05-106024City of Federal Way
Comm" mity Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
. r • 0 >�
Mechanical Permit #: 05 -106024 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: CRAFT CARPETS
Project Address: 32411 PACIFIC HWY S Suite B Parcel Number: 150050 0150
Project Description: Install 1 packaged gas heating and electric cooling unit and three exhaust fans
Owner
Applicant
Contractor
WILLIAM R KIMBALL
EVERGREEN REFRIGERATION
EVERGREEN REFRIGERATION
PO BOX 26867
727 S KENYON ST
727 S KENYON ST
SAN FRANCISCO CA 94126-6867
SEATTLE WA 98108
SEATTLE WA 98108
Additional Permit Information
Mechanical Valuation............................................8000 Over the Counter Permit?...................................... No
Air Handling Units ......................... 1
Mechanical Fixtures
Fans................................................
CONDITIONS:
3 Number of Gas Outlets .................. 1
PERMIT EXPIRES Wednesday, June 7, 2006
Permit Issued on Friday, December 9, 2005
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
and the City of Federal Way.
Owner or agent:'— Date: 16 -
n
THIS CARD IS TOSYMAIN ON-SITE
CITY of ommunio Development Inspection Record
'k
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -106024 -00 -ME
Owner: WILLIAM R KIMBALL
Address: 32411 PACIFIC HWY S Suite B
FEDERAL WAY, WA 98003-8546
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 <f U..J Date yDate It -6 By w Date 071Z 6
It
It cm of A�'
Federal Way
COMMUNITY DEVELOPMENT SERVICES
33325 81x AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-835-2609
www. ityoffederalway.mm
The following is
RECEIVE
(9. 0- a q
PERMIT S MF CO E L PL DE EN FP
APPLIC �bN
OF FLz&)6 , Z� V
QUILDIAl�B d=wi/44v
ration - an incomplete application will noKie accepted. Please print legible /in inkl or tune.
SITE ADDRESS f� `1 1 1 JUC Y \W 4 `7 i m x--t-y)
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SUITE/UNIT #
LOT SIZE (sj)
(Attach separate page fw lengthy legal d—ipd.rtj
PROMT MFORMT10N
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
��� \\ erne- oc ek�c'-e cA gas \>�e�A) r e �lo r -1,�; �� ,
PROJECT NAME (Name of Business or Owner Last Name)
PWPLE MFORMTION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
MAILING ADDRESS CITY, STATE,
v Sc� +-1Q"-\-zT'Py-e,�C','SC-0'C-A L4 I 1 I
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
(-+ ll
:2bb) G `4 `-
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(BUSINESS
72--,-
12 U -d0-1 C) L 1
_7 /S( /dG
t ) -
-5 B
L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
(-+ ll
:2bb) G `4 `-
MAILING AD SS
CITYY,�STATE. ZIP -
CELL PHONE
�� Q
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
NAME PRIMARY PHONE - � � � ` ` E-MAIL ADDRESS
er?tC'[F�,�1,9.209 nder�'injormaEion.is
uu ed rj ro ect value ezcee5 QOO
NAME
MAILING ADDRESS
CITY, STATE, ZIP
t
EXISTING USE A PROPOSED USE `� \
YP
EXISTING ASSESSED/APPRAISED VALUE $ I VALUE OF PROPOSED WORK $ C'
SPRINKLERED BUILDING? 0Y s ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ¢(NO
WATER SERVICE PROVIDER �PAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)/\SEWER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTICI
PROJECT FLOOR AREAS `
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
S • FT.
BASEMENT
BBQS
FANS
BOILERS
FIRST
COMPRESSORS
FURNACES
DUCTS
SECOND
n YES C NO
UP/SEPA/SII?. ❑ YES
❑ NO:
THIRD
❑ YES .n NO
DEMO PERMIT REQUIRED?,
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TO7AL
TOTAL EXISTIIGG SF
TOTAL PROPOSED SF
TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ES'T'IMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing f xtures to remain.
MECTLANICAL
Value of Mechanical Work $ O �� C)
❑ ALTERATION
BATHTUBS (or Tub/Sho rCombo)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
PLUMBING
❑ ALTERATION
BATHTUBS (or Tub/Sho rCombo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom sinks)
VACUUM BREAKERS
GAS LOGS
HOODS (commercial)
RANGES
GAS WATER HEATERS
WATER CLOSETS (roiley
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
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 tiiZ�uding its o ers and�iW ees, upon the accuracy of the information supplied to the city as a part of
this application. � �/�
NAME/TITLE / r
(Signature)
RELATIONSHIP TO—PROJECT ❑ Owner
❑ Contractor ❑ Architect ❑
:/7
W ❑ ADDITION `
❑ ALTERATION
❑ REPAIR o TENANT' IMPROVEMENT
UII:DING HELL ONLY?
❑ YES o NO -
...
BASIC PLAN? ❑ YES
o NO
7.ONIrIG ESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
`IEWADDRESS REQUIRED?
n YES C NO
UP/SEPA/SII?. ❑ YES
❑ NO:
❑ YES .n NO
DEMO PERMIT REQUIRED?,
Bulletin # 100 —January 7, 2005 Page 2 of 4 k\Handouts\Permit Application