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06-100177ti City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 l Mechanical Permit #: 06 -100177 -00 -ME Inspection Request Line: (253) 835-3650 Project Name: FIRESIDE BANK Project Address: 33915 1ST WAY S Suite 112 Parcel Number: 926504 0150 Project Description: Installation of ductwork and diffusers for new tenant space. Owner Applicant Contractor ESM BUILDING, LLC UNIVERSAL REFRIGERATION INC. UNIVERSAL REFRIGERATION INC. 320 106TH AVE NE SUITE 100 PO BOX 614 UNIVERI.159RF 4/1/06 BELLEVUE WA 98004 AUBURN WA 98071-0614 PO BOX 614 AUBURN WA 98071-0614 Additional Permit Information Mechanical Valuation............................................20400 Over the Counter Permit?...................................... No ................................. 1 Mechanical Fixtures CONDITIONS: PERMIT EXPIRES Tuesday, July 25, 2006 Permit Issued on Thursday, January 26, 2006 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 City of Federal Way. Owner or agent: ' Date:/ A THIS CARD IS TO REMAIN ON-SI3 CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -100177 -00 -ME R Owner: ESM BUILDING, LLC Address: 33915 1ST WAY S Suite 112 FEDERAL WAY, WA 98003-6201 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 11- Date — 3a - v (p By Date By e- Date r�� 1 j, �� I Ory or EC E IV E Federal way PERMIT COMMUNITY DEVELOPMENT SERVICES JAN 1 3 2009F MF CqkSEL PL DE EN FP 3332AVENUE SOUTH PO BOX 9718 E A P P L I C AT I lFEDERAL FEDERAL WAY, FAX 98063.9718 I Wq ' 253.835-2607• FAX 253435-2609 www.cih/offederalwau.com BUILDING DE The following is required information -an incomplete application will not be accepted. Please print legibl>/ lin inkJ or tune. SITE ADDRESS 3 3115- -%r S SUITE/UNIT # 6 CITY, STATE, ZIP .4Qtoo rvi cast I607/ CELL PHONE (zoc ) 510 - /y8 ASSESSOR'S TAX/PARCEL # -1 �I �` G S 0 y - 5 LOT SIZE (sf LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) (Attach separate page for leng 4 legal des—ph..) PROJECTINFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING VIMECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of uvork included on this permit onlyj t (n 5 l l r' nr * t_,sc,,r FC r2vtA i ,t C./`.5 V101_1 PROJECT NAME (Name of Business or Owner Last Name) PEOPLEI • - i • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME PRIMARY PHONE f::501 IBU) t L (2oG) zz3 - s©o MAILING ADDRESS CITY, STATE, ZIP SCA AQA-, All,- Sr-ermn�e�vG o! 00 COMPANY NAME Re v t APPLICANT NAME g2 G oJ OFFICE PHONE (?53) '73,7- ;5,5t/ MAILING ADDRESS Ro sox ro i CITY, STATE, ZIP .4Qtoo rvi cast I607/ CELL PHONE (zoc ) 510 - /y8 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER -7 a -q -B EXPIRATION DATE L3/ 10a FAX NUMBER (2s3)735 --3y3 CONTRACTORS REGISTRATION NUMBER (copy of card regaired with each applications �e)1�� Rt LSg RF EXPIRATION DATE � /o /06 COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP — CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) NAME PRIMARY PHONE E-MAIL ADDRESS y r nJ Z 53 Of S5-0/ lftywc, *A ti , uE EXISTING USE VAC A* -IT PROPOSED USE 2 EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION I QS FTG P SQ FTED I STOTAL O FT FIRST SECOND r THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) CARPORT O EhnSTlxc PROPOSED TOTAL ,TOTAL ihQST4t6 Bf TOTAL: PROPOSED S/ TOTAL Sr NUMBER OF FLOORS sus "NEW 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. MECHANICAL 00 Value of Mechanical Work Giii� AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (orTub/Sho—Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (Bathroom Sinks) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (Commenw) RANGES GAS WATER HEATERS WATER CLOSETS (Toileq _ 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 ma a by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. Q i NAME/TITLE r A • G AUAJA DATE / II Zi IO& (Signature) % (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 'Contractor ❑ Architect ❑ Other Bulletin !1100 — January 7, 2005 Page 2 of 4 kUiandouts\Permit Application