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05-105557 ti City of Federal Way Mechanical Permit #: 05 - 105557 - 00 - ME Community Development Sernces PO.Box 9718 Federal Way,WA 98063-9718 Pb•(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) &35-30511 Project Name: HARBOUR HOMES Project Address: 33400 9TH.S Suite210 Parcel Number: 926501 0060 • Ve, Project Description: Relocation o existing flexible ductwork and diffusers/registers. Owner Applicant Contractor GOLDEN STONE LLC UNIVERSAL REFRIGERATION INC. UNIVERSAL REFRIGERATION INC. 33400 9TH AVE S PO BOX 614 PO BOX 614 FEDERAL WAY WA 98003 AUBURN WA 98071-0614 AUBURN WA 98071-0614 (253)939-5501 Mechanical Valuation 850.00 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description Quantity Description Quantity Air Handling Units 1 Ducts 1 J PERMIT EXPIRES April 25,2006. Permit issued on October 27,2005 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 Wa Owner or age• _, � _ � Date: /6 — 07 -o THIS CARD IS TO REMAIN ON-SITE ' CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105557-00-ME Owner: Address: 33400 9TH AVE S Suite 210 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. gi Mechanical Rough-in(4165) ❑ Gas Piping(4125) 7t' Final-Mechanical(4065) rApproved Approved to release test Approved By`i;,1: Date �,3 b' By DateBy ''110\} Date F,-1,P - V.,,6/H CITY RECEIV - / 0 S g S 7- Federal Way PERMIT g��� COMMUNITY DEVELOPMENT SERVICES OCT 2 7 U f5 MF t`� EL PL DE EN FP 33325d^tR SOUTH APPLI CATI O T FEDERAL WAY, WA 98063-9718 p 253-835-2607.FAX253-035.2609 CI OF FEDER L WAY towel, } www cityo(kderalwau corn BUILDING D The ollowin• is re.uired in ormation-an Inco •tete a..lication will not be acce•ted. Please •rint le•ib1 (in in or • PROPERTY INFORMATION • \SITE ADDRESS ezf r) LtY' 4V�, .S' SUITE/ l �#Z/O ASSESSOR'S TAX/PARCEL# p c 0( O 0 6 Os( '•,,-- ) L T SIZE LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate pagef lengthy legal desorption) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING OillIECHANICAL - 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) XZ—lo ca-744 �..-)c-/S74 ,.. 17.eic.�.4l� a/uC_'-f fioi.- c21' �i sp,e rel 1,s- PROJECT NAME(Name of Business or Owner Last Name) 11-144/ 1 oI/' #7107-gle<' • in PEOPLE INFORMATION PROPERTY NAME // Cho �/� /; © PRIMARY PHONE — OWNER !.p( 7-(Sl�,e� � �2.� �� ( MAILING ADDRESS �� I ' CITY,ST TE,ZIP 3 o-z) ,,c- �: ( r-I/ / h74 . g80°7 CONTRACTOR COMPANY NAME `PPLICANT NAME OFFICE PHONE l�1« (-Z MAILING ADDRESS CITY,STATE,ZIP7 CELL PHONE ro y- 6� v%bvw-vt o ( ) - CITY OF FED RAL BUSIN LICENSE NUMBER EXPIRATION DATE �` - FAX NUMBER l T–I I- l 4 7 U a Z-B L /Z-/ i( / oS (.7�JJ j) 79(---3l-(32-- CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE UN L vEE L ! RKF '( l ( / C APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP • CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER — ❑Architect 0 Tenant X Agent 0 Other(Describe) ( ) - CONTACT I NAME Lr / PRIMARY PHONE • GZ lrbYx -MAIL ADDRESS , ro " F Tis�?�_ T, ArriLa r-,e--., .;i.=.;;. .•:Jr4c::/.indr. ero:rmaRioiiiiV3: NAME,arg_icitfa.. ,t.iuY ”ls,'Azi jpG;2i MAILING ADDRESS - CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ g50_0-6 SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 IMMUNE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH •• ADDITIONAL FLOORS(DESCRIBE) • • DECK(COVERED?) GARAGE 0 CARPORT 0 EXISTING ' PROPOSED TOTAL TOTAL EXSSTINO cr- TOTAL PROPOSED Sr TOTAL ST NUMBER OF FLOORS "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES 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 f Value of Mechanical Work $ dY / '55 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commernah) WOOD STO V ES BOILERS FIREPLACE INSERTS RANGES I MISC(Describe), COMPRESSORS FURNACES GAS WATER HEATERS pi rC,5,p�f,Lp�� t-Cr. I DUCTS GAS PIPE OUTLETS �(,l `IVY PLUMBING BATHTUBS(or Tub/Sbow<rCombo) SHOWERS WATER CLOSETS(hoi,4 M1SC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Suilcs) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/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 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 i officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE • '�,/l� DATE C0 2.7 -v (Signatu (Title) RELATIONSHIP T PROJEC 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other CE[TSE ONLYs :g w ALTERATION �RF,PA-:- .10 TENANT IMPROVEMENT • . . I1tIG'SIrELL r"ILY? _ ��'S v;Pio• ' Ag";PLAN? _ - - YES ,C'N:i. _ • WNINGESIGNATION r; '.". CHANGE OF USE?= :: a YES • a NO" • ,MDDRESS REQUIRED? .a"YES 13 NO UPJSEPA/SU? ---, o YES : a NO ;. _, :'a YES " a NO DEMO PERMIT REQUIRED?=`- - a YES.:;°-=