08-106090r City of Federal Way Mechanical
Community Development Services � � 0.•
P.O. Box 9718{ ;; Permit #. 08-10609(r-00-MEFederal Way, WA 98063-9718 '
Ph: (253) 835-2607 Fax: (253) 835-2609 ,a. Inspection Request Line: (253) 835-3050
Project Name: ORION
Project Address: 1717 S 341ST ST Suite A Parcel Number: 390380 0020
Project Description: Like for like change out of (1) packaged heat pump, (4) exhaust fans, ductwork
modifiations, grilles and diffusers.
caner
A lox icant
Contractor
GARY L & NORMA S DAWSON
EVERGREEN REFRIGERATION LLC
EVERGREEN REFRIGERATION LLC
1708710TH AVE NW
(GENERAL)
(GENERAL)
SEATTLE WA
727 S KENYON ST
EVERGRL954R2 (1/6/10)
98177-3708
SEATTLE WA 98108
727 S KENYON ST
SEATTLE WA 98108
�• __ .. <_ M w. .11iCldMoha ^Permit lnfonl ta> on
Mechanical Valuation............................................18444
Is this an Online or O.T.C. application?.................Yes
IFxikuim
Air Handling Units ......................... 1 Ducting ............................................ 1 Fans.......... .............................. 4
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, June 29, 2009
Permit Issued on Wednesday, December 31, 2008
I hereby certify that tha above information is correct and that the construction on the above described property and
the occupancy and t 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:
(2-/7t / G$
c
ZJU�
THIS CARD IS TO REMAIN ON-SITE
CITY Cr. Community Developnitt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -106090 -00 -ME
Owner: GARY L & NORMA S DAWSON
Address: 1717 S 341ST ST Suite A
FEDERAL WAY, WA 98003
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 (41257 ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
%By Date ` By Date By Date 7-11
� 0
For inspector reference only
13 Rough Electrical 13 FINAL - Electrical
Approved Approved
By Date By Date
%. A RECETD
K c"
Federal way nuEC 31 2008 PERMIT
coMMUNnY DEVELOPMENT SERVICES
33325 87H "VENUE SONH • PO BOX 9718 t� CATI O N
FEDERAL WAY. WA 9DOrtr1 4,d ��II
253.83b•2807• FAX Z
rr�.cUugfirde CD
The_followbw Is nmuired {r rcWmdon - an Incomplete application will m
SITR ADDRESS r14-1 '5- '3i4j R p(A (
ASSESSOR'S TAR/PARCEL N ; q 0 3 0- 0 °J 7, C -)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Umadt mp uo ~for �u buoym
PROJECT INFORMATION
- 1 D(Q 0010
SF MF CO NI L PL DE EN FP
SUITE/UNIT #
LOT SIZE (sf)
❑ DEMOLITION 17 ELECTRICAL 13 ENGINEERING tJ I= PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onto)
ice' 1�YR, f a�l� r� aK Cil �� � heotP� I-
_,
046-j 6t'A f -,w f� yvll/.e r ah J- ,J Y.
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
U('Ion
PEOPLE INFORMATION
PRIMARY PHONE
NAME V 4-- lVw F» k ( ) -
MAILING ADDRESS CrIY. STATE. ZIP
11 a o Sc, * 4- 11
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
rw-t I% cm
Y-1 T��i�
( Z44e) -1
MAILING ADDRESS
CITY. STATE, ZIP
CEI). PHONE
-1 Ll I-
Pa uA- 'I T Q � �,
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(W 1b) -7f'3 - z -y Zti
CONTRACTOR S REGISTRATION NUMBER too" or card rogtdrad with each appHWUM)
EXPIRATION DATE
1: V k t la t L 11 L Li $
Z-
[ / 4" / ( U
Cpylp NAME
APPLICANT NAME
OFFICE PHONE
6A q ft -K-
PHONE
- -
MAILING ADDRESS
CrIY, STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect o Tenant t7 Agent ❑ Other
Y.,C U 'Ta jw-& ( ) ? y�j - 17 y° loo Pv-C �c�►�/�ht.lu
For RCW 19.27.095: Lender iruormattmt 10
required I%projeat vales exceeds $5.000
xwME
MAILING ADDRESS
CrIY. STATE. ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRxNxLERED BUILDING? t] YES u NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES o NO
WATER SERVICE PROVIDER 0 LAHEHAVEN ❑ MGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
Aw
El
PROJECT FLOOR AREAS
46
AREA DESCRIPTION
EZISTING
. FT.
PROPOSED
SO. FT.
TOTAL
80, FT.
BASEMENT
MISC (Describe)
GAS WATER HEATERS
FIRST
MISC (Describe)
DRINKING FOUNTAINS
ZONING DESIGNATION
SECOND
CHANGE OF USE? a YES
HOSE BIBBS
NEW ADDRESS REQUIRED? a YES ONO
THIRD
a NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? a YES
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE O CARPORT 0
NUMBER OF FLOORS
s®rnm
rnorara
rare.
ru►ra�mn'duus►-
rbtarsorwmrr
a
'+NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number gf each type of f incurs to be installed or relocated as part of this project. Do not
Value of Mechanical Work
AIR HANDLING U
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (a iub/showevcotwm)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom sate)
EVAPORATIVE COOLERS
4_ FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
remain.
GAS LOGS
REFRIG. SYSTEMS
HOODS (comm m*m
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS trou q
MISC (Describe)
DRINKING FOUNTAINS
ZONING DESIGNATION
RAINWATER SYST
CHANGE OF USE? a YES
HOSE BIBBS
NEW ADDRESS REQUIRED? a YES ONO
LLSCTRIC WATER HEATERS
a NO
I cert ft ,aider penalty gf perjury that the ir0rnhatlon furnished by me is true and correct to the best gf 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 farther agree to hold
harmless the City of Federal Way as to any claim (including costs.-Venses, and attorneys'. fees incurred in the investigation and d4fense gf
each claim), which may be made by any Pwwn, including the undersigned, andJlled against the City of Federal Way, but only where such claim
arises out of the reliance ofthe gity, indu� Its oQ4cers and employees, upon the accuracy of the iri ormation supplied to the city as a part gf
this application. I r�
NAME/TITLE _
RELATIONSHIP TO
r roue)
o Owner o Agent $#Contractor c3 Architect ❑ Other
JZ/51 /o17
FOR OFFICE) USE ONLY
C1 NEW a ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO
BASIC PLAN? a YES
o NO
ZONING DESIGNATION
CHANGE OF USE? a YES
a NO
NEW ADDRESS REQUIRED? a YES ONO
UP/SEPA/SU? a YES
a NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? a YES
a NO
Bulletin #100 —January 1, 2006
Page 2 of 4
k\Handouts\Pem)it Application