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09-103489r '{y Meelitinkal Cityoedy permit #. 09 -103489 -00 -ME Community Development rvi Seces � • 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: EVERGREEN EYE CENTER Project Address: 716 S 348TH ST Unit C Parcel Number: 233145 0000 Project Description: Install new 3 ton high efficiency ductless split system to serve new server room. Install new line set for stand alone split system and mini -split condensate pump. wn Awfican Contractor JAMES & NANCY GUSE AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC 21901 NE 11TH ST (GENERAL) (GENERAL) SAMMAMISH WA 98074 3602 S PINE ST AIRSYE*229KN (2/1/10) TACOMA WA 98409 3602 S PINE ST TACOMA WA 98409 Addltianal Permit Information,, Mechanical Valuation............................................12148.00 Is this an Online or O.T.C. application? ................. No � l 0 ll"Icdl Fixtures Air Handling Units ......................... 1 Air Conditioners - Stand Alone Un 1 PT_I,R 1 riesda',re`i X110..: i - �' ermfi,Usueil;►' y,'Sep#6rt er' Li hereby certify that the above information is correct and that the construction on the above described property 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: ::Kzs' Date: � - lam, Tw)ck- THIS CARD IS TO REMAIN ON-SITE CITY °F Construction In ction Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 09 -103489 -00 -ME Address: 716 S 348TH ST Unit C Owner: JAMES & NANCY GUSE FEDERAL WAY, WA 98003-7042 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 Date By Date By Date C Q -- Rough Electrical Approved n Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date EIVEt Faders a, PERMITC0MMUSF MF CO LPL DE EN FP 3332b8TNA ENUESOUM P0180 9 �oo DERAL WAY, WA 98063-98 25E3-83 07 FAX 253-835 -267109 A'LI CATI 4 N EE®ERAL VPA The following is requirmation - an incomplete application will not be accepted. Please print legibly (in ink) or type. ASSESSOR'S TAX/PARCEL # -a'-3 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) TYPE OF PERMIT DESCRIPTION 6 V V PROJECT INFORMATION LOT SIZE (Sfi ❑ BUILDING ❑ PLUMBING YMECHANICAL 0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM work i wAW4 on {mss permit only) PROJECT NAME (Name of Btw&wss or Owner Last Namel / Of q 6' ce t PEOPLE INFORMATION PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME � r p �r��'JJ� MAILING A4R 1 f,J T (� V �' J�UAW �P , I E-MAII. ADDRESS O V APMC"r NAME w✓ �Q� - � V Lt Ol E RsS GF�� MAILING C J (� V �' r ELL PHONE - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER lE-MAJLADDRESS CONTRACTOR' REGISTRA� TION NUMMM �EZ,oP,{II�i/Ap 01( DATE NAME PRIMARY PHONE =ADDRESS NAME APPLICANT NAME MAILINGADDRESS �C� - `ELL PHONE - RELATIONSHIP TO PROJECT Y > t / r� 1.❑ Architect ❑ Tenant ❑ Agent Other cao4( 416 FAX FAX ✓ V ✓ - �� NAME PRIMARY PHONE =ADDRESS NAME Per RCW I9.27.095: Lender information is required jf project value exceeds $5,000 MAILINGADDRESS CITY. STATE, ZIP PHONE ll f - PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINBLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RESUDZED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 11 LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREAS __ --- -- - --- AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL S . FT. BASEMENT GAS BOILERS FIREPLACE INSERTS FIRST COMPRESSORS FURNACES RANGES pf � SECOND GAS LAG SETS REFRIG. SY`�SIEMMS CJ��C� I ❑ NO THIRD O,1 V `" dw 9 PLATTED LOT? o YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) BATHTUBS (or Tub/Sharer combo) IAVS (B•8unom smi.) URINALS Anse (Describe) DECK (❑ COVERED OR ❑ UNCOVERED?) RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS GARAGE ❑ CARPORT ❑ WATER CLOSETS abut o ELECTRIC WATER HEATERS SINKS NUMBER OF FLOORS siMM,, moms Tares Tvnwmsrnrosr Torwraorosmsr Ton+csr *'NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ N FIXTURES Indicate number of each type of f xture to be installed or relocated as part of this project Do not include existing fixtures to remain. MECHANICAL I+ / Value of Mechanical Work $ 1 Y (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOIVI AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES WATER HEATERS MISC (Describe) BBQS FANS GAS BOILERS FIREPLACE INSERTS HOODS ( -__-q -q COMPRESSORS FURNACES RANGES pf � DUCTS GAS LAG SETS REFRIG. SY`�SIEMMS CJ��C� I ❑ NO NEW ADDRESS REQUIRED? o YES ❑ NO - O,1 V `" dw 9 PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES BATHTUBS (or Tub/Sharer combo) IAVS (B•8unom smi.) URINALS Anse (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS abut o ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I coWy under penalty of pedurg that I am the property owner or authorized agent of the property owner. I cerWy that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certVY that I will comply with all applicable CUM 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, orfederal taws 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 jtled 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 apart 4f this application. SIGNATURE: DATE Property Owner and/or Authorized Agent 7-7 ❑ NEW ❑ ADDITION ❑ ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑ NO BASIC PLAN? o YES ❑ NO ZONING DESIGNATION - - CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? o YES ❑ NO - UP/SEPA/SU? o YES ❑ NO PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 —January 1, 2009 Page 2 of 4 MandoutsTennit Application • •