06-106416 1.4
t.
CITYill
‘.,i2
6
OF E® 1 �, - VIFederal Way PERMIT
COMMUNITY DEVELOPMENT SERVICESD E C SF MF CO PL DE EN FP
333158n{AVENUE SOUTH•PO BOX 9718 2 1 A° PLI CATIONTDaitats11 WAy (j'
www.ctluollederalwatl.co 1 ;., r� row, !. __ --�.- P
in
The ollowin' is re.uired in orma ton-2 an incom.lete a••lication will not be acce.ted. Please .rint le.ibl (in ink)or .
7 0 • PROPERTY INFORMATION �/
SITE ADDRESS /J Sc327 l /0 SUITE/UNIT# 4 t,..- -
ASSESSOR'S TAX/PARCEL# f)
- LOT SIZE(s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) C `e/,1l" 'f i`;') CL7el^ f lc /4
Mach.separate page for lengtl J legal descriplirN
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PR J T DESCRIPTION(Provide detailed description of work incl ed on this permit only)
659
rdet
= -ems-&Ty -;�
PROJECT NAME(Name of Business or Owner Last Name)C��4 factr14 Ce40A"M f
• PEOPLE INFORMATION
PROPERTY NE/ I/ /^� PRIMARY PHONE
OWNER �17fc�J i, lli� ;,, , 60610,531...es"
� LLC_ ( yurs -lav
MAILING ADDRESS / TY TA ZIP
/30/0 A/0 at, ° /Pevq-c, u 44 9 or-
CONTRACTOR C MPANY NAME APPLICANT NAME OFFICE PHONE
AO6 i07c.-- 6.rni/ 0,7 teV (e$7)
MAILING ADDRE C ,S ATE,ZIP CELL PHONE
/1// s --�. foto/ ( )s-7o /fro
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 1 EXPIRATION DATE FAX NUMBER
a- d '/ ,0'l _! -B L fZ '31 'O Sts )d - 37
4tfLcec-c
TRACTO 'S REGISTRATION NUMBER(copy of card"lofted with each application) EXPIRATION DATE
1K / 0 ' Zc' 0�
APPLICANT COMPAN AME APPLICANT NAME OFFICE PHONE
/�
VS C rite l'. e4At/' ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( )
CONTACT NAME Ofes D PRIMARY PHONE E-MAIL ADDRESS
Gs� z C4' ( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE \ PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO F • SU` 'RESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA B PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
t r.
4 • •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**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 /"2�/
Value of Mechanical Work $ (j 7
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERT'S RANGES MISC(_Describe)
COMPRESSORS FURNACES GAS WATER HEATERS S' D/ d.,/�(GnGry�
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSEIb(collet( MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
/
NAME/TITLE' " DATE ""Z°"0,6
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner o Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW a ADDITION o ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES c NO
NEW ADDRESS REQUIRED? a YES c NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application
410
City of Federal Way Mechanical
Community Development ServicesP r a m11 TT•. 06-106416-00-ME
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: PJ POCKETS
Project Address: 1320 S 324TH ST Suite A109 Parcel Number: 150050 0070
Project Description: Replace(like for like)diffusers -no change to distribution system.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC AMBIENT CONTROL CO INC AMBIENT CONTROL CO INC
HARSCH INVESTMENT PROPERTIES LLC 1411 R ST AMBIECC101PW (10/25/07)
509 OLIVE WAY SUITE 1062 AUBURN WA 98001 1411 R ST
SEATTLE WA 98101 AUBURN WA 98001
Additional Permit information
Mechanical Valuation 624 Over the Counter Permit? Yes
Mechanical Fixtures
Ducts..,.,. 1
CONDITIONS:
Subject to field inspection.
PERMIT EXPIRES Sunday, December 21, 2008
Permit Issued on Thursday, December 21, 2006
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 City of Federal Way.
Owner or agent!'":� � " Date:/2 ZI'--061
THIS CARD IS TO REMAIN ON-SITE
CITY of Itiommunity Developnilkit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106416-00-ME
Owner: HARSCH INVESTMENT PROPERTIES LLC
Address: 1320 S 324TH ST Suite A109
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) pi Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date ; '�$ y Date / (01-1