08-100491 r
4111
!ty of Federal Way Mechanical Perm,#: 08-100491 -00-M E
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: PACIFIC RETAIL
Project Address: 31721 PACIFIC HWY S Parcel Number: 082104 9078
Project Description: Install (2) 6-ton rooftop units and natural gas piping
Owner Applicant Contractor
DANIEL NIEDER UNIVERSAL REFRIGERATION INC(General) UNIVERSAL REFRIGERATION INC(General)
EL LAYENN'S LLC PO BOX 614 UNIVERI159RF 4/1/08
5363 S KENYON SW AUBURN WA 98071-0614 PO BOX 614
SEATTLE WA 98118 AUBURN WA 98071-0614
Additional Permit Information
Mechanical Valuation 11222 Over the Counter Permit9 No
Mechanical Fixtures
Air Handling Units 2 Ducts 4 Gas Pipe Outlets 2
PERMIT EXPIRES Monday, February 8, 2010
Permit Issued on Friday, February 8, 2008
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 it of Federal Way.
Owner or agent: Date: 7
•
THIS CARD IS TO PAMAIN ON-SITE
CITY OF . ►,.,•- tommunitY p Inspection Development Ins ecrotion Reeo ed
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100491-00-ME
Owner: DANIEL NIEDER
Address: 31721 PACIFIC HWY S
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.
0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final -Mechanical(4065)
Approved Approved to release test Approved
By Date By Date ,/ i Z. P 5 By Date 24_.
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
e ERVED 0
CRY OF A—_, O _ y
004q1
Federal way JAN 31 2 PERMIT
COMMUNITY DEG'ELOPMENT SERVICES SF MF CO(;) EL PL DE EN FP
3332�X8352OUE SOUTH•PO FAX 253-g-2C 18of FOPAL,WATI ON To
FEDERAL W.4Y,WA 98063-9 / /
u.m rjolledcr<;,tc cti;.co;_, CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS Si723 PA-.-inc '14:4`ri` AVI SOcrf<4
2 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 g 2 t 0 `t°d - ? 0 " LOT SIZE (sff
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page Jbr lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING $ MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
%O AL(_.. (? ) C o'J ROOFTOP Uwt , akNfl 1Ui4i tttkt C.4 piowc,.
_ iPROJECT NAME (Name of Business or Owner Last Name) 7 C" `fie
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
{ t`')(( ,I», (2o6 ) (4i - 632 2
OWNER 4`�'`�`�.�-
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
5363 C. 1(E.kNO1%) Ti(..C, I.VI\, 981!9
CONTRACTOR COMPANY NP°"`' APPLICANT NAME OFFICE PHONE
ViO10EIIL,SA_L..r.--,. �IIC��A"t10r.) fLR� C(�c(Zt511A�) ( '253 ) 95C( - SSo 1
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(is t (3 PLACE N.w. AL UW W ! ( )
C`LY OF FEDERAL WAY BUSINESS LICENSE NUMBER ) EXPIRATION DATE FAX NUMBER
q-4q-Iv�Og�-cx�-r3C 12/31 /o$ ( )
ONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
rltl59(LF l{�I�08
APPLICANT COMPANY NAME����r �4� APPLICANT NAME OFFICE PHONE
GG ' �CNC(1 1I(X) '( tL � C�-atL t .) ( 23 ) VI - 550E
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
X10 PLUG N�5�r I t a(2�a,r�J�, �JGdc'( ( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 6 Other SU( C��1k(L�1c'Ct)(. (x-`53 ) 735 - .
PROJECTPRIMARY PHONE E-MAIL ADDRESS
CONTACT NAME ea4A,) G. 4,t.,L.I ti) ( VV3 ) 93,1 - Ssa q
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
ii DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? _ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER LAKEHAVEN _ HIGHLINE C TACOMA PRIVATE(WELL)
SEWER SERVICE PROVIDER - LAKEHAVEN HIGHLINE T' PRIVATE(SEPTIC)
S • •
r
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
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$ 11, 'ZZ.2 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
Z AIR HANDLING UNITS EVAPORATIVE COOLERS Z. GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
4 DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify 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 information supplied to
the city as a part of this a ication. Q
SIGNATURE: il
"., DATE I/*Vo 8
‘r" Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW ❑ADDITION o ALTERATION c REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? c YES ❑NO
ZONING DESIGNATION CHANGE OF USE? c YES c NO
NEW ADDRESS REQUIRED? L YES NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? L.YES a NO DEMO PERMIT REQUIRED? c YES Li NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application