06-103985i
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 -103985700 -ME
Inspection Request Line: (253) 835-3050
Project Name: WEST CAMPUS TERRACE - DR EDGAR
Project Address: 32114 1ST AVE S 5 UCTE, #?G- ✓ Parcel Number: 926450 0000
Project Description: ALT - installation of a fujitsu 1.5 ton ductluss split air condition system in electronics room.
Owner
Applicant
Contractor
WEST CAMPUS TERRACE OWNER'S
KLIEMANN BROTHERS HTG & A/C IN
KLIEMANN BROTHERS HTG & A/C IN
ASSOCIATION
4703 116TH ST E
kliembh021bt (1/27/08)
32114 1 STAVE S
TACOMA WA 98446
4703 116TH ST E
FEDERAL WAY WA 98003
\
TACOMA WA 98446
Additional Permit Information
Mechanical Valuation............................................5500 Over the Counter Permit?...................................... No
above described property and
s of the State of Washington
Date: / r/ ��p 6 (O
THIS CARD IS TO REMAIN ON-SITE v •
CIllYOF Community Development Inspection Record
federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -103985 -00 -ME
Owner: WEST CAMPUS TERRACE OWNER'S ASSOCIATION
Address: 32114 1 ST AVE S �P 2 aD
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 (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date?/"A
DECEIVED
Federal JWay��[[��PERMIT
COMMUMTYDEVEI.OIVIIER1119 G+r 10 Zoos
333258^•AVENDE SOIISif • PO BOX 9718 L.P PLI PATI O N
FEDERAL WAY, WA 38063-9718
253-83;r2607•FAX253- 1A0F FEDEM
BUILDING DEPT.
Thefoilowing is required information - an incomplete application will not be
-0L-IoaI x —,�-
SF MF CO EL PL DE EN FP
IT /a— 4
ted. Please print legibly (in ink) or tune.
SITE ADDRESS c 1' est Ave I ` &Q.! . ,UITE/UmT # a cy
ASSESSOR'S TAX/PARCEL # R a L Ll Q - Q a (:)L LOT SIZE (sl
LEGAL DESCRIPTION (eg- Acme Estates, Lot 1)
NCad. sep�de ryyefar lergtlul legd desc}Ipfbry - _ _ —
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING C�//CBANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descrfption of Mork included on tits permit on[u)
PROJECT NAME (Name of Business or Ouxter last Name)
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
NAME
PRIMARY PHONE
MAILING ADDRIMSCpn.. §TATF, ZIP
v � _ C1 W, )(
COMPANY NAME
APPLICAIYr NAM/E1
OFFICE PHONE
(Z� ISE] -
LIINGG ADDRESS
4�CL-S \R S) e
Cr1Y, STATE, 7dP
PHONE
s`- .
c{
/CELL
c -
CTY OF FEDERAL WAY BUSINESS LICENSE NUMBER
'TON DATE
FAX NUMBER
A- CA U �—L s -B
L �k /(J�(15s(�
cI -3-s(o�
CONTRACTORS REGISTRATION NUMBER of eyed tegdRd with doh appii� --)
EXPIRATION DAZE
LL1 1A Iz-r
I /�l -�/C`Z'
COMPANY NAME �,/
/.�/
APPLIC.ANr NAME
/OFFICE PHONE
MAILING ADDRESS
(:HF STATE, ZIP
CELL PHONE
RELATIONSHIP TO PRW ECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( _
LENDER
MAII.ING
St
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? �ES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEBAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK :-::s _C ®c)
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ BIGBLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
I, PROJECT FLOOR AREAS
�
AREA DESCRIPTION
EJIISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
SECOND ("\
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
=01MIG
aoru®
rorwc
avicecs W=W ar
' 7V"Lpnoeasmv
ratacar
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESIIMATED SELLING PRICE $
Indicate number of each type of jbd ure to be installed or relocated as port of this project Do not include ex(sting jbdures to remain.
Value of Mechartical Work $ � 15yO
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATI-rTUBS i�T.nisi . cownw
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (6am,o &.&q
VACUUM BREAKERS
GAS LOGS
HOODS (comnm�
RANGES
GAS WATER HEATERS
WATER CLOSETS O»4 _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penoitg 4jperjury that the ftformation 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 further agree to hold
harmless the City gfFederal Way as to any c[aim linciuding costs. expenses, and attorneys,fees incurred in the investigation and defense of
such ctaiml, which maty be made by any perso#k includhW the undersigned, aad, filed against the City gjFederal Way, but only where such claim
arises out of the reliance of the city, including its o_ icers and a npioyees, upon the accuracy gfthe igjormation supplied to the dty as a part gf
this application n
NAME/T L DATE fJ -1V k
L itle)
RELATIONSEUP TO PROJ1Wr o Owner ❑ Agent b'CDntractor ❑ Architect o Other
0
Bulletin 4F1U0 —January 7, 2005 Page 2 of 4 MHandoutsTermit Application