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Community Development Services
Mechanical Permit #: 04 - 103637 - 00 - ME
P.O.$ox 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: RED LOBSTER
Project Address: 2006 S 320TH 51' Parcel Number: 092104 9270
Project Description: Install 2 5-ton packaged,roof-top replacement A/C units.
Owner Applicant Contractor
CRATSENBERG PROPERTIES AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC
ANDREW CRATSENBERG 3602 S PINE ST 3602 S PINE ST
PO BOX 3045 TACOMA,WA 98409 TACOMA,WA 98409
FEDERAL WAY WA 98003 (253)572-9484
Mechanical Valuation 4000 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Compressors 2 Gas Piping 2
PERMIT EXPIRES April 25,2005.
Permit issued on October 27,2004
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: I 0 Z °4—
lpit
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspecdon Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103637-00-ME
Owner: CRATSENBERG PROPERTIES
Address: 2006 S 320TH ST
FEDERAL WAY, WA 98003-5415
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Al- Date 0/04
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C. ‘,7, ' I I'4 C01ilfUN1TYDSVSLOP6fSNT SBRNCES
t,, 3 0 FIRST WAY SOU2H•PO SOX 9718
KrtiPSDER,t WAY,WA 98069-9718
I C11'''�:,' L3( PERMIT APPLICATIO YvuF 53-661-4115•FAX:753661-1179
' -�'� www,dtuollederalway.com
The olio , is re• tred ormation-an inoom•tete • • •Motion will not be aooe• ed Please •rint le, 1,1- in in or .,•e.
• PROPERTY INFORMATION
SITE ADDRESS: 200 CD S 3 LO h Si- SUITE/APT
ASSESSOR'S TAX/PARCEL#: 0 .S 2 ` 0 4 - a 1 ? 0 SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) 5E V 1,177A [11E0
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ?BUILDING ?PLUMBING ?MECHANI ?DEMOLITION
?ELECTRICAL ?ENGINEERING?FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Pro ' e detailed description of work included on this permit only):
INSTRLL Z'1 5- TON F'flO erED AC UNIT5
PROJECT NAME(Name of Business/Owner Last Name): /e...C,/v /b-6-a:m.,
�y� f, ■ yP�EOOtPLE INFORMATION
PROPERTY NAME: VIN Rf v"t�1 'Y C �) o E4�I - Co I 2
OWNER:
MAILING ADp, EET ADDRESS :1 0_� CITY,STATE,ZIP F W
CONTRACTOR: NAME Z S COMPANY OFFICE PHONE:
AIR S`\57C\M ENG, ( ZSR,) STZ - 5494
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
-5007. 5 FINE 57 11\(OP1A WA 1`646c1 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
j a.- 1-5 - 0 0 0 0 a il- 0 O 01. / 3 ' / 04G4 ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
p
(copy of card required with each application) A ) . S `f Z /(.- 'j V�[\ _ TZ/ I / No
LENDER: NAME: DAYTIME PHONE:
)If?rer...d V.1*.>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
CCNTRbei(TGK- ( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
?Architect ? Tenant ? Other(Describe): ( ) -
,6:9tillS, 4,17.-ii?31-' 1i- k;4;i6f4:; � t•.;"r`r'9Fl.i� 4:;.,4 z ;sd ,...;i, F': ;7.::'-'." '':'' : -
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
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) I
SEWER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
•
**NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAMCAL 4 o Q 0
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comm..* WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
7— COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING /A
BATHTUBS(or Tub/shower Combo) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS
■ DISCLAI\IER/SIGNATURE BLOCK
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 authorised by the owner of the above premises to perform the work for which the permit application is
made. /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 ation supplied to the city as a part of this application.
NAME/TITLE: DATE: IT' - CJ 4
(Signature) (Title)
RELATIONSHIP TO PROJECT: ? Property Owner ? pplic ? 'ontra• or ? Architect ?
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Bulletin#100-January 13,2004 Page 2 of 4 k:\Handouts-Revised\Permit Application