06-103276City of Federal Way
Community Development Services Mechanical Perm #: 06 -103276 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 8355-3050
Project Name: NW THERAPY ASSOCIATES
Project Address: 1703 S 324TH ST
Project Description: Installation of 15 return -air transfer systems.
Parcel Number: 250120 0110
Owner
Applicant
Contractor
NW THERAPY ASSOCIATES
CFM HEATING AND COOLING INC
CFM HEATING AND COOLING INC
33919 9TH AVE S SUITE 101
17425 68TH AVE NE SUITE 201
CFMHEHC969CD (02/04/08)
FEDERAL WAY WA 98003
KENMORE WA 98028
17425 68TH AVE NE SUITE 201
KENMORE WA 98028
Additional Permit Information
Mechanical Valuation............................................4300 Over the Counter Permit?...................................... No
Mechanical Fixtures
Fans....... ..................................... 15.00
PERMIT EXPIRES Sunday, January 14, 2007
Permit Issued on Tuesday, July 18, 2006
1 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: La Date: 07-/6-06
TRIS CARD IS TOAIN ON-SITE
CITWY o p p fommunityDevelo me t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -103276 -00 -ME
Owner: NW THERAPY ASSOCIATES
Address: 1703 S 324TH ST
FEDERAL WAY, WA 98003-8524
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By 1Q, Date p By Date BX1 Date p ff-.0 ��
• RECEIVED
s •
. Ju�.a�Zao6
CITY OF
Federal Way CITY OF FEDER�RMIT
,
COMMUNITY DEVELOPMENT SERVICES
BUILDING D SF MF CC<Z PL DE EN FP
333258� AVENUE ERAL WAY, WATH•POBOX 9718 APPLICATTON
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-835-2609
wlolx�. ri uor1LUrad?;eag.r1orn
The -rollowilLq is rewired in ormation - an incom fete application will not be acre ted. Please Tint le ibl (in ink) or
PROPERTY INFORMATION
SITE ADDRESS ` I U7 `ML1`" C - j % SUITE/UNIT #
ASSESSOR'S TAIL/PARCEL # V - l t/ LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descriptioN
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING K MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlu)
Cja
PROJECT NAME (Name of Business or Owner Last Name)
NAME ' PRIMARY PHONE -
( )
MAILING CITY,' STATE, ZIP
I
COMPANY NAME
C ftil �ie�k
PROPERTY
OFFICE PHONE
(t(z ) q fir/
OWNER
OFFICE PHONE
(e/Zt) q( ;'l - 5(f71
CONTRACTOR
ne cc
�.
CELL PHONE
(20 51 - 66'�'
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent Other (Describe)
MAILING ADDRESS
Po $cx,
OZ360
APPLICANT
CELL PHONE
(OC)6) SICK - b(O75
CONTACT
EXPIRA ON DATE
Ik /31 /
LENDER
NAME ' PRIMARY PHONE -
( )
MAILING CITY,' STATE, ZIP
I
COMPANY NAME
C ftil �ie�k
1 Coot
OFFICE PHONE
(t(z ) q fir/
APPLICANT NAME
i-uexvl 1�40e,(tec
OFFICE PHONE
(e/Zt) q( ;'l - 5(f71
CITY, STATE, ZIP
ne cc
�.
CELL PHONE
(20 51 - 66'�'
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent Other (Describe)
MAILING ADDRESS
Po $cx,
OZ360
CITY, STATE, ZIPF
rj tk e w qW6
CELL PHONE
(OC)6) SICK - b(O75
CITY OF FEDERAL WAY BUSINESS LICENSE NUM ER
Q- n
03- a�
EXPIRA ON DATE
Ik /31 /
FAX NUMBER
( )
B L
CONTRACTORS REGISTRATION REGISTRATION NUMBER (copy of card required with each application)
�. � � 4 F H C e 1, 5 ( (9
EXPIRATION DATE
021CX/ / C)6"
COMPANY NAME
C' FA) 1-&+ � L"c Ir
APPLICANT NAME
Il
OFFICE PHONE
(t(z ) q fir/
«s
ae e�
CITY, STATE, ZIP
MAILINGADDRESS
P®
CITY, STATE, IP
CELL PHONE
(20 51 - 66'�'
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent Other (Describe)
FAX NUMBER
NAMEPRIMARY PHONE E-MAIL ADDRESS
�a�f' ilanS ( tizi ) � 0/ - X
Per RCW 19.27.095: Lenderir}formation is
NAME
required a)f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE V
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ "l 3 . ®t)
SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES XNO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
db� yd 7 L
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
o NEW c ADDITION
o ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
FIRST
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
SECOND
FANS
HOODS (commemmi)
WOODSTOVES
THIRD
FIREPLACE INSERTS
RANGES
IT MISC (Describe)
FOURTH
FURNACES
GAS WATER HEATERS
-ri oAger 9 f i It is
1
ADDITIONAL FLOORS (DESCRIBE)
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED?
o YES
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
SHOWERS
WATER CLOSETS ffoneU
MISC (Describe)
NUMBER OF FLOORS
eusruc
rxorostn
torw
mrwsrnvcsr
rar�u raorosse
rorncsn
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL J
-l4500 00
Value of Mechanical Work $ •
o NEW c ADDITION
o ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commemmi)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
IT MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
-ri oAger 9 f i It is
1
DUCTS
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED?
o YES
PLUMBING
BATHTUBS (Or Tub/sno—Combo)
SHOWERS
WATER CLOSETS ffoneU
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom sinks)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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 by the owner of the above premises to perform the work for which the permit application is made. 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 f led 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 the accuracy of the information supplied to the city as a part of
this application. /�
NAME/TITLE L� a� /%� DATE Q& - 50, Lye
(Sign ) Mtle)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent [Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW c ADDITION
o ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ❑ NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
c NO
NEW ADDRESS REQUIRED?
n YES ❑ NO
UP/SEPA/SU?
o YES
c NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
o YES
c NO
Bulletin #100 — January 1, 2006 Page 2 of 4 MandoutAPermit Application