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05-101202
t . City of Federal Way Mechanical Permit #: 05 - 101202 - 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) 835-3054 Project Name: KOVALIK Project Address: 33506 10TH S Parcel Number: 926501 0030 Project Description: Replace(2)rooftop heat pumps with same equipment size,weight&location. Owner Applicant Contractor KING COUNTY AIR SYSTEMS ENGINEERING INC. AIR SYSTEMS ENGINEERING INC. 500 4TH AVE 3602 S PINE ST 3602 S PINE ST SEATTLE WA TACOMA WA 98409 TACOMA WA 98409 98104-2337 (253)572-9484 Mechanical Valuation 26750 Over the Counter Permit No Mechanical Fixtures Description Quantity Description Quantity 1 Description Quantity Furnaces 2 s qt PERMIT EXPIRES November 22,2005. issued n May 26,2005 I hereby certify that the above information is correct and'66.. _ c® ction on the abovedescribed property au the occupancy and the use will be in accordance With the la' s,rules ant regulations of the State of Washington and the City of Federal Way. - r Owner or agent: Aah 1 / �'/' I Date: (el Date: Sr qt,'\ ",c -- THIS CARD IS TO MI,MAIN ON-SITE CITY OF = ommunity Developm . nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-101202-00-ME Owner: Address: 33506 10TH PL S FEDERAL WAY, WA 98003-6306 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) 0 Gas Piping(4125) cij Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date B : f Date\\ RE vED clnoF I(.? V L a o Federal Wayt#°H 1ERMIT COMMUNITYDEVELOPMENTSERVICES SF MF Co ) L PL DE EN FP 33325B�T�AVEN(IESOUTH•POBOX971EITY E ICATION ^ (CI // FEDERAL WAY,WA 98063-9718-260 ( / /°1 5-1 253-835-2607•FAX 253-635-2609 www.cR offederalwau.com The ollowin! is re,uired ormation-an incom•fete a,,lication will not be acce•ted. Please 'rint le,ibl_ ink or . ■ PROPERTY INFORMATTION /mss, SITE ADDRESS 2 3..Se e' /' ' i4 eze. �J iq,f/`1� SUITE/UNIT# *4 ASSESSOR'S TAX/PARCEL# 9 2 1 4_- �/U� 1 i LOT SIZE(sf) �r�-1���'T'-f d�_ LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) a✓ i 4//t� �,/A-2 cry-2 Thi '�/X" (Alters seporete Pa9efor len9d legal.:•.'• . // nom[``®�/4 + . , MI PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PR T DESCRIPTION ov detailed descrip n of k included on 'ermit on j dL',e 71 A f � �o ; rte. 7d ' 1L l lWi �, --. / i _ ,I / s / - /' / f PROJECT NAME(Name of Business or Owner Last Name) • PEOPLE INFORMATION PROPERTY NAME /V z PRIMARY P HONE OWNER ( - MAILING ADDRESS CITY,STATE,ZIP CONTRACTORCO PONY NAME / / APPLICANT NAME OFFICE PHONE r-C611aH lZil 04;- .0-,/triet 4 U-53) 572 - 'it ii,v,„ "51- MAIL AD S Cjf ATE,ZIP CELL PHONE 3 e Jibe e ;E I , Tae t �1/`f( ) 4( - CITY OF FEDERAL WAY BUSINESS LI ENSE UMBER EXPIRATIO DATE FAX NUMBER -2 -. ° Qa (2 6--B L r)- /0'/ / ®S ,0253 - s�2 CO CTOR'S REGIS TON NUMBER(copy of card required with each application) EXPIRATION DATE et. /, r 2 2 � / ©/ / "6 APPLICANT COMP NAME "APPLICANT N E OFFICE PHONE ity ?). ,,/ ,,, .,...4* MAIL G ADDRES CITY,STA ZIP CELL PHONE 310,2 r1' /4e cft 7imj We f � ( ) RELATIONSHIP TO PROJE T /.7 FAX NUMBER �OG° 0 Architect 0 Tenant ❑Agent tther(Describe) V-1.— ( ) - CONTACT �� PRIMARY PHONEN / - E- LAD ' S / 4V ` ., 4'di/ ( ) 2 - ,L k-r / 4eZtee( 4' LENDER Kr NAME i` i, ,f. rti MAILING ADDRESS CITY,STATE,ZIP MI DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) s • • r PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT 07 /fj/J j-14 �2 i b FIRST ‘i- 7/ej1 2 S fPZ SECOND THIRD 04//if FOURTH ADDITIONAL FLOORS(DESCRIBE DECK(COVERED?) GARAGE 0 CARPORT 0 /„e. j�/y_�0 �p'<M6D TOYAL ': g NUMBER OF FLOORS ` f �� yr **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ t /411` FIXTURES Indicate number of each type offixture ixture to be installed or relocated as part of this project. Do not include existing,fixtures to remain. MECHANICAL rm,/I Value of Mechanical Work $ f t. V V AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commewag1/..- / WOODSTOVES BOILERS FIREPLACE INSERTS RANGES V MIS (Describe) COMPRESSORS FURNACES GAS WATER HEATERS T 1 '4 ( DUCTS GAS PIPE OUTLETS iri PLUMBING BATHTUBS(0i-rub/Shover combo) SHOWERS WATER CLOSETS(mid) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(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 authorised 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 inf.:rmation supplied to the city as a part of this application. �f' J P` 'r NAME/TITLE 1."l.- V / DATE �` (Signature) (Title) RELATIONSHIP TO PROJECT Owner ❑Age ❑ Contractor ❑Architect 0 Other , B F L. 4`.P w.odi9.i1i ex'� a A`iYd .'ter `,a fl:. a l '6 0, , =`'8 vL P ° k ; •yel}:: y ..1 N.`:. .....:,, a 8 8 i tlir 'mss a' ". 3 - s' 7 a �°. so, s o 3 '''''')-47;:,4., :V'L r-7',.-'"76.1 3 r o t B i a Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application