13-101975 Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-101975-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: GOLDENSTONE-FIRST FLOOR
Project Address: 33400 9TH AVE S Unit 100 Parcel Number: 926501 0060
Project Description: Relocation of ducts and diffusers.
Owner Applicant Contractor
GOLDEN STONE PROPERTIES LLC UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
33400 9TH AVE S SUITE 114 (GENERAL) (GENERAL)
FEDERAL WAY WA 98003 PO BOX 614 UNIVERI159RF(4/1/14)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
Mechanical Fixtures
Ducting I
PERMIT EXPIRES Saturday, November 2, 2013
Permit Issued on Monday, May 6, 2013
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 C. of Federal Way.
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Owner or agent: / Date:
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THIS CARD IS TO REMAIN ON-SITE
CITY OF _. ,_....��.,„ Construction Ineection Record
Federal Way • INSPECTION REQU STs: (253)835-3050
PERMIT#: 13-101975-00-ME Address: 33400 9TH AVE S Unit 100
Project: GOLDEN STONE PROPERTIES LL FEDERAL WAY, WA 98003
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) D Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date
LI Rough Electrical El Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
E ,� RECEIV I �' 7 S
CITY OF PERMIT SF MF COOP EL PL DE EN FP
Federal WayVIAY 0 6 201
COMMUMTY DEVELOPMENT SERVICES _ AP P LI CAT I O N
253-835-2607•FAX 253-835-2609
OF FEDERAL WAY
CDS PROPERTY
SITE ADDRESS -
71(78 #9, ZONING ASSESSORS TAX/PARCEL# f /
/ PROJECT
NAME OF PROJECT
(Tenant or Homeowner Name)
❑ BUILDING ❑ PLUMBING MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
//t'. ,.I(i (zit' �. / �u�7`s - s(7p/
PROJECT DESCRIPTION /1 S 4(/ �� �� ��5 � i�i�tq/� C _7,
Detailed description of work to ��S�� S . - ` _
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
e
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PROPERTY OWNER v ✓`c ,V" r ; LG c -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
j l� i-t t ' Lf(f� //if
OWNER IS ALSO: o CONTRACTOR El APPLICANT 0 PROJECT CONTACT
NAME eS .. PRIMARY PHONE
mtVeN'St( `t eAfripc (2 ) - JSP(
CONTRACTOR MAILING ADDRESS,CITY,STATE.ZIP FAX
pc.)Fc,, (7 4 4-, 'Mc,7/ (z5>)735-- '(.Z_
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS,CITY.STATE,ZIP FAX
f 6,;(yA41(..h .. -11 11.74• %07( ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and / ( 44 )
respond to all correspondence MAILING ADDRESS,CITY.STATE,ZIP / FAX
concerning this application) j ( (t( 6:14,^0� 404-- ' O)7( ( 25- 7 527—
ALTERNATE
ALTERNATE CONTACT NAME: PRIMARY PHONE / MAIL
74J/7 (2-5 )131, lr/J/G tam r
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: :17e � DATE -`�j� Ci/3
PRINT NAME:; \jev-✓y Y S'C4.444, z,-11-� /
Bulletin#100 / Page 1 of 3 k:\Handouts\Permit Application
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MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BEPROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)cc n nereia)) �A/(�'S
BOILERS FURNACES HOT WATER TANKS)Gas) i Li G/-u l '7
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type off'
ixtu.re to be installed or relocated as part of this project. Do not include existing factures to remain.
BATHTUBS(or Vb/Shower combo) LAVS(Hand Sinks) TOILE,lb WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINSSHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Kitchen/omity) WATER HEATERS(Elect/c)
HOSE BIBBS SUMPSWASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ //co $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ 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)
Area TotalsEXI
STIN� PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) TYpe 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
Bulletin#100 Page 2 of 3 101-Iandouts\Permit Application