04-103144 III I }.
City of Federal Way
Community Development Services Mechanical Permit #:04 - 103144 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: ANIMAL SUPPLY
Project Address: 32001 32ND S Suite420 Parcel Number: 162104 9001
Project Description: Install 3 new fan induction terminals and associated ductwork.
Owner Applicant Contractor
FOSS REDEVELOPMENT P S F MECHANICAL INC P S F MECHANICAL INC
FOSS REDEVELOPMENT P S F MECHANICAL INC P S F MECHANICAL INC
1111 FAIRVIEW AVE N 9322 14TH AVE S 9322 14TH AVE S
SEATTLE WA 98109 SEATTLE WA 98108 (206)764-9663
Mechanical Valuation 13100 Over the Counter Permit No
Mechanical Fixtures
j Description Quantity Description Quantity Description 'Quantity
Air Handling Units 3 Ducts 1
PERMIT EXPIRES February 26,2005.
Permit issued on August 30,2004
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
Owner or agent: A 1111 4A.;,„ Date: O iSQ
gy
f
011ir ie .
ti r\
DATE INSPECTOR AREA AND TYPE OF INSPECTION
• •
"2. 4/ � �.�., -Air �, •14.
. , .
9 THIS CARD IS TO PSVIAIN ON-SITE -
CITY OF
A
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103144-00-ME
Owner: FOSS REDEVELOPMENT
Address: 32001 32ND AVE S Suite 420
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.
,❑ Mev.hanical Rough-in(4165) �❑ Gas Piping(4125) 1 0 Final-Mechanical(4065)
Approved Approved to release test Approved
1:—
By �., Date 8 By Date By 'I \\T Date
RECEIVE
o • mr-,-. COMMUNITYDEVELOPMENT SERVICES 330 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718
Federaway AUG 0 9 200PERMIT APPLICATION Y53-661-4115.inuw cif YoffeFAX:
ralwy6Com129
pjj��.j�p��1 ��p T'' l /' TD:
For Office Use Only. sN'1M-i"17'C'f'f 11-1i4f)CF:' Q 4 4 C2 [ GI — 0 0 OK / ).3 104
The ollowin• is re•uired in ormation-an inco •Tete a••lication will not be acce•ted. Please •rint le•ibi (in ink)or •e.
■`_PROPERTX INFORMATION
SITE ADDRESS: 0 I Si'. 3 1N ( c- SUITE/APT#
ASSESSOR'S TAX/PARCEL#: z S y 6_5- _ a r� � /3 SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) gGtC/t 1) P1,,,,,, / -M
(Attach se rate page for le thy legal description)1
■ 'PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING 0 PLUMBING 1IECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION�( SYSTEM
ed
PROJECT D RIPTION(Provide detaild - tion of work intruded on thls pernut oni . l J / �
�N►�(l - ' • t � // AI ‘ • i „"'_/11 _'
i
PROJECT NAME(Name of Business/Owner Last Name): a,rlA/nk.ed 1 ' . , iir
■ PEOPLE INFORMATION
PROPERTY NAME: A� PRIMARY PHONE:
OWNER b_ Mev) c.ot°M Uvl--- (tb )Z6Z -J '&
ILING ADD• -STREET ADDRESS;): CITY,STATE,ZIP
•o ` b . Y' W ` `16 2
CONTRACTOR NAME MPA OFFIC PHONE:
pvaN e' Nr�rz. Sri, Me. ,N ( ( ) ��6 -.K57 V
MAI G ADDRESS(STREET AD ESS;): CITY,STATE,ZIP CELL PHONE:
cis-c. 99 , vE. 5 Soo la`R gll°% ( ) -
CI Y OF FEDERAL WAY BUSINESS U ENE NUMBER I EXPIRATIONsDATE: . FAX NUMBER:
2c� -00-10 I_ 1 6�- J 14 31 /o(1 ( ) -
0 L
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copyo[cardrMaired'with each application) . 5 F 1h, 2 42 4 G IJ/— J0 / /o
r
LENDER
NAME: DAYTIME PHONE:
Pf Proposed Vsfue>$5,0001 ( ) —
MAIUNG ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME:
.•��] COMPANY //��/��� OFFICE PHONE:
my
ADDRESS�N Amo
DDit: 9CITTE.ZIP �� (EO6NING -76q -1661 1661
MAILONE:
9 922- 1 t4 Nits r,�P 9$� ° g ( ) -
RELATIONSHIP TOPROJECT: � A n F NUMBER:
❑ Architect ❑Tenant .Other(Describe). C b is (�'1"b2 06) bZ - tq 8(
CONTACT PERSON FOR THIS PROJECT: CI Property Owner Xf.ontractor 0 Applicant E M ADDite( psF ( ;f_
• DETAILED BUILDING INFORMATION �p
EXISTING USE: PROPOSED USE: 14 0 r1:--1? v
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ ! 3 i ( b0, (�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL •
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 13 I 1{�
00
--AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS Icomm ) WOODSTOVES •
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS - � — \
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(otTub/Showvcoml o) SHOWERS WATER CLOSETS(reset) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES < URINALS s HOSE BIBBS
LAVS(eact�roomsidc -VACUUM BREAKERS ELECTRIC WATER HEATERS
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge, and further, that I am authorized be the owner of the above premises to perform the work for which the permit
application is made. Ifurther 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 of Federal Way,but only where such claim arises out of the reliance of the city,
including its officers and employees,upon e accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: DATE: e/4/6
6
Ire (Title)RELATIONSHIP TO P•• 0 Property er o Applicant Contractor - 0 Architect 0
GI ^U�SEOINLY,
a NEW: -: o ADDITION:; o ALTERATION : o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o
YES.o NO BASIC PLAN? o YES; a NO
ZONING DESIGNATION: CHANGE OF.USE? o YES o-NO-
NEW ADDRESS
REQUIRED. ❑YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
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