05-103575 _•t
City of Federal Way Mechanical Permit#: 05 103575,-.00 - ME
Community Development Services 3
P.O.Box 9718 $
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: TORQUAY MEDICAL BUILDING
Project Address: 34616 11TH$Pt 5 Parcel Number: 215470 0070
Project Description: Replace existing HVAC system including rooftop heat pump(same size,same location).
Owner Applicant Contractor
Allen T C Au &Pien Au AIR SYSTEM ENGINEERING INC AIR SYSTEM ENGINEERING INC
34616 11TH PLS 3602 S PINE ST 3602 S PINE ST
FEDERAL WAY WA TACOMA WA 98409 TACOMA WA 98409
98003-8705 (253)572-9484
Mechanical Valuation 4750 Over the Counter Permit No
Mechanical Fixtures
,z r;_ _. i Descriptive _ .r t, ,,ray '` "itk
tom" f x= Quantity
Air Handling Units 1 Compressors 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas"and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES February 5,2006.
Permit issued on August 9,2005
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: C-)/ Date: ! 0 S
\04
•
7
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ...• Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103575-00-ME
Owner: ALLEN T C AU
Address: 34616 11TH PL S
FEDERAL WAY, WA 98003-8705
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 BtiStreiS Date*q cos-,
W. .
c r«� ��REcD D 5.--- 6 3 5 7
Federal Way ,PERMIT
COMMUNITY DEVELOPMENT SERVICES JUL 2 200 SF MF Cg EL PL DE EN FP
33325 8TH
WA H•PO BOX 9718 OF
, ,,' CATI ON • /
FEDERAL WAY,WA 98063-97180 r _
253-www cituoffedera eau com607.FAX 609 4 �E P O
BUILDING DEPT.
The ollowin. is •wired I ormation-an incom•lete a•'lication will not be ac •ted. Please •rint le!ibl (in ink)or j• .
�j / /• PROPERTY INFORMATION7 � /
SITE ADDRESS 14[/ /. 2!/ J i . d�. fid e,,,C/i/ L.SUIT /UNIT# ,�( fj�
ASSESSOR'S TAX/PARCEL# / 5 4 7 0 - D 4 1 O LOT SIZE(s� All/ ��' .4
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 7 6J /p/e6///lrcf 6 1/ilfv.''/, Lot-7 .Stet 1762e,
winch separate page for lengthy mal desatp8aal 7/1/) 0 2-/J Rif?4 ,
• PROJECT INFORMATION VMECHANICAL TYPE OF-PERMIT 0 BUILDING 0 PLUMBING oa MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR' ' DESC' !' ON(Provide detaileddescription of work includeid. this .-
/ A 7m/ f /_ ,., -, 1—e ,
: , / ,_ ,o, .,_?:.,, or,e ...4,-. 411/7411ffiti 17" .t,)
.
PROJECT NAME(Name of Business or Owner Last Name)� y /f�IC41b f G� iii
�� . II /iQ Ih /k 2--'" `'
L�
idtaW
IN PEOPLE INFORMATION
PROPERTY NAME /j/`/ �� /1/71 e c PRIMARY PHONE
OWNER ��/y ( 11S 31 q 2-7 -8972
III3¢ i SS I/ �°4 �. s, crry,STATE,ZIP
�.,0a« ��/ /r/� 0W.)
MACONTRACTOR COMPANY NAME f f I APPLI T NAME (t// OFFICE PHONE
Si je 6 'i%ee'i r s i �to e4 4 (151) 572 -,W4
MAMWG RESS C STATE,ZIP CELL PHONE
3 D 2- J3, /e/fie :t "PAW Miff/I ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
r9 - 73 - ao a da 6 -� L a. / / / /5 (053) ��.3 -6337
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
0- / ie S rE '�` 2 2 '7 kdi 2 / / /210/
APPLICANT COMPANY AMEI APPLI NAME OFFICE PHONE
Sit 1724c 411. W/7 4i, eeiiel 4 (153) 57. - 9;€0,34
3 0 D . / i//,e fe. C 1!/L2/ e W p• ki L�l /Y STATE,ZIP , CELL PH)NE -
RELATIONSHIP TO PROJECT FAX NUMBER
CI Architect ��
Architect ❑Tenant ❑Agent 'Other(Describe) if4Gf (153) ,,3 -63 37
CONTACT NAME ���� PRIMARY PHONE 7,7i .
�i (?�� 57Z - 9 � „,,,P,.mss,
LENDER 1." . '' :`:::,"..,:',::,.,,,,i,:. NAME
MAILING ADDRESS
CITY,STATE,ZIP
MI DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
• SPRII4KLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
I
..II
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
089.FT. sq. T.FSQ.FT.
BASEMENT
FIRST J///G // ,, f`iC_ N Lb
OEit,((op
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS MATINGntorosso TOTAL � ,t.-;,- V4g e xoi 1,7 ' V*44..(4 h"
'�, '4 �. - -,/,t
,; ,,, ,...-7. -p�
h�'s.� v-�Yv
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indlirote number of each type offbcture to be installed or relocated as part of this project Do not inclarie existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ �Jo
4,7t
1 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBgS FANS HOODS(comme.clal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
/ COMPRESSORS t!/) FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
•PLUMBING
BATHTUBS(or Tub/shower Combo) SHOWERS WATER CLOSETS frolic) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLICU, 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, .eluding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. / /
NAME/TITLE • I/ - DATE 7~ NQS
(St.. re) (Title)
RELATIONSHIP TO PR. ti ❑ Owne 0 Agent .s, ontractor 0 Architect 0 Other
t 1� . :�.aA%..,'.�• . .
-;'•! ..7.:'777.t'..aiYig :# M0A tit57-;: W''.iilj4'4 » I `—tW. l-
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application