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08-105167 • r , • Mefcha2ical ty Way Q CommuniCityof DevelopmentFederal Services Permit #: 08-105167-00-M E P.O.Box 9718 Federal Way,WA 98063-9718 q Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 Project Name: APPLEXUS Project Address: 33507 9TH AVE S Bldg D • Parcel Number: 926500 0020 Project Description: Adding gas hot water heater and gas line Owner Applicant Contractor APPLEXUS PROPERTIES LLC KLIEMANN BROTHERS HTG&A/C IN KLIEMANN BROTHERS HTG&A/C IN 1948 LIGHTHOUSE LN 4703 116TH ST E KLIEMBH021BT(1/27/10) TACOMA WA TACOMA WA 98446 4703 116TH ST E TACOMA WA 98446 } Mechanical Valuation 1800 Is this an Online or O.T.C.application? Yes .. ': »t. • /14;>a . z =; ,ms's' Gas Pipe Outlets 1 Hot Water Tanks 1 CONDITIONS: Subject to field inspection without plans. PERMIT EXPIRES Tuesday, April 28, 2009 Permit Issued on Thursday, October 30, 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 City of Federal Way. �� ----.__ Owner or agent: Date: /0/3 D/Ose THIS CARD IS TO giMAIN ON-SITE CITY OI` , , ta0.- 'ommuni Develo m Inspection Record: tY p t p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-105167-00-ME Owner: APPLEXUS PROPERTIES LLC Address: 33507 9TH AVE S Bldg D. 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) El Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By /0/1-1,_ Date /00 By % Date /a/51,11 For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date CITY OFA — - / 05 1�L J. eeraiway PERMIT ? COLENP EVELOPMENTSERVICE 33325 8rK AVENUE SOUTH•PO BOX 9718 FEDERAL WAY,WA 98063.9718 OCT 3 APPLICATION TD / / 253-835-2607•FAX 253-835.2609 www,atuoffedemlwa u.cum poThe followingis required''‘i ed innla eRLn bee application will not be accepted. Please print legibly(in ink)or type. 1111 PROPERTY INFORMATION SITE ADDRESS 3 S c 1 6 A-tic 5 a LID ( SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 4.:,..2 6_ : - C a,c_ LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) IN PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING A MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlg) DO (res . -:°r, e H5. 4-7-17,- (-- L-1 PROJECT NAME(Name of Business or Owner Last Name) A pp.1,e, 6i' al PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER P\PY(,c /kA c, p R.,0 r'Lie, ,s i ( ) - MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS • CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 144ei'AM AJ&J ek05 i1 V C I-42 A.,/4.,,JNA. ( . , )),.537 - old MAIWNO ADDRESS STATE,ZIP CELL PHONE `1703 1/6�° .-.._- r.. 7irce)Nl4 LA-3,e) 4g%iY'b ( ) 377 - 337a' CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EVIRATION DATE FAX NUMBER [7-_ `7 — lc4.. 75---(no —43Z_ ( 7 31- ©P ( ) ,135? -3Eij CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS ((.L ttNle et 0 Z t g.. t .I Z 1 12.440 4as eikkewul+oblt APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE H...1r , i3(ZC5 r) 1/4/Ac , i c<LS 14-1.'CmA-"1A/ ( " ) .37 - Gtos MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 4-i 70 I(o gr. 6 l PICOAAA 4-t)Ar if ivi eo ( ) s77 -$37 8 RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑Tenant ❑Agent 13 Other ^iia 5eTble (M£c r/) ( ) - -;$Z PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT (..A'I.5 14t-itf,4n/n/ ( ) 377 - 3378 ell.rtsPki,Pd24cvpihr,s_q LENDER NAME Per RCW 19.27.095: Lender information is required i/prefect 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 $ SPRINKI.ERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? Cl YES CI NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 =STING PROPOSED TOTAL TOTAL=STEM Sr TOTAL PROPOSED Sr TOTAL Sr 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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS t GAS PIPE OUTLETS WOODSTOVES BBQS FANS I GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(orTitb/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roil) 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 application. J DATE Iib/ �1 c SIGNATURE: 666 Property Owner and/or Authorized Agent a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES ❑NO ZONING DESIGNATION CHANGE OF USE? o 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 I,2008 Page 2 of 4 k\Handouts\Permit Application