05-105270 wliPik va
City of Federal Way Mechanical Permit #: 05 - 105270 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305€
Project Name: LEWIS
Project Address: 1116 SW 334TH PLACE. Parcel Number: 926496 0600
Project Description: Add 2.5ton A/C
Owner Applicant Contractor
Nicholas D Lewis ADVANCED FILTER&MECH INC ADVANCED FILTER&MECH INC
1116 SW 334TH PL 418 VALLEY AVE NW UNIT B115 418 VALLEY AVE NW UNIT B115
FEDERAL WAY WA PUYALLUP WA 98371 PUYALLUP WA 98371
98023-5318 (253)770-2440
Mechanical Valuation 3848 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description 1Quantity
Air Handling Units I
PERMIT EXPIRES April 11,2006.
Permit issued on October 13,2005
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: � i ia ate: J' -d S
THIS CARD IS TO REMAIN ON-SITE - -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105270-00-ME
Owner: NICHOLAS D LEWIS
Address: 1116 SW 334TH PL
FEDERAL WAY, WA 98023-5316
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By /2, Date 7//y/U,r-
1
i
T..A RECEIVED - w 0
Federal Way EC 1751
/runuTYnl�vscolusiYrs PE R 7VI I -- - -
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33C.(1321 VN ZEW P •PO 9718 OCT 1 2 0 `--. 13 - SF .,.-�
EDERAL WAY,WA 940639738
SLI CATI MF CO EL pL DE EN FP
253dJS?607•FAX 253135.2609 T pERA _�
Lau5-260 CITY OF FEDER FL�]C
The aloudBUILDING DEPT. O1r gu1�oma DE
• (red In orntat(on-an Inco •fete a,•lication will not be acre•ted. Please ••rint le
1111PROPERTY INFORMATION ibl n in or
SITE ADDRESS ‘ CO _ S c._&_) 5‘t• I"' Q .
C SUITE/UNIT•• _-
ASSESSOR'S TAX/PARCEL#E ^dk __/Q /-_
2
S� LOT SIZE(sJ) _
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
G
µbathseparate page for lengthy legaldawiptionl
■ PROJECT INFORMATION
TYPE OF PERMIT
0 BUILDING 0 PLUMBING fECHANICAL
'P'ption ION Cl ELECTRICAL 0 ENGINEERING
PROJECT DESCRIPTION(Provide detailed descriptionRING ❑ FIRE PREVENTION SYSTEM
E c - A-- I c Z`I. `L.. n ''included onthis hermit on6d
_,-'COQ ;
c�PROJECT NAME(Name of Business or Owner Last Name) Le-10
M PEOPLE INFORMATION
PROPERTY NAME
( � PRIMARY PHONE
OWNER /V cit., 01 QS t 4 (Z S�? 3ff
MAILING ADDRESS CITY,STATE,ZIP
it\(o — 5c.v 33c/ epi , o lQ,t:,.7 c, - 2'a23
CONTRACTOR COMPANY NAME APPLICANT NAME t.r�M 1?t-.LLr^--OFFICE PHONE
6�I�nC�_ d �- (t-e-^-of- vi �cfes. �c,.•e S,n•. 3-h
(.7-...V') 770 -Zy�/o
MAILING ADDRESSf �dT CITY,STATE,ZIP 9f CELL PHONE
' CITY OF FEDERAL WA�USINESS LICENSE NUMBER J��/� (pIRATION DATE ,. FAX NUMBER -
_B L / / (253)-770 - ZYht-
•
CONTRACTORS REGISTRATION NUMBER(copy of cars repaired with each application) EXPIRATION DATE
h- D Wt,(/ eM �tflii20_ / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
. ( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect a Tenant a Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
,At CAA 01 & s L�t x.> i s (v k3S- S-(o' 3
LENDER
:f. .v. • ',•,t,.:i q ilv,ra- f,fY.trilr:::r,lt x; NAME
MAILING ADDRESS CITY,STATE,ZIP
• 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 0 TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 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) i.
DECK(COVERED?)
GARAGE 0 CARPORT 0 �;1,� , - : _
p PROPOSED TOTAL - ii.,1'..f.J A,� :. . _ .•- .;A,r
NUMBER OF FLOORS G PRICE $
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED o
FIX d as part of this project. Do not include existing fixtures to remain.
Indicate number of each type of fixture to be installed r.-
2 c,rte?`
•
Value of Work $ 3 A ,EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS FANS HOODS(c mmerdal) WOODSTOVES
FIREPLACE INSERTS RANGES ' MISC(Describe)
BBQS .- - FURNACES GAS WATER HEATERS
BOILERS GAS PIPE OUTLETS
iv
BATHTUBS Or Tub/Shower Combo) SHOWERS WATER CLOSETS(miss MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE(Bathroom Sinks! VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIlIER/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
ant authorised 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,Incl ing its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE )0
(signature) gide]
I,3/v`S
_
ite]
RELATIONSHIP TO P OJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
,:,c„ , „ r': ,
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