08-102946 s
•
City of Federal Way Mechanical Permit #: 08-102946-00-ME
Community 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: PACIFIC GUARANTEE MORTGAGE .
Project Address: 33400 9TH AVE S Suite 205 4.= Li Parcel Number: 926501 0060
Project Description: Relocate and/or replace flex duct and grilles.
Owner Applicant Contractor
GOLDEN STONE LLC UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
33400 9TH AVE S (GENERAL) (GENERAL)
FEDERAL WAY WA 98003 PO BOX 614 UNIVERI159RF(4/1/2010)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
Additional Permit Information
Mechanical Valuation 500 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Ducts 5
PERMIT EXPIRES Monday, December 15, 2008
Permit Issued on Wednesday, June 18, 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
d the C of Federal Way.
,
Owner or agent: 0 �/F: • Date: � r�`08
''�1r THIS CARD IS TO WAIN ON-SITE
CITY OF ' N '° PommunitY p Inspection Development Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102946-00-ME
Owner: GOLDEN STONE LLC
Address: 33400 9TH AVE S Suite 205
FEDERAL WAY, WA
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.
El Mechanical Rough-in (4165) 0 Gas Piping(4125) Ei Final-Mechanical(4065)
Approved Approved to release test Approved �f �J
Biy-r(S Date k_2,4_40 E By Date By 1 G Date t;. ///4/
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved '
By Date By Date
2.27
Federal Way RECEI 'E _pERMIT l //�//,*,�^�^**����,����
COMMUNITY DEVELOPMENT SERVICES SF MF CO� EL PL DE EN FP
33325 811,FEDERAL AVENUE,WA 98063-9718 SOUTH•PO BOX 9718 JUN 1 :A'1 T p LI CATI ON
253-835-2607•FAX 253-835-2609
/ /
ma"u.caziolederattuau.com
l Alk - / OZ., ' _ V
CITY OFF i
The following is required informe!.I -t:n i�i omplete application will not be accepted. Please print legibly(in ink)or type.
tr • PROPERTY INFORMATION
SITE ADDRESS 3 cti/h ;15041 4 SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 1 Z (d G 6 ( — 0 0a LOT SIZE(sj) 1357154 4
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) f4 0,,,i 6 c�. 'Pm k lDili h,
(Attach separate for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 46'MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prov��ii"d�e detailed description of work included on this permit onto
41150iiit-, j,Leldlor
(Owe .r)'gj-/t"1"--%lx.-6(-----
PROJECT NAME(Name of Business or Owner Last Name) ■-,,:Aiwinia[/ rdilliMiC13._ I G,4 ,
• PEOPLE INFORMATION
PROPERTY NAMEicia4 PRIMARY PHONE
OWNER (�K <,lC�lei hV ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
3W (�z.'`AtAlt r7. t 3 �vve., w/4 iCSa&&
CONTRACTOR COMPANY
OMPANYNAPPLICANTNOFFFICE PHONE
IYINc ADDR ' 16."411314-
. ia'iit
CITY,STATE,ZIP (,ft ) ta0 -5-7ySl
CELL PHONE
Lk(ot .1> Pl.. 1444, AuburiA, Wm- c(at$I (t.0 ) Sits -Pg.;
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I4-41q—(67641 --0CS--moi, IZIE (X3 )73c - +32.
CONTRACTOR'S REGISTRATION NUMBER TION DATE E-MAIL ADDRESS
'vi•i I VEILL 151 gr 4/i 01 .t i,r0-,.()Awe 7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
A L l S n-L "qtr ii ( ) I
IN D CITY,STATE,ZIP CELL PHONE
(' i ( ) (I
RELATIONSHIP TO PROJECT ( FAX NUMBER
❑ Architect 0 Tenant //gent 0 Other ( ) 1 -
PROJECT NAME—p (� PRIMARY PHONE E-MAIL E-MAIL ADDRESS,�,��
CONTACT .Tjcy 4vivl1�. (to ) i1 T - CS( 17016 {41 L ''ru�`1Ir (�iG�1 WI
LENDER NAME r Per RCW 19.27.095: l c.i
PJ/4 Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE 6 .t)C4) PROPOSED USE 1,0
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 'i'] YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS ,,
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST z,
SECOND 15---> (}.() /l'� '( � •"� ';'r,t
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT' ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type off tore 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 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(Toilet)
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 alt 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 9f the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: a DATE og./6Z7
operty Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES ❑NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? n YES n NO UP/SEPA/SU? ❑YES n NO
PLATTED LOT? n YES n NO DEMO PERMIT REQUIRED? n YES ❑NO
Bulletin#100-January 1,2008 Page 2 of 4 k\Handouts\Permit Application