06-1048294
City of Federal Way
Community Development Services
P.D. Box 9718
Federal play, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 06 -104829 -01 -ME
Project Name: LIFE CHOICES OF KING COUNTY
Project Address: 1414 S 324TH ST Suite B-105
Inspection Request Line: (253) 835-3050
Parcel Number: 150050 0080
Project Description: REP - Replace (2) heat pumps (2) air handlers & (2) refrigeration systems, like for like
**REVISION to include ductwork 11/01/2006**
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERTIES
AMBIENT CONTROL CO INC
AMBIENT CONTROL CO INC
HARSCH INVESTMENT PROPERTIES
1411 R ST
AMBIECC101PW (10/25/07)
1121 SW SALMON ST
AUBURN WA 98001
1411 R ST
PORTLAND OR 97205
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation............................................15616 Over the Counter Permit?...................................... No
Mechanical Fixtures
r 111F
City ofFederal
lopmentS Mechanical Permit #• 06-104829-0 -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: LIFE CHOICES OF KING COUNTY
Project Address: 1414 S 324TH ST Suite B-105
Parcel Number: 150050 0080
Project Description: REP - Replace (2) heat pumps (2) air handlers & (2) refrigeration systems, like for like
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERTIES
AMBIENT CONTROL CO INC
AMBIENT CONTROL CO INC
HARSCH INVESTMENT PROPERTIES
1411 R ST
AMBIECC101PW (10/25/07)
1121 SW SALMON ST
AUBURN WA 98001
1411 R ST
PORTLAND OR 97205
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation............................................14252 Over the Counter Permit?...................................... No
Refrigeration Systems ................... 2
Date: Ln CS C'
THIS CARD IS TO REMAIN ON-SITE r
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104829 -00 -ME
Owner: HARSCH INVESTMENT PROPERTIES
Address: 1414 S 324TH ST Suite B-105
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
f /
By Date l 3 By Date By Date
5 ; xe-wslo" )
Y
/o 3 J
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104829 -01 -ME
Owner: HARSCH INVESTMENT PROPERTIES
Address: 1414 S 324TH ST Suite B-105
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 /l/w/ Loc J
RECEIVED
`"Y OF SEP 2 2 200
Federal Way E RM IT
COMMUNITY DEVELOPMENT SERVICE)�ITY OF FEDERAL WAY
33325 NUE SOUTii • PO BOX 97 LI CATI O N
FEDERALDERAL WAY, WA 9606.3-9718 BuiLDiN APP111
253835-2607• FAX 2.53535-2609
tctuu•.riluo((edernlu•au.cnnt
The followina is reauired information - an incomplete application will not be
SITE ADDRESS / 7 / 1 ->I 43 OI zry
ASSESSOR'S TAR/PARCEL # 4 S U o
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) f
-0 �L - 10 �L 9' ��
SF MF CO RiIE iEI, PL DE EN FP
[D /o/ & /4W�o
ted. Please print leaiblu (in ink) or tupe.
SUITE/UNIT #�
LOT SIZE (sn
(Allach-seporalc pn9c_� r Icr�lhil legal de<criplinn)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLEI • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME
NAME
PRIMARY PHONE
-
PHONL•
MAILM ADDRESS
CITY, STAT /IP
Woos
CO PANY AME
APPLIC}(1CT NAME
OFFICE PHONE
MAILING ADDRESS
W
C . S TE, ZIP
W 4'6-o/
CELT. PHONE
c 2t,1�) -5 70
! zv
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
0�-0S-J (2 L Z/-?/ /UG
FAX NUMBER
C
NT'RACTO 'S REGIS'M-ATIION NUMBER
�l6�
(copy% of card required with each application)
/
EXPIRATION DAPI;
(D /zs-
c C
l 0 � ec,)
!
CO ANY NA E _ APPLICANT NAME))
16-7-7— 4. n??f� k/j
OFFICE PHONE
-
II,INC1 ESS��
� 'CITY, STATE, ZIP
CELL PHONE
-
RELATIONSHIP TO PROJECT
FAX NUM/BER
❑ Architect ❑ Tenant.
^ent ❑ Other (Describe)
CONTACT NAME f-7
Q
LENDER
IMAM
Per RCW 19.27.095: Lender information is
required if project value exceeds $5.000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONL•
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE a PRIVATE (SEPTIC)
❑ NO
s
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
SQ. FT.
BASEMENT
SINKS
GAS PIPE OUTLETS
SUMPS
FIRST
URINALS
LAVS (n:,m -om sn,ksl
VACUUM BREAKERS
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
c NO
NEW ADDRESS REQUIRED? ❑
YES ❑ NO
FOURTH
❑ YES
PROJECT
PLATTED LOT? 71 YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
FLOOR
AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
SQ. FT.
BASEMENT
SINKS
GAS PIPE OUTLETS
SUMPS
FIRST
URINALS
LAVS (n:,m -om sn,ksl
VACUUM BREAKERS
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
c NO
NEW ADDRESS REQUIRED? ❑
YES ❑ NO
FOURTH
❑ YES
❑ NO
PLATTED LOT? 71 YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
❑ NO
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EX -MG SF
TOTAL PROPOSED 5F
TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type o% fixture to be installed or relocated as part of this proje�il. Do not include existing fixtures to remain.
�Value Work $ Ift';ZIF
1.12
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
_ COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS („rnm/Shera,mbo)
_ SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (n:,m -om sn,ksl
VACUUM BREAKERS
GAS LOGS
HOODS (c mmero l
RANGES
GAS WATER HEATERS
.19 REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS (Toilet)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
MISC (Describe)
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 f 1 «^ �G�Li "V—DATE Z A04
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owrler ,Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW c ADDITION
❑ ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES ❑ NO
BASIC PLAN?
❑ YES
c NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
c NO
NEW ADDRESS REQUIRED? ❑
YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? 71 YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application