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05-105286 • Cif,tofFederal Way Mechanical Permit #: 05 - 105286 - 00 - ME Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-30511 Project Name: RIDGEWOOD CENTER Project Address: 33650 6TH S Parcel Number: 926480 0210 Project Description: Installation of(2)supply diffusers,(1)return grill and supporting duct work. Owner Applicant Contractor RITA MAESE-NORKER PUGET SOUND REFRIGERATION PUGET SOUND REFRIGERATION 19909 BALINGER WAY NE POB 27073 POB 27073 SEATTLE WA 98115 SEATTLE,WA SEATTLE,WA 98125 (206)367-2500 Mechanical Valuation 2800.00 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description, Quantity Description Quantity Air Handling Units 1 Ducts 1 PERMIT EXPIRES April 11,2006. "Permit issued on October 13,2005 I hereby certify that the above information is'correct and that,41 constructiokon 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: t3 Cx'i Ak THIS CARD IS TO .MAIN ON-SITE ` . ` CITY of community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105286-00-ME Owner: RITA MAESE-NORKER Address: 33650 6TH AVE S FEDERAL WAY, WA 98003-6754 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 arc 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) 0 Gas Piping(4125) 0 Final-Mechanical (4065) Approved Approved to release test Approved By IDate id/2.01— By Date By 6,rDate i i/'I)(;1.r II IP RECEIVED A. OCT 1 3 2005 _Q Federal Way /� �._-► PER1VILTOF FEDERAL �� COMMUNITY DEVELOPMENT SERVICES BUILwA F MF CO, LPL DE EN FP 333258r"AVENUE,SOUTH WA 98063 BOX 9718 APPLICAT DEPT. illi FEDERAL WAY,WA 98063-9718 253-835-2607•FAX 253-835-2609 w w w.cilu offedend waw.cern The ollowin• is r-•wired information-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or •e. • PROPERTY INFORMATION SITE ADDRESS 3'SG&® 6 AJ� a7EZ4L w AY ce,ilkS SUITE/UNIT# ASSESSOR'S TAX/PARCEL# Ct 2 G 4 ( 0 - 0 Z \(1) LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) C. A4 rA Y.�1�.,�7) (Att` -ach separate page Jor lengthg legal des rlptlonI • PROJECT INFORMATION�/ TYPE OF PERMIT 0 BUILDING 0 PLUMBING .e#MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) i.tee.1a16.i.qlfM.L .S-- r as» . -1 �h=tel L_-i....�.��_�_ i . ,.._.-)14,gy--g-__,e,--e--„ , q a ..,,re , -: 2 1-'0/ /4,07/-7,,,emee,.„..., s a- Lai -4w ,, ,,,,,47.---e- ,-, , . PROJECT NAME(Name of Business or Owner Last Name) („J' 0. — 2' CC)) ( "2 • PEOPLE i, )RMATION PROPERTY NAME PRIMARY PHONE OWNER \TA „(A.,AES 4. 1L.7., (2206 ) S61 -2.C1 RC1 MAILING ADDRESS CITY,S/T.ATE, `_ CAA CONTRACTOR CO, NAME AME OFFICE PHONE I I i sa.:, (. ZA�w.5 (-204, ) 56,' -2 45 MAIL I ADDRESS ,STATE, CELL PHONE 'O • \ ?fD TC (,VA ctt3A25 ( ) CITY O' ' WAY BUSINESS LICENSE ER 9 EXPIRATION DATE FAX NUMBER — •. UI— tCl, l 5 BL `Z / 3► /cas ( ) - • CONTRACTOR'S REGISTRATION NU (copy quired with each application) EXPIRATION DATE ? v � E i S2 l ' Cj 3 X2 / 31 / Ci76 APPLICANT CO ANY NAMEAPPLICANT NAME OFFICE PHONE see (10yrpr) ( ) - G ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS a)%CL S‘) l Q (2 ) '97 - 256u42) LENDER , t 1; t rtg:.rt-,4' - NAME MAILING ADDRESS -.._ CITY,STATE,ZIP PHONE ( ) - ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE /� �? EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4 TJ o9`Co SPRINKLERED BUILDING? )(YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ' /NO WATER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC) , ill) a . -. . • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED SQ.TOTAFT.L SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ eaasrnwo PROPOSED xaru. .,Tor.AY.si�iC7NaSY xarfarsotrOs t'r iorN:;Rr ': NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ it FIXTURES Indicate number of each type offucture to be installed or relocated as t of this project. Do not include existing fixtures to remain. MECHANICAL rd Val fue of Mechanical Work $ 2, 2; I AIR HANDLING UNITS EV#AT TIVE COOLERS GAS G REFRIG.SYSTEMS BBQS FANS z IOD.$tico,,,omul) WOODSTOVES BOILERS LtjC MISC(Describe) COMPRESSORS FURN)CC` INSERTS ' W TER HEATERS _ �=F I DUCTS GAS P} O1Ti' l 4 .„7",;"7"--,- 0,04 _,A , PLUMBING rt; ' 1 c..,:II. �;, ' x BATHTUBS(or Tub/shower Combo) SHOWER WATER CLOSTile) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTNS y' GAS PIPE OUTLETS SUMPS RAINWATER SY t 49 IL r WASHING MACHINES URINALS HOSE BA r LAVS(Bathroom Sink.) VACUUM BREAKERS r Ap ELECTRIC WATER HEATERS /4;" I DISCLAIMER/SIGNE-iURE BLOCK I certify under penalty of perjury that the information furnished by me is t►ue 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 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 , kers and employees,upon the accuracy of the information supplied to the city as a partof this application. NAME/TITLE DATE �� O& ®J (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner ❑Agent o Contractor 0 Architect 0 Other P'11-**. 4 n 1 DI N n�E ATION �iP d TENANT IMPRO MENT 'BC#ILDINH SHELL ONLY? , `. a a NO I !N? a YES, a NO ' $TNG DESIGNATIONY. eH L p:(?$E? ©_YE,s u NO :iiNAS :EQ D? a YES a NO OP/ Pjl/SU?- aY.- a No PLAT EIr t 'b o PER REQI `? to YES o,lit) Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application