06-103577lb
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City of Federal Way Mechanical Permit #• 06 -103577 -00 -ME
Community Development Services •
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: APPLE PHYSICAL THERAPY
Project Address: 32030 23RD AVE S Parcel Number: 162104 9028
Project Description: Install 3 new supply grilles and relocate lexisting supply grille to existing system
Owner
Applicant
Contractor
FW TOWNE SQUARE LLC
CFM HEATING AND COOLING INC
CFM HEATING AND COOLING INC
PO BOX 98922
17425 68TH AVE NE SUITE 201
CFMHEHC969CD 2/4/08
TACOMA WA 98498-0922
KENMORE WA 98028
17425 68TH AVE NE SUITE 201
KENMORE WA 98028
Additional Permit Information
Mechanical Valuation............................................1500 Over the Counter Permit?...................................... No
Mechanical Fixtures
THIS CARD IS TO REMAIN ON-SITE }
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -103577 -00 -ME
Owner: FW TOWNE SQUARE LLC
Address: 32030 23RD AVE S
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?,&-C)op By Date By Date .4Q o,,6
RECEIVE®
Q3- -aI
Federal WaVUL 2 0 2006 PERMITSF MF CO ME EL PL DE N FP
COMMUNITY DEVELOPMENT SERVICES
33325 8"' AVENUE SOUTH • PO BOX 9718
FEDERAL WAY. Wi' FEDERAL wAPPLI CATI ON
253-835-2607• FAX 5 -8 DING DEPT.
EPT,
The_followin4 is required information - an incomplete application will not be accented. Ple print leaiblu !i k) or tune.
SITE ADDRESS 32 0 ,3o 2.3 C A c5, ( SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # I —0 _Y - Lys h - 1 v Z C7 LOT SIZE (si
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) 167-1tX Z(6 E 1W F of 16 i D LE Vf d A, Vt
Z met
(Attach separate page jar lengthy legal descriptiaN
372-^� � 1.e.9s ✓ � �ieteiS
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING V M 9CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this pennit onl
5001 fir,'lk<, -k-� �r�� l) rf � -�i nG �`�ILY gl /e
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
Thera v
OFFICE PHONE
(W) q8/ - 3�7
MAILING ADDRESS
De pmt '9Z
PRIMARY PHONE
(2S3) 8�o
- q
MAILING AD13PESS
( Z
,1y
6ae.
CITY, ATE, ZIP
Lj I iiL fi .
9�i( 7
[ V 3 /
NAME
ME Gari W� f k, I(
�Y; HONE -
E-MAIL ADDRESS
COMPANY NAME
C'FM k �i
Coppq
APPLICANT NAME
14beter-
OFFICE PHONE
(W') �bi
- 3871
MAILING ADDRESS
CITY. STATE, Z
CELL PHONE
(
Ra 9a 8213,60►�rnpre
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
Ci -
EXPIRATION DATE
12 ' 3/ ' ��
FAX NUMBER
(yZ5) y63
- —71
B
L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
COMPANY NAME
CC -A
APPLICANT NAME
-reyFj')►y
OFFICE PHONE
(W) q8/ - 3�7
MAILING ADDRESS
De pmt '9Z
CITY, STATE,
CELL PHONE
RELATIONSHIP TO PROJECT
Architect ❑ Tenant ❑ Agent Other (Describe) �i7� tt c
FAX NUMBER
( 412,5' �65 -q&7/—
q67NA❑
NAME
ME Gari W� f k, I(
�Y; HONE -
E-MAIL ADDRESS
Per RCW 19.27.095: Lender irlformation is
required (f project value exceeds $5000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE ( PROPOSED USE
EXISTING ASSESSED SED VALUE $ VALUE OF PROPOSED WO $_
SPRINKLERED BUILDING? ❑ YES 40FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES E4�06
WATER SERVICE PROVIDERHAVEN 0 HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER VLAYEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
89. FT.
PROPOSED
SQ. FT.
XOTICL
SQ. FT.
BASEMENT
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
FIRST
FANS
HOODS (commereiaq —�]—
WOODSTOVES
SECOND
FIREPLACE INSERTS
RANGES 7
MISC (Describe)
THIRD
FURNACES
GAS WATER HEATERS,
J
FOURTH
GAS PIPE OUTLETS
c YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
c YES
DECK(COVERED?)
SHOWERS
WATER CLOSETS go(let)
MISC (Describe)
GARAGE ❑ CARPORT
SINKS
DRINKING FOUNTAINS
NUMBERORS
mwu%
P-o—w
—AL
—AL rusTnaaw
TOTAL mopmw 8F
TOTAL
** 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.
AfEC�Valuechanical Work $
U
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commereiaq —�]—
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES 7
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS,
J
DUCTS
GAS PIPE OUTLETS
c YES
o NO
PLUMBRVG
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
c YES
BATHTUBS (or Tub/Shower Combo)
SHOWERS
WATER CLOSETS go(let)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom Sinks)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the information 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, and filed 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
RELATIONSHIP TO
t iiue)
❑ Owner ❑ Agent q( Contractor ❑ Architect ❑ Other
0 7- ZC-ao
FOR OFFICE USE ONLY
o NEW c ADDITION
o ALTERATION
❑ REPAIR c TENANT IDRPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
o YES
c NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
c YES
o NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
c YES
❑ NO
Bulletin #100 — January 1, 2006 Page 2 of 4 Mandouts\Permit Application