08-100096 City of Federal Way 0 Mechanical Permit #68-100096-00-IVI E
.ommun ty 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: AT&T @ BUENA (WA931)
Project Address: 31001 8TH AVE S Parcel '. 104 9029
Project Description: Installation of(2) 5 ton baro wall mounted HVAC units.
Owner Applicant Cont
LAKEHAVEN UTILITY DISTRIC TERNURE TELECOM,LLC TER .' TEL ';
FEDERAL WAY WA 529 6TH ST S 4TL968B 9 ' --
98063-4249
98063-4249 SEATTLE WA 98033 529 6TH S •
SEATTLE W^ 98033
Additional Permit Informati, - '
Mechanical Valuation 6500 Over the Conn. 'e IlilL4. No
'ical Fixt s 0
Air Handling Units 2
1‘19 jpAw
R X S Thurs• Jan 14, 2010
ssue' n Monday, January 14, 2008
I rtify t he ab4fnformatio correct and that the construction on the above described property and
ccupancy a e use be.in accordance with the laws, rules and regulations of the State of Washington
1 i .nd the City of Federal Way.
or agent: i. ~'i /% Date: /` /G/ l 5
i
Abk THIS CARD IS TWEMAIN ON-SITE
CITY OF -� Community Developarent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100096-00-ME
Owner: LAKEHAVEN UTILITY DISTRIC
Address: 31001 8TH AVE S
FEDERAL WAY, WA 98003-4703
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) CIGas Piping(4125) •❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
•
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OFcLr'VE� �»
`ederyaIway PERMIT
COMMUNTIYDEVELOPMENT SERVICES I) 7 66,
SF MF COMM EL PL DE EN FP
33325 58* AVENUE SOUTH 98060 BOX 9718 9718 APPLICATION
FEDERAL WAY,WA 98063-9718 TD
253u-83u5u2d6t0u7oFAdm8u35-m2604r L U E RAL WAY
/ ?,2 / 02.
' DING DFR7'
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION -
SITE ADDRESS 3k'00 ( '�a'3 kk'1 4- .. .dA.g2 L l v `/ SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# L 0, - ` (/ 2---e?1 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page far lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING l -MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlg)
O wo 2 . --•.L.) el; iN a L,I--- -- -ttV lc--
-
•
L___e?,,._ Ed VIC\
PROJECT NAME(Name of Business or Owner Last Name) -1-f `-�
al PEOPLE INFORMATION
PROPERTY NAME
l PRIMARY PHONE
OWNER LA V<E.,\It PN-J ._Y-1 W1et�aF2^ tC_-T
( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY_ NAME AP NT NAME OFF CE PHONE
l _ v \kSa}-, 'K __ �-vt,4-)c ( q/.),22--
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
GZ` (, �� Kt� wA`f 33 ( ) s9 -4+T l
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(.17— ! Com ? ( 2_ i - c.)) ( )
CONTRACTOR'S REGISTRATION NUMBSTION DATE E-MAIL ADDRESS
1.4,1.)u—v t-_366 �L 11;; crf
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
:11/40-1 ew (04 �o -i ci ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent o Other ( ) -
PROJECT NAME' PRIMARY PHONE E-MAIL ADDRESS
CONTACT s9" \rG-(7JY ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is-requierofect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
-t- )
■ DETAILED BUILDING INFORMATION C
EXISTING USE t" - PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES et NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a-NO
WATER SERVICE PROVIDER •C1 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
iLVlJw.a• - !aJ
AREA DESCRIPTION EXISTING PROPOSED TOTAL
°BASEMENT SQ. FT. SQ. FT. SQ, FT.
FIRST
SECOND tom
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL ESISTINO SF TOTAL PROPOSED sr TOTAL sr
**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 //11r
Value of Mechanical Work$ 6t7C-19 r (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
It 1--' AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo( LAVS(Bathroom Sulks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Polley
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 ;�eliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this a;pii
l 0i
SIGNATURE: 1� 4 DATE /Ifq1)05
Property Owner and/or Authorized Agent
;.
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application