05-104574 V v
City df Federal Way Mechanical Permit#: 05 - 104574 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax.(253)835-2609 Inspection request ' : 5-3050
Project Name: QUICK CASH ,
Project Address: 32225 PACIFIC S SuiteA i umb : 1501 1 100
Project Description: Install split HVAC system and associated ductwork
Owner Applicant ontractor
HARSCH INVESTMENT PROPERTIES AMBIENT CONTROL CO INC AMBIENT 0 INCCof
HARSCH INVESTMENT PROPERTIES 1411 R ST 1411 R ST A
1121 SW SALMON ST AUBURN WA 98001 •t • A 98001 \o„0
PORTLAND OR 97205 .-9933
Mechanical Valuation 6972 . Over the Cou LiO No
Ntir
Mech.
j Description !Quantity _ Descri. , .'lar� 1_ �Z iescri•tion Quantityl
Air Handling Units WM Ducts
--.--,,,,,
PERMIT EXPIRES March 21,2006.
Permit issued on September 22,2005
I her ertify a above inform n is correct and that the construction on the above described property and
the oc the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City er. . ay.
Owner or ag • 'Li _ _a1dDate: f4,2103—
‘
. , t
} THIS CARD IS TO REMAIN ON-SITE
CITY Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104574-00-ME
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32225 PACIFIC HWY S Suite A
FEDERAL WAY, WA 98003-6000
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
B i Date/O ./2 . By Date By Date
, --, RECEIVED
�' SEP 0 7 't
".S-- J 0 q5-"78
Federal Way PERMIT
CITY OF FEDERAL WA SF MF CO IE EL PL DE EN FP
COMMUNnY DEVELOPMENT SERVICES UI LD I N G DEPT, I
v3332E D R L WA , •63971 971 APPLICATION2,� l/FEDERA2 WAY, X 53-83-260 / V
253-835-2607•FAX 253-835-2609
63-
www.cituotfederalwau corn
The ollowin! is r-•uired i ormation-an incom•lete a• •lication will not be acc-•ted. Please •rint le•ibl (in ink)or .
• PROPERTY INFORMATION
SITE ADDRESS 3a aas /441I'G . //, AJs SUITE/UNIT# 14-
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(s-j)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) /?wk..14. C-as 4.
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 411 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detnilpd description of work included on this permit onlu)
"zrs Irl/ 4-5/0fi'71. /17/1/4'C 45X SSC IK t 4-s,Soutt id a/4t Ake•-le--
PROJECT NAME(Name of Business or Owner Last Name) al G ie elk,i
• PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER (i(�( ae. CAS 4— ( )
MAILING ADDRESS CITY.STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ki4)04h f C41,441.I (i, zicc idea & &iferi (2s; )674 - F13-4
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
/y// Q sr A)k) 40./ra it V/t- fi oo/ ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
3 p -4 s- - 1 a L 4 L F-B L /Z/3/ 1<sr- (zs3)976 - 79se
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
A IA S. = E S e. i a i P L.) /0 /?s— /m4--
APPLICANT COMPANY NAME APPk(CANT NAME q OFFICE PHONE
M 8.0•;‘,44- G:O�*.'�'i/ co, ZHK. Wt,s 1.4 1�t 0 (.253 )174. - 94 33
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
/y// '(. 5/ A)i.J 14 14.144". w/4- ?y ore/ ( )
RELATIONSHIP TO PROJECT FAX NUMBER �
0 Architect 0 Tenant t.Agent 0 Other(Describe) (2 p
53)974. -"a3V
CONTACT NAME
PRIMARY PHONE E-MAIL ADDRESS
GS be-
?e$144114(ash )c374, -rt 33 µi14 ethic 4Tb ilc1•cos.A,
LENDER Per RCW 19.27.095:ULender information in NAME
required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE C6 14.4..1/'Cii 4,-( PROPOSED USE �.#M•t a re.,t 4..I
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 0 72' 46°
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
6/9�9o°gg
•
Y • •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. Sg.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL RX TaM Y TOTAL PROPO•ED5 TOTAL
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture ixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL (P g 72 •04.1Value of Mechanical Work $
/ 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
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) 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 fled 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.
I
NAME/TITLE - 'Veir DATE J/s/d
(Signatu (title)
RELATIONSHIP 's . . • ' 0 Owner 0 Agent contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin*100-January 7,2005 Page 2 of 4 kkHandouts\Permit Application