06-105313%IF,.
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 #: 06 -105313 -00 -ME
~ Inspection Request Line: (253) 835-3050
i4
Project Name: DR BRIAN WILLIAMS
Project Address: 32225 PACIFIC HWY S Suite 102 Parcel Number: 150050 0100
Project Description: Install air distributionsystem to existing air handler; Install 6 exhaust fans; and Install
booster exhaust fan for dryer vent
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERTIES
MERIT MECHANICAL INC
MERIT MECHANICAL INC
PO BOX 2708
9630 153RD AVE NE
MERITMI163CM (6/1/07)
PORTLAND OR 97208-2708
REDMOND WA 98052
9630 153RD AVE NE
REDMOND WA 98052
Additional Permit Information
Mechanical Valuation............................................12000 Over the Counter Permit?...................................... No
Mechanical Fixtures
Ducts.............................................. 3 Fans................................................ 7
PERMIT EXPIRES Thursday, November 6, 2008
Permit Issued on Monday, November 6, 2006
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
g�dth
e City of Federal Way.
Owner or agent: (I— Date: 1 — fn (DG
THIS CARD IS TO REMAIN ON-SITE _
Cl'" OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105313 -00 -ME
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32225 PACIFIC HWY S Suite 102
FEDERAL WAY, WA 98003-6000
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) E] Final - Mechanical (4065)
Approved Approved to release test Approved
By '� Date 1, 7 0
6 By Date By Date L --2-'1
t
�veD
REGI
CITY OF
Federal Way GQ�.wP`pERMIT
COMMUNITY DEVELOPMENT SERVICES F�jO ``` SF MF CO E EL PL DE EN FP
33325 AVENUE SOUTH • PO BOX 9
G
FEDERAL 98063 �u`,
14
253-835-2607- FAX 253-835-2CO9 V XPPLICATION
ww�aycom
The ollowin is re Mired i ormation -an incom Tete aleelication will not be acce ted. Please rint le ibl (in ink) or
PROPERTY INFORMATIO
SITE ADDRESS � � -7 PLIC. 14VU y SSUITE UNIT # /L
ASSESSOR'S TAX/PARCEL # �-0- 0— O - Q / U LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) % Le- /V/z E� �(i-✓tea M " V
/Attach separate pagef lengthy legal dewriptioal
TYPE OF PERMIT
PROJECT DESCRIPTION (Provide t
1-11.11 All,
❑ BUILDING ❑ PLUMBING XMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
description of work included on this permit onlu/
PROJECT NAME (Name of Business or Owner Last Name) �('. �1�1 In Wd((� T .I-,
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS CITY, ST TE, ZIP
oz, of
COMPANY NAME
/1/ie ' ( -r,
APPLICANT NAME
-B , It
OFFICE PHONE
(1z5-) (70a
- y 3 *X2
A►,`� cc_ c.
Q
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
' &90 /6,3-A a. -'e Aje
CITY, STATE, ZIP
2jejcxA w4 %V73
CELL PHONE
-3-6'-V3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
Zc2-219�-Ld`� t_ZoU-B
iZ/x3/ /VC,
(°/l5 )F-67
-056;2,
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
N iLs T/-.1.L'I (z 3 GNi
06/O/
/0.7
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
f
❑ Architect ❑ Tenant ❑ Agent Other (Describe) �r. t
( ) -
NAME PRIMARY PHONE E-MAIL ADD S
('17-5-)�� -� 3 C, nac I,CC/VA
Per RCW 19.27.095: Lender information is `
NAME
required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE�..,3/- OGGi�
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? u YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
?79-8`
AREA DESCRIPTION EXISTING I PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS E%ISTIRO I PROPOSED I TOT,{{, BMW= 1W '""ALPROPOR O W 'MTAL RR
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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 c.(f
Value of Mechanical Work $--,U 0040
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (or T bb/Shower Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom sinks)
VACUUM BREAKERS
GAS LOGS
HOODS )commere a )
RANGES
GAS WATER HEATERS
WATER CLOSETS (rotiet)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the Wormation 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, andfiled 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 (// t,( f!5 t e --
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent -19antractor
mile)
❑ Architect ❑
/0 /7-&
FOR OFFICE USE ONLY
❑ NEW c ADDITION
o ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
u YES
o NO
NEW ADDRESS REQUIRED?
❑ YES o NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — January 1, 2006 Page 2 of 4 k\Handouts\Perinit Application