08-104639 City of Federal WayIII f/i Mechanical
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Community Development Services Permit #: 08-104639-00-M E
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: EUROPE EYE CLINIC
Project Address: 32020 32ND AVE S SUITE 103 Parcel Number: 215480 0030
Project Description: Adding ducts and diffusers.Modifying duct layout to existing ducts
•
Owner Applicant Contractor
CRANE RE INVESTMENT LLC KOOLTRONICS REFRIGERATION INC KOOLTRONICS REFRIGERATION INC
24437 RUSSELL RD SUITE 220 31500 1ST AVE S SUITE 15-205 KOOLTRI942D9(4/7/10)
KENT WA 98093 FEDERAL WAY WA 98003 31500 1ST AVE S SUITE 15-205
FEDERAL WAY WA 98003
'‘?.,,:;:kr( '',, Additional Permit Information % w ,. .". u , ,
Mechanical Valuation 1800 Is this an Online or O.T.C.application?.................Yes
-10;� E ;Mecham Fixtur s t " � ,,fir , .
Ducts 7
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, March 30, 2009
Permit Issued on Wednesday, October 1, 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
and the • of Federal Way.
Owner or agent: C ---�= Date: r/c/f 7
THIS CARD IS TO MAIN ON-SITE
CITY OF p Inspection Develo m nt Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104639-00-ME
Owner: CRANE RE INVESTMENT LLC
Address: 32020 32ND AVE S SUITE 103
FEDERAL WAY, WA 98003
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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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date iti/30A,
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
s -
• _ �; ,
Federal Way PERMIT
COMMUNITYDEVELOPMENTSERVICES
SF MF COME FL PL DE EN FP
33325 FH AVENUE SOUTH•PO BOX 971E
FEDERAL WAY, 98063 + 0120' AP P LI CATION TD
F
253-835-2607•FAXX 253-835-260-260 9
/ /
town.atuofferleralwau.cora
F FEDERAL WAS`
The following is requirenation—an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ S2 C 2 d 3 2144 7r - i.-----a.,2-1.-4-52 Li t, SUITE/UNIT# (03
ASSESSOR'S TAX/PARCEL# Z / _Y6 i- =� 3 ° <J LOT SIZE(sJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desvtptton)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING '0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
4i4-i,k9 3;4-0.5, . ' ,v,keci , k1 t,` t Lpie.t._c-
PROJECT NAME(Name of Business or Owner Last Name) 14eD,9i - E `" C -/A4 C 1
U PEOPLE INFORMATION
PROPERTY NAME
� � I PRIMARY PHONE
OWNER M i�L1I� L RR' i 6,- , L- -c ( ) -
NO ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME fr- APPLICANT NAME
���/�' OFFICE PHONE
MAIe
LING AIDRESS-' } rI CITY,STATE,ZIP CELL.PHONE) E r -3i
i ./-(
13o-c (& ��„' -23 -, - 4'cif ( ) _
CITY OF RAL AY INESS U N MBER 4 - TION_DATE FAX NUMBER
I/, tc t CITY,
` /0 1 7D /r' ;X G,, . .?� (.. ) .SI'^9 _ q-01j' L--.
ICONTRACTOR'S II IGTION NUMBER EXPIRATION DATE E-MAIL/ (' ADDRESS
APPLICANT COMPANY NAME ✓ APPLICANT NAME OFFICE PHONE
Sd44tJ 44 : r ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
) -
■ DETAILED BUILDING INFORMATION l
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 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)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
=STING PROPOSED TOTAL TOTAL E1QSTINO SF TOTAL PROPOSED EF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II 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 •
Value of Mechanical Work$ /6 ( r, (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(or7ub/shower Combo) LAVS(Bathroom su,iw) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS gone)
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 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: DATE 4:71/6
Property Owner and/or Authorized Agent
❑NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application