06-105921City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SUNLIFE ASSURANCE
Project Address: 33650 6TH AVE S
.. , ,
Mechanical Permit #: 06 -105921 -00 -ME
PP/1 Inspection Request Line: (253) 835-3050
Parcel Number: 926500 0150
Project Description: Install (1) 1 -ton split system HVAC system (wall mounted w/ outdoor condesing unit)
Owner
Applicant
Contractor
SUNLIFE ASSURANCE C/O NAI
PUGET SOUND REFRIGERATION
PUGET SOUND REFRIGERATION
600 UNIVERSITY ST SUITE 600
3231 NE 133RD ST
PUGETSR169CB 12/31/06
SEATTLE WA 98101
SEATTLE WA 98165
3231 NE 133RD ST
SEATTLE WA 98165
Additional Permit Information
Mechanical Valuation............................................7590 Over the Counter Permit?...................................... No
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 -105921 -00 -ME
Owner: SUNLIFE ASSURANCE C/O NAI
Address: 33650 6TH AVE S
FEDERAL WAY, WA 98003-6343
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
4XJ Date 2 /3-0
By
Date
By
Date
cin or w �rM 005 (� - _ n
�'eder�alway 161 ,,,PERMIT
Co,�M DZIPELOp�WssRvlcss NO`) WSF MF CO (VIE EL PL DE EN FP
98315 1W.ALIN VUY,WA. 1•PO9718. BQK d o G
FEDERAL WAY, WA 98069-9714 , F F
ssa-a�sa6o7� F-a3��6o9G�-� �U��-DAN
The following is required in ormation - an Inco lets application will not be accepted. Please rant ie 4Vftnink or
PROPERTY•- •
SITE ADDRESS _ 3365x7 SUITE/UNIT i
ASSESSOR'S TAX/PARCEL # 9 2 6 q $- Q -I 2 I O LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) c -E: / IMChe.
IA�PNr1�MYNW �de�P�1
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
YT OV l F?Q JyVrA'l 1 1 pie -,,j -E=iycl t TIt) 1 Twl 1 "Cleo r &../,i I I Mal"'t-C,-t ¢lY� . I -X
1 naW Awls -$y 1 T i ucJfrbt7 E CO✓IDt tg5_i.s1* Uri 11
PROJECT NAME (Name of Business or Oumer Last Name)
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
$oo 1 P St;cc
co u4bi
PRIMARY PHONE
( ) -
MAIUNO ADDRESS
P,9'(1l.
CITY, STATE, ZIP
COMPANY NAME
APPUCANT NAME
OFFICE PHONE
P &7Vv�� �►'t
P,9'(1l.
(2x56) 367 - 2,S270
MAIUNO ADDRESS
CITY, STATE, ZIP
CELL PHONE
323,.1 No M& 051'
Sr.AfJI< <.. 4 q o
CITY OF FEDERALWAY BUSINESS UCENSE NUMBER
20 -_,0C4_IL) ) �C q--3- B
EXPIRATION DATE
L. (Z/ 31 ✓�
FAX NUMBER
(2,06) 36r -683a
CONTRACTORS REGISTRATION NUMBER (eoP7 of card required with a*ch application)
EXPIRATION DATEIL
IZI
COMPANY NAME
APPUCANT NAME
OFFICE PHONE '
MAIUNO ADDRESS
CITY, STATE, ZIP
CEL. PHONE'
3-2-31 NZ 135 517
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑:Tenant XAgent. ❑ Other (Describe)
(106 )"
NAMA PRIMARY PHONE E-MAIL ADDRESS
NAME
MAIUNO ADDRESS CITY, STATE, ZIP PHONE
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? d YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVBN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA o. PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Ir.-
AREA DEfJPTION
�5EMCENT
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
80. FT.
--SQ.
FIRST
EVAPORATIVE COOLERS
OAS LOGS
REFRIG. SYSTEMS
SECOND
FANS
HOODS pemmereteq
WOODSTOVES
THIRD
FIREPLACE INSERTS
RANGES_
cam_ MISC (Describe)
FOURTH
FURNACES
GAS WATER HEATERS
ADDITIONAL FLOORS (DESCRIBE)
GAS PIPE OUTLETS
DECK(COVERED?)
GARAGE O CARPORT ❑
NUMBER OF FLOORS
.aorosm�
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offtxture to be installed or relocated as part of this project. Do not include existing fudum to -
MECHANICAL
c
-
,
Value of Mechanical Work $75,1o,
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS pemmereteq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES_
cam_ MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
.DUCTS
GAS PIPE OUTLETS
BATHTUBS ler Tan/ShowerC."
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Betttr unk i
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (tenet) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cert{ly under penalty of pedury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 dny 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 v�G7 �"%��� DATE
(Signature) (Title)
RELATION PROJECT Q Owner ('Agent o Contractor o Architect 17 Other
Bulletin #100 — January 1, 2006 Page 2 of 4 MandoutAPennit Application