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05-100525 • _ City of Federal Way Mechanical Permit#: 05 - 100525 - 00 - ME Community Development Services P.O.Box 9718 Ph:(ral25 Way,WA 98063-(253 Inspection request line: (253)835-3050 Ph:(253)835-7000 Fax:(253)835-2609 P 9 Project Name: WASHINGTON MUTUAL Project Address: 32000 PACIFIC S Parcel Number: 162104 9041 Project Description: Install ductless,split air-conditioning unit. Owner Applicant Contractor WASHINGTON MUTUAL BANK K&D MECHANICAL*OTTO KACSO* K&D MECHANICAL*OTTO KACSO* 1201 3RD AVE WMT1503 K&D MECHANICAL K&D MECHANICAL SEATTLE,WA 1911 SW CAMPUS DR#321 1911 SW CAMPUS DR#321 98101 FEDERAL WAY WA 98023 (253)945-8204 Mechanical Valuation 2000 Over the Counter Permit No Mechanical Fixtures Description ,Quantity Description Quantity Description Quantity Air Handling Units 1 PERMIT EXPIRES August 9,2005. Permit issued on February 10,2005 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 accordanc- •ith the laws,rules and regulations of the State of Washington and the City of Federal Way. g -/X/9--, // r • /b ©� Owner ora agent: Date: •/ FINALED _ THIS CARD IS TO REMAIN ON-SITE CITY OF 4/1114 Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-100525-00-ME Owner: WASHINGTON MUTUAL BANK Address: 32000 PACIFIC HWY S FEDERAL WAY, WA 98003-6002 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) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date Date • CRY OF` • R�C�I Y ' - ' 0 .� / V 6 ��,A V_• r Federal Way ERMIT . SF MF CO II L PL DE EN FP COMMUNITY DEVELOPMENT SERVICES ! 33325 8T"AVENUE SOUTH•PO BOX 9718 FEB O2 I � FEDERAL WAY,WA 98063-9718 '\ - 'PLICATION TD / / Q 253-835-2607•FAX 253-835-2609 / unuw.dtgofederalwaucol CITY OFFEDERAL WA vp The following is re•uirecl"in#onAEPcTa i mplete a••lication will not be acce•ted. Please •tint legibly(in ink)or type. I,1 PROPERTY INFORMATION SITE ADDRESS 32 Doe) �pc,„ ,l G R ,r 5d2 u- :UITE/UNIT# ASSESSOR'S TAX/PARCEL# l O' 0( y - 4 6 �e y%L LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) hath separate page for lengthy legal descnplion) II PROJECT INFORMATION YkMECHANICAL tTYPE OF PERMIT ❑BUILDING ❑ PLUMBING 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) oii.esS r,lits i),-,s74,P#1.-, .rZ 6/-7-7-e-r . les, ov-e--z_ PROJECT NAME(Name of Business or Owner Last Name) V IL&3 h. ,i-r,9 4 4-7 /4d1-47414 / BO ti k - - . • Ill PEOPLE INFORMATION PROPERTY NA /1� �iJ / n Lr PRIMARY PHONE OWNER �� /A(e ,�`C°AA(1)l 3 le,C) /967c,s�r G LJ'7y ( ) 6/� - 6� -& / MAILING ADDRES CITY,STATE,ZIP 32-coo P&c.- (c /r(,,cr� 5 , ea e,L./. kctm-/y wifri- 9 e,3 CONTRACTOR OMPA NAME APPLICANT NAME OFFICE PHONE moe / 07-7-0 k/4-c S b ( - 7Ys- Ploy MAUI D RES -ni CITY,STA ZIP �� t 2 CELL PHONE tri/ 5W Ca VS A0 2i a w/Jae k (2126) 5-A/ - 30a 1 c CITY OF FEDERAL WAY BUSINE91S LICENSE NUMBER EXPIRATIO DATE FAX NUMBER d Q-0 D- ( O Y S ( B L it) / / l p ,-'(23) 9r5— 61-.ZO 5— CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applicatioul EXPIRATION DATE APPLICANT COMP NY NAME APPLICANT NAME OFFICE PHONE K 0 ,Wpc 4ov", ca,/ �� Licar3© (9. ) Tyr te�f MAIL NG ADD ESS CITY,STAT ,ZIP /' ...07,4,43 CELL PHONE /71 5 W Ca ji J)nf 32/ r ,,,,Ke/ kuve - ( 226) .5-,v- 5,0/O RELATIONSHIP TO PROJE L FAX NUMBER 1:1 Architect 0 Tenant a Agent they(Describe) COLtt cte/�Z (2_3-3pr{�_ 0022es>5"— CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS 07--ro 1 cSC7 (20.6 1 3.-?-/ - 3 P 1 () LENDER ,- PerRCW 1'9.27.095:'Lender information is NAME reguireil if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP - • • - •31 • 1 D BUILDING INFORMATION EXISTING USE p;• :,• •PSi• > L EXISTING ASSESSED/APPRAIS $ —OF PROPOSED WORK PROPOSED WORK $ SPRINKL UH.DING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PRO QUD2ED? ❑YES ❑ NO i W TER SERVICE PROVIDER ❑LAKEHAVEN ❑RXGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN a HEMLINE ❑ PRIVATE(SEPTIC) . PROJECT FLOOR AREAS • AREA D L. RIPTION EXISTING S is.FT. PROPOSED S•.FT. TOT • BASEMENT FIRST SECOND THIRD FOURTH `\.� .........................) ADDITIONAL FLOORS(DESCRIBE •-- DECK(COVERED?) GARAGE 'ORT . HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each t .e of fixture to be installe• or relocated as part of this project. Do not include existing fixtures to remain. / • MECHANICAL 5�� a' Value of Mechanical Wo $ AIR HANDLING UNI EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(oommeru.l) WOODSTOVES ' / BOILERS FIREPLACE INSERTS RANGES MISC(Describe) ✓ COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Nilo 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 _- _- - z'-_-- : - = ` _. DISCLAIM ER/SIGNATURE BLOCK- - - :_:_- -_ :- - - I•certify under penalty of perjury that the inf rmation 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 its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. 1P . VG� /5( 60NAME/TITLE DATEI (Sign (Tate) I RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor 0 Architect 0 Other I E :FOR OFFICE USE ONLY D NEW a ADDITION n ALTERATION a REPAIR a'TENANT IMPROVEMENT iBUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO 1 ZONING DESIGNATION CHANGE OF USE? o YES a NO ? NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YF.S a NO DEMO PERMIT REQUIRED? a YES ❑NO 11Bulletin#100-March 30,2004 - Page 2 of 4 k\l-landouts-Revised\Pcnnit Application