9718
Federal Way, WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: JZ//" A -114" Sy PERMIT#: /0
(o �t 41SC� 7
IF YOU HAVE ANY QUESTIONS CALL (253) 835- s�7
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRIC L CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
g7-0 &014)
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page __4f/_
0".'A
Federal way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
u,uvi+.cilio lederafu+a..com
PERMIT8 i0ME PL DE EN FP
APPLICATION AuG I
'TTY OF
FFn �►,
SITE ADDRESS ��� RH l �/� / ^ SUITE/UNIT #
"5-7211 }�-A✓ SU V/�
PROJECT VALUATION
$ 4,27 S 2
ZONING
ASSESSOR'S TAR/PARCEL #
'3 Z Z I u Ll
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
t�
E� L -r 1` C to
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
c 1n tr1 S Fk� TV,%
2 S; - 70 z - iuS
MAIIdNG'' D � �r A v So
,1
II.
EMAIL
CITY
'rev
STATE
ZIP
NAME
PHONE
c,>J.vrtsv�>, Zt^-4L16ocAltQAj
Z-73- 13S-
MADdNG ADDRESS
1-1 LD? 9l
E-MAIL.
SitGr+t S� �r�wers��
CONTRACTOR
CITY
A,s �w.n
STATE
W 4,
ZIP
FAX \ O
WA STATE CONTRACTOR'S LICENSE #
V/1Vk-'K/ 15'?RF
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
(C1 -'`i5-10i0i?-00
NAME \A
M � itis. .\J t. c. `--
PHONE
MADdNG ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZD'
FAX
PROJECT CONTACT
(The individual to receive and
NAMEc -- c,
`'� Ckin C J ` - ` '
PHONE
uu L 10 -
O=respond
MADdNG ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAII.
PROJECT FINANCING
NAME
OWNER FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certt y under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{fy that to the best
of my knowledge, the irtformation submitted in support of this permit application is true and correct. I cert(fy 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 reliance of the city, including its officers and employees, upon the accuracy of the
irtformation supplied to the city as a part of this application.
SIGNATURE: <-7 DATE g ��
\\_
PRINT NAME: !9&0L R � C G 1
Bulletin #100 - April 14, 2010 Page 1 of 3 k:\Handouts\Pennit Application