08-102948 k
•
City of Federal Way Mechanical Permit #: 08-102948-00-M E
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
ILE
Project Name: SEATTLE MORTGAGE SOLUTIONS
Project Address: 33400 9TH AVE S Suite 204 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 1500 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 end
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
nd t/�, oftFederal Way.
Owner or agent:iilaIIIIIIII.I._ P.0.. ..10F.. :.. 4. Date: ,Af3 ' L3c¢
•
• THIS CARD IS TO RkIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102948-00-ME
Owner: GOLDEN STONE LLC
Address: 33400 9TH AVE S Suite 204
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By cA.j Dateeio0(5zs; � By Date By M14'L Date —(Zr/o
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
,,
, A • 13 11111 - _I 00?_ /. _ g_
,Federal way RECEIVED PERMIi
COMMUNI7YDEVELOPMENT SERVICES SF MF CO C)EL PL DE EN FP
3332E D AVENUE WASOY.WA
PO 9 9718 18 PPLI CATI ON
FEDERAL FAX 98063-9718
-8JUN
1Al / /
253-835-2607•FAX 253-835-2609 J V�`I
tutuw.rit offederdltuaq.ram
AY
The following is req r 1'a C tr-L an incomplete application will not be accepted. Please print legibly(in ink)or type.
��I PROPERTY INFORMATION
SITE ADDRESS 3 604'� " riot S$IJtVt SUITE/UNIT# ar1
ASSESSOR'S TAX/PARCEL# 1 Z, 41 € C 1 - a O LOT SIZE(sf) "-I '4
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 49- 1'oli y 1346e, P(s k Div
(Attach separate for lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING i'i MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only;
'2161 . a. c le& VP4 d+4+ /Ad, ocilk5.
PROJECT NAME(Name of Business or Owner Last Name) 04101 1.11116)
��� `u+
al PEOPLE INFORMATION
PROP RTYNAME ,,��Q/',^ PRIMARY PHONE
OWNER Modal � 1.3.-c ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
X20 We 'Jam,sJor4, # OA Deitevae,1 w4 cfzeusq-
CONTRACTOR COMPANY NAME APPLICANT �y� OFFICE PHONE
itliI tI� 19ICA+l n PAdi.�t ! (i5 ) `1311 -F951
G ADDRESS CITY,L T ATE,ZIP 1I ( CELL PHONE
Lt(°t Pi• ).laill�. AUIParvkI W� -lPW( (7.li ) JAS -11.4g
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
l.4-`19,-(6768 -vo--F,i, 12,(31 VS3 )73c -? 31
CONTRACTOR'S REG TION NUMBER TION DATE E-MAIL ADDRESS
Ut•l(VE -( 151 gr L-i fri closiyto_uiw'ers,I.l recri5•e0.It
APPLICANT COMPANY NAME�/ APPLICANT NAME OFFICE PHONE
aullic (
-
ADD CITY,STATE,ZIP i CELL PHONE
II
( ) t' -
RELATIONSHIP TO PROJECT ( FAX NUMBER
❑ Architect 0 Tenant /Agent 0 Other ( ) ( -
PROJECT
NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT -tl yttin ('[dtVivt (15, ) et51 -ss-6( kyl o ititive9IWA,t.0
il
LENDER NAME Per RCW 19.27.098:
WAALender information is required}'f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE 6 (Co PROPOSED USE iee..
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? )/YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
ov
I, • PROJECT FLOOR AREAS `
a
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT.
SQ.FT. SQ.FT.
BASEMENT
FIRST y n,
SECOND 6106a$1I.) q7)C$,I l el
`(V) (1-.0
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT' 0
EXISTING PROPOSED TOTAL TOTAL RSISTING SF TOTAL PROPOSED SF TOTAL SF
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
Vali re of Mechanical Work$ 4 t) (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WffH APPLICAT7O1V)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerda))
COMPRESSORS FURNACES RANGES
rj DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom swim) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE B1BBS 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 a he city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application. ,^
SIGNATURE:C ! �� 1" _ .- DATE ���lag
Property•• er and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application