05-102977 f
City of Federal Way
Community Development Services Mechanical Permit #: 05 - 102977 - 00 - ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: ANIMAL SUPPLY
Project Address: 32001 32NDIS Su te320 Parcel Number: 215465 0010
AJG
Project Description: Install 2 VAV boxes and duct distribution.
Owner Applicant Contractor
FOSS REDEVELOPMENT COMPAN AMBIENT CONTROL CO INC AMBIENT CONTROL CO INC
PO Box 94449 1411 R ST 1411 R ST
AUBURN WA 98001 AUBURN WA 98001
PO Box 94449 !Seattle,WA 98124-6749 (253)876-9933
Mechanical Valuation 10000 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description {Quantityi
Air Handling Units 2
PERMIT EXPIRES December 28,2005.
Permit issued on July 1,2005
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 Feder. ay.
Owner or agent: Date:iir. ��% Date: 7- l-0
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102977-00-ME
Owner:
Address: 32001 32ND AVE S Suite 320
FEDERAL WAY, WA 98001-9625
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By J Date 7- 6 - By Date Byc. Date7/21/6-2.r
i I
I I
�� �ITYOF RECEIVEDLQ29 ,?
Valea!way PERMIT
COMMUNITY DEVELOPMENT SERVICESJUN 2 1 20 05 SF MF C m EL PL DE EN FP
33325 8"AVENUE SOUTH• BOX 9718 LI CATI O N TD
FEDERAL WAY, 63 3-9718 EAEW / /
253-835-2607*FAX
253-853-835-260CITY OF FED
www.cdyoffederalwaycorn BUILDING DEPT.
The ollowin! is -•uired i ormation-an incom•tete a,'lication will not be acce'ted. Please •rint le!ibl (in ink)or -
2 • PROPERTY INFORMATION
SITE ADDRESS 3 2 De/ 3 3a2 ,U A VE SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# a / ...5- y (2 $ - a n l I LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 11--r);kit.r va110,9
(Attach separate page!"lengthy legal tion)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 8)MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
?n5-/a-// /sP) Vat/ B oXe-s as t.c/ 411444 cl fain Ifa-k°-r1
PROJECT NAME(Name of Business or Owner Last Name) Alt;IQ 614.014.
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Aitt M ILi 5 l t p P L ( ) - -
MAILING ADDRESS t / CITY,STA ZIP
32ao/ 3 32 MD Ave F til 010.7 it)4 10oo/
CONTRACTOR COMPANY NAME ' APPLICANT NAME OFFICE PHONE
1404 bie 1 cvN.4-" / c 0.JTKL 17a/00+LD ,mow (253 )976 -9933
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/y// Q s7 ,iJ w t4i,bit(n u)4. 98 00/ (253)3 /o - oa yy
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
? O-10 .5-1 12 L 1 L --B L /2 /3, /.2oos- (-253)87(~ - p?J'
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A tAFZz EQc 1 D 1 P / /
APPLICANT COMPANY NAME PLICANT N E OFFICE PHONE
aµb i c--w,-k- Cok o l Let, -r-,.►c, 1 Rowurs (2s3 )S70 - 9 733
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
i4 it k sr N Aid•krvc 14) 14- 9800/ (zs3 )9 - 0tx1i
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant QtAgent ❑ Other(Describe) ( ) -
CONTACT N f aPRIMARY PHONE E-MAIL ADDRESS
MI lakI(&-L. (.S3 )87 b - 9933 141 lae.wtveAw4ise.w-Vc0i461'Ws(
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o 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 ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EEISTLW w TOTAL PROPOSED SF TOTAL.SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ A 10,000•00
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS B bv._
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shower Combo)
SHOWERS WATER CLOSETS rrotto 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 cert(fy 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 • 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 ,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
4.1110° Signature)
22`0 S
NAME/TITLE
Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner o Agent !Contractor o Architect o Other
FOR OFFICE USE ONLY
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Pennit Application