07-105511k
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 07-105511-00-IVfE
Project Name: CR FLOORS
Project Address: 34323 PACIFIC HWY S
Project Description: Install 4 -ton rooftop HVAC unit, gas piping &
space.
Inspection Requ
1049048
Owner
Applicant
ontrac '
C R FLOORS
DAVE ANDRINGA
AIRE INC
34323 PACIFIC HWY S
SEA Al C
A 06JQ (4/26/08)
FEDERAL WAY WA 98003
340 UPLA R
3 0 LAND DR
AL TUKWILA W 88
Ak\ WILA WA 98188
Addl
Mechanical Valuation .. ......... .........OAL .....19700
InfoFm ti
rovertheViPe 77....... ......... ...........No
Fixtures
Air Handling Units ................ 1.......................................... 1 Gas Piping ...................................... 1
Gas Pipe Outlets........ ..............
ERMIT EXPIRES Monday, October 26, 2009
Permit Issued on Friday, October 26, 2007
1 he ertify that the above information is correct and that the construction on the above described property and
the oc ancy 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: Date: f t2 -Z c; 7
a
THIS CARD IS TO REMAIN ON-SITE
CITY OF , Community Development Inspection record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 435-3050
PERMIT #: 07 -105511 -00 -ME
Owner: C R FLOORS
Address: 34323 PACIFIC HWY S
FEDERAL WAY, WA 93003
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 Date .. Z,— By Date By <,' 'Ili Date
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
"`G e 7= J r
rode al Way RETIE'Y. (/—�� _5_5_1 —
COMMUNITY DEVELOPMENT SERVICES
OCT 0 4 2007 PERMIT SF MF CO'ME L PL DE EN FP
33325 STM AVENUE SOUTH•PO BOX 97]8 L I C A T I O N TO
FEDERAL WAY,WA 98063-9718
253-835.2607•FAX 253-835.2609.iITV OF FEUARR / iV,l!^ s IC
nnuw.atuo)rederalway.com .BUILDING DEPT.
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
PROPERTY INFORMATION
SITE ADDRESS_ —3 ` 3 L /%%c'I FI U //W y S Qgoo 2 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2- D Z 1 C( - q 0 '"( ? T LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) •
(Attach separate page for lengthy Iegat description)
■ PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING 0 PLUMBING IR-MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION/ (Provide detailed description of work included on this permit only)7
Acid rc// t c c.( 64s /A-K 74.: St.,. i. 00F1l 4 c'Af ,,.3�.?ft
/as, -4t-f- f Co.;(JE--,wrr4_ 46, 'rbetr cc.c ,.". .
PROJECT.NAME(Name of Business or Owner Last Name) Cg l'"ioo s.
U PEOPLE INFORMATION
PROPERTY NAME rr�� PRIMARY PHONE
OWNER 6-.< rive.gS ( 14'3) Pji - i cic:�i
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
3'32 s P . .- ilpiyy o ,,s-e- - y 'i 0 3
CONTRACTOR COMPANY NAME APPLICANT NAME • OFFICE PHONE
S — /9':'- ,:rf‘/� . ALR:t 4 e eLei.y - (2i-e ) S 7S- - L 1
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3yc.;. CPe.4-kid d,C- .T,K,,,),L../r d4 98/et,' ( C.. ) 77V - 6,61 3c
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
e — itU.2 l j -o' (Z-'_?/ "" a 7 (G.,4., ) 5-7s—- 4'4-5-3
CONTRACTOR'S REIGISTRATION NUMBER EXPIRATION DATE - E-MAIL ADDRESS
S'04,9r.-,,F zci: 3"Ch -Z6".p
APPLICANT COMPANY NAME} //J� APPLICANT NAME OFFICE PHONE
S` .T - / (,/"�.r ,cJ ( ) —
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
571 11,4.4 4> 410, 1--‹_. ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other ( ) _
PROJECTNAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Ave A^dren yam,., ( . •
) -
NAME
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING AD RESS CITY,STATE ZIit PHONE
M DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
„._.
AREA DESCRI N EXISTING PROPOSED VW'•
SQ.FT. SQ,FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR 0 UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS =STING PROPOSED TOTAL TOTAL LUSTING Sr TOTAL PROPOSED Sr Toru,sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocate. as ••• b this pr 03/0 .t inc .e = . ting fixtures to remain.
1
�luof Mechanical Work$ �7, 10t ;•9. I:t'•R ESTIMATE S •B ' C� D WIi APPLICATION)
I AIR HANDLING UNITS EVAPORATIVE COOLERS I GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerdai)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
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: •//et DATE i `' 3 'G 1
Property Ownet4nd/or Authorized Agent
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-August 16,2007 Page 2 of 4 . k\Handouts\Permit Application