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05-105553 City of Federal Way Mechanical Permit #: 05 — 105553 — 00 — ME Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 1 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C Project Name: GSA-CID 1; Project Address: 33400 9THIS Suite214 Parcel Number: 926501 0060 Project Description: Relocation of 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 1 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 FederalWay.- Owner or • • — Z7 a_= _�i� - Date: (d FINALE0 J THIS CARD IS TO REMAIN ON-SITE -- . A CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105553-00-ME Owner: Address: 33400 9TH AVE S Suite 214 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. Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved A A 14 B �111� Date By Date `Byt-1 Date (/'''Z/ —"Jr- - Federal 05 - 101 q- (7" ) .J _ - FederalWay PERMIT � — — -� 5 5 � COMMUNITY DEVELOPMENT SERVICES ,v �F MF CO � j L PL DE EN FP 3132E D AVENUESOUTH 9718 AppLICATI 3? FEDERAL WAY,WA 9d06J-971d p 2532607•FAX 253-835-2609V ---� / www tituol)•ederdcorn way /L'-�_. www Cri 21 The ollowin• is re•uired in ormation-an into •fete • ••lication wiil not be • -%AIPlease •rint le•ibl (in in or . ■ PROPERTY INFORMATIr.N gVl _ 0 . SITE ADDRESS 4i677) 9744 Ove.-. S. SUITE/UNIT ASSESSOR'S TAX/PARCEL it 7 Q ( - o Q (0 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal descnpnon) ' ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING &iNIECHANICAL 0 DEMOLITION A ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) le--/vcs;t f' - / / e /e-, c/ C- .e• di,.. :`• .4[-_-_,.-is L PROJECT NAME(Name of Business or Owner Last Name) (54 ^ c--lp PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER d` \5771-C714e_ C2iq oJ ( • ( ) _ MAILING ADDRESS t STATE,Z P 3 3'to ?i' � s# _ F 1e,,-,z( G✓ , wolf T8a CONTRACTOR COMPANY NAME ( l ` APPLICANT NAME OFFICE PHONE lli�tt e- ref;st a ' oi.„ \Jr? ✓' (z5 ) 1. 61 - 0-0( MAILING ADDRESS CT,STATE,ZIP CELL PHONE pa go 1 07( ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 74'- qq- / 07047- B L •Z / 3/ / os- ~"y CONTRACTORS REGISTRATION NUMBER co of card r ��) �` � TE ( PT egaired with each applieatioa� EXPIRATION DATE UNI ✓ EK / I �1 F q / r / o(, APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS ` i CITY,STATE,ZIP - ( ) CELL PHONE RELATIONSHIP TO PROJECT FAX NUMB ER ❑Architect 0 Tenant XAgent 0 Other(Describe) ( ) _ CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS t► I r yG CV Viii, " 9,37_ ©( s 0_!.. ceif 4w : i.,.-.-K-c‘.,1 �.�er,,,yi�tc::'�,;� :7�,9R.•'rrnA�rinjoiina[ioic3s;�, (J�-- -- I - �1 , �,..-,,; __.'f:_ . ..dieeicceeds45,00o ' -. . . . rr. /''tw0 JMAIUNGADDRESS CITY,STATE,ZIP V -- is DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ eGo_00 _ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEAAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) M 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 L3051150 PROPOSED TOTAL TOTAL E STIIG[P TOTAL PROPOSED SF TOTAL sr NUMBER OF FLOORS 3 - "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FUTURES 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 G' Value of Mechanical Work $ 5- c0 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commero.11 WOODSTOVES BOILERS FIREPLACE INSERTS RANGES / MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS dja / i- ' I DUCTS GAS PIPE OUTLETS i�Ul FJ/ �L PLUMBING BATHTUBS Tub/Shower combo) SHOWERS WATER CLOSETS(rollety MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) 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,inciud• g its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. �^ / • NAME/TITLE r / 1 DATE GO -Z7 - ( i6n (Talc) RELATIONSHIP TA PROJECT./ 0 Owner ,Agent Contractor 0 Architect 0 Other > E CERTSE;ONLY `~?N? =� w -z `nAL�c"..TI' :z_ ALTERATION 7..rte RRpAL�, o TENANT IMPROVEMENT . I i LINO TIE1 • t x`�S u NO •_ - , O &cr.-'"LAN? ., a... YES n itu ••- •GDESIGNATION -CHANGE OF USE?r'% . o YES . n NO a DRESS REQUIRED? n YES. n NO -UP/SEPA/SU? :: - - • . a YES •. o NO `n YES j'.n NO . _ DEMO PERMIT.REQUIRED? ;,a Bulletin 11100-January 7,2005 Page 2 of 4 k\Handouts\Pcrmit Application