12-100241 Jii
City of FederalWay •
Community&Econ.D Mechanical
Econ ev.Services Permit #: 12-100241 -00-ME
33325 8th Ave S
Federal Way,WA 98003 Request
Inspection Line:
Ph:(253)835-2607 Fax (253)835-2609 (253) 835-3050
Project Name: LARKSPUR CENTER SUITES A-2 & A-3
Project Address: 32411 PACIFIC HWY S SUITE A-3 Parcel Number: 150050 0150
Project Description: Installation of new RTU, modifications to existing ductwork and diffusers includes gas
piping
Owner Applicant Contractor
LARKSPUR CENTER LLC UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
PO BOX 1762 (GENERAL) (GENERAL)
SAN RAMON CA 94583 PO BOX 614 UNIVERII59RF(4/1/12)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
z Additional Permit information ry
Mechanical Valuation 14500 Is this an Online or 0.T.C.application' No
a - tI"
, Mechanical Fixtures
Ducting 1 Gas Pipe Outlets 1 Roof Top Units 1
PERMIT EXPIRES Wednesday, July 25, 2012
Permit Issued on Friday, January 27, 2012
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
- ----
anhe Ci f dural Way.
Owner or agent: 7., Date: '-2 `-d/Z
r
F/i'11'
o 5/e4/it
'4%4%, ' THIS CARD IS TO REMAIN ON-SITE `"'
CITY OF '
0 Construction IiSection Record
"
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12-100241-00-ME Address: 32411 PACIFIC HWY S SUITE A-3
Project: LARKSPUR CENTER LLC FEDERAL WAY, WA 98003-8546
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) D Gas Piping (4125) 0 Final-Mechanical (4065)
Approved Approved to release test -*-g
-g Approved
By Date By rUr Date �77 /t B � Dat / -
Rough
Electrical Final Electrical LlRight of Way
Approved Approved Approved
By Date By Date By Date
L .
.9014
CATV OF L ievotr ;, PERMIT SF MF CO EL PL DE EN FP
Federal Way .�, v fMEJ
• COMMUNITY DEVELOPMENT SERVICES APP LI2609 #TI O N A. / fa /
253-835-2607•FAX 253-835
tl." PROPERTY
SITE ADDRESS
( ray , 7
3 - 7 .,
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL 8
A
_ -7
PROJECT iiia.
NAME OF PROJECT
r 6fiJn 4-,-- -4-1--t.C-!^ --5c1 i '� �.
(Tenant or Homeowner Name) ��u{t' �' "Z �i /5047 14.4/if
❑ BUILDING D PLUMBING XME,CHANICAL
TYPE OF PERMIT ❑ DEMOLITIION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
/7,:i.' rA/4,e___. ally 5-31—PiAaft/54t5
PROJECT DESCRIPTION e.-x./ S� c?.... 7a"_(3) t'S
Detailed description of work for
be included on this permit only /$ S`sy/yS. and rn�� S��l.y' ""44-.9
!
PEOPLE ir
NAME PRIMARY PHONE
PROPERTY OWNER 41,a Ira ie)1.4'r C-C4 '7' i'- I- -G (
MAILING ADDRESS,CITY,STATE,ZIP 4114-3 2 E-MAIL
PC)U ?‹. t'7('Z/, ''t Pa wt vvt i G4
OWNER IS ALSO: 9 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME `A*Va C� .. PRIMARY PHONE
(
� �`� (4 ) T-Y/ - 5 )(
MAILING ADDRESS.CITY,STATE.ZIP FAX
CONTRACTOR ,
f .1:‹..3?‹- 6,(y' 4u.6L..,,, 1,(A1-, 'SOW/ (z->)735--- ';.-(
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A//V f / / -217 F - / / .. //";--` -Ac-'Tot?`a-r1---
NAME
c.-NAME PRIMARY PHONE
APPLICANT ii/�e�'' ( �'fr"/64.^0474/Cd- k ( )
MAILING ADDRESS,CITY,STATE.ZIP FAX
F0 — �tV, ffl,,t 1> w4-. ge07t ( ) _
PROJECT CONTACT NAME te-a % 6/ PRIMARY PHONE
(The individual to receive and /� / ( t ) ' fl- 537:)/
respond to all correspondence MAILING ADDRESS,CITY.STATE,ZIP ,yFAX
concerning this application) 7 j (p t' I
/V "1-1&i4A-`1, 4.194- ' O7( ( 25.-- ) 7 3 -;y•5
ALTERNATE CONTACT NAME: PRIMARY PHONE / t- �- E-MAIL
7- ot
LC1/ ( 2 )13 • !/ (y ..
PROJECT FINANCING NAME
9 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(ROW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim aris 'ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the dig . •.p. of this .!plication.
-
SIGNATURE:
r =,I A A. �// "% / ` DATE
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PRINT NAME- _KW r; e-rjLVt IV11gyA11,
Bulletin#100 Page 1 of 3 k:AI-Iandouts\Permit Application
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MECHANICAL FIXTURES3
/vt /o t
Value of Mechanical Work$ � (A •
COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTL) tS OTHER Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) e
BOILERS FURNACES HOT WATER TANKS(Gas) i I
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Nb/shower Combo) LAYS(stand Sinks) TOILE Ib WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xnnnen/amity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes E No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT —.........._._..........._................._..........__........._..._.._.._._...._................._._...._..............._......_..........
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
auaTma PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) �,pe Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
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