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13-104936 • a O Mechanical City of Federal ay t Community&Econ.Dey.Services Permit #: 13-104936-00-ME 33325 8th Ave S Federal Way,WA 98003 ° -1= =— a Ph:(253)835-2607 Fax (253)835-2609Inspection Request Line: (253)835-3050 Project Name: BERGER ABAM Project Address: 33301 9TH AVE S Unit 200 Parcel Number: 926501 0130 Project Description: ALT-Relocate(20)existing GRD's and install(2)new GRD's. Relocation of(8)T-Stats by separate permit. Owner Applicant Contractor SHELBY COMPANY do K MATHEWS NARROWS HEATING&AIR CONDITIONING NARROWS HEATING&AIR 1201 PACIFIC AVE#1400 (GENERAL) CONDITIONING(GENERAL) TACOMA WA 98402 5121 S BURLINGTON WAY NARROI*216J3(4/5/14) TACOMA WA 98409 5121 S BURLINGTON WAY TACOMA WA 98409 Additional Permit Information Is this an Online or O.T.C.application? Yes Mechanical Fixtures Ducting 22 PERMIT EXPIRES Saturday, May 3, 2014 Permit Issued on Monday, November 4, 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 City of Federal Way. Owner or agent: Date: • F\sktkal • • M9echaical City of Federal Way ••, t Community&Econ.Dev.Services ;. Permit #: 13-104936-00-M E 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: BERGER ARAM Project Address: 33301 9TH AVE S Parcel Number: 926501 0130 Project Description: ALT-Relocate(20)existing GRD's and install(2)new GRD's. Relocation of(8)T-Stats by separate permit. Owner Applicant Contractor SHELBY COMPANY c/o K MATHEWS NARROWS HEATING&AIR CONDITIONING NARROWS HEATING&AIR 1201 PACIFIC AVE#1400 (GENERAL) CONDITIONING(GENERAL) TACOMA WA 98402 5121 S BURLINGTON WAY NARROI*216J3(4/5/14) TACOMA WA 98409 5121 S BURLINGTON WAY TACOMA WA 98409 • Additional Permit Information Is this an Online or O.T.C.application? Yes Mechanical Fixtures Ducting 22 PERMIT EXPIRES Saturday, May 3, 2014 Permit Issued on Monday, November 4, 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 d e City o Federal Way. 1 Owner or agent: Date: / / ' 41,,,,S.,,, THIS CARD IS TO MAIN ON-SITE �+ CITY OF ' n r ion In ection R 1 Co st uct o ect o eco d Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-104936-00-ME Address: 33301 9TH AVE S Project: SHELBY COMPANY CIO K MATHE FEDERAL WAY, WA 98003-2602 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) 0 Final-Mechanical(4065) Approved Approved to release test Approved 'By Me Date (( 13-0(13 By Date By (2_118113 Date 0 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date F , 1110I CITY Of PERMIT APPLICATION Federal Way RECEIVED NOV 0 4 2013 PERMIT NUMBER ( _ ` 0 4 q ✓ _ TARGET DATE CITY WAY SITE ADDRESS SUITE/UOFNI'DS FEDERAL 53 D \ c +h 1 v< PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# TYPE OF PERMIT ❑ BUILDING 0 PLUMBING pt MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT \J NP\. ZA-X0 Vit_ �O G 9—��g . \c cc e\ ` TSS-�S• PROJECT DESCRIPTION _ I 1 Detailed description of work to rt 5-S'-\\ e 3 6(z-D be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER shy / C©W%f) jN MAILING ADDRESS E-MAIL A ie.n'4 - SO.z— CI 1 � S(A) ZIP c o PHONE NAME ^�r�\ X-\\� G)/✓ MAILING ADDRESS E-MAIL CONTRACTOR CITY SWAT ZIPf O FAX co WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S NAME PRIMARY PHONE Lif2— 1\C9‘‘"-0"-• APPLICANT MAILING ADDRESS E-MAIL " .s\:\in ✓� � Y1 �►L ne�cso,ash� irt =C 41 CITY STATE ZIP FAX T - 03A- T-LPI NAME PRIMARY PHONE PROJECT CONTACT (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING 0 OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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. ] /J SIGNATURE: /yam DATE I)/ l 6 PRINT NAME: L, Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application