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05-103279 City of Federal Way Mechanical Permit #: 05 - 103279 - 00 - ME Community Development Services • P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request li' • (2 835-3 I I Project Name: ADELAIDE PWSF(CINGULAR#WA462-03) Project Address: 31119 21ST SW Parcel Nu 9025 Project Description: Install 2 fan coil units; Install two conenser units. Owner Applicant Contracto FEDERAL WAY SELF STORAGE CINGULAR WIRELESS&PACIFI CON PAC •IR CO. . - , NC 63 KENDRICK ST 1 CHARLE 2445 140TH AVE NE SUITE 202 11812 ..'ARY N SUITE 104 NEEDHAM MA BELLEVUE WA 9:405 BOT LL r A 98011 i 02494 ( 2-63\00 i Mechanical Valuation 11017.80 • ' e. 'erm No ,- ' anic. ,xtures frfr Description Qua .*, De '•tion _eu !1 k - Description Quantity Fans © '..._. *on Sys I,INI RMIT EXPIRES January 8,2006. Permit issued on July 12,2005 I hereby • t the above information is correct and that the construction on the above described property and the occupa nd the use will/f)e in cordance with the laws,rules and regulations of the State of Washington and the City of Fe Way. Owner or agent: Date: 7- i2 -65 THIS CARD IS TO REMAIN ON-SITE CITY OF - �� ._ x, Community,Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-103279-00-ME Owner: Address: 31119 21ST PL SW FEDERAL WAY, WA 98023 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. I-'d' Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical (4065) 4 Approved Approved to release test Approved IP By Date 1/1By Date By Date I 1141111, 1 i • Federa way RECEIVED PERMIT a!* - L a3 2� 1�11� co�tntuNrmnEdoPatsxrsmvlc SF MF CO/'�MEL PL DE EN FP 33.325 D RALWE. AIf1•639718 p 7 2a PPLICATION ll FEDERAL WAY.FAX 93083-9718 / / 253-835-2807•FAX 25335-2609 // ,,,,..ci114011ederaJwa4etTY OF FEDERAL WA.v �fI, _ I The .limping is •. trle�K .rmbttiea-an incom.lete a..lication will not be wee.ted. Please . ' t -r iy(in inks)or • . • PROPERTY INFORMATION SITE ADDRESS 31031 21ST PLACE SW. FEDERAL WAY SUITE/UNIT# 150& 151 ASSESSOR'S TAX/PARCEL# 1 2 2 1 0 3 - 9 0 8 8 LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1) (Attach separate page for Lengthy legal descr4,t eU • PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING n PLUMBING K1 MECHANICAL ❑ DEMOLITION IN ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onhu) INSTALL TWO FAN COIL UNITS WEIGHING 62 POUNDS EACH THAT DELIVERS 990 CFM OF AIR EACH AND TWO LOW VOLTAGE THERMOSTATS IN EQUIPMENT ROOM FOR CINGULAR CELL SITE IN EXISTING STORAGE BUILDING. INSTALL TWO CONDENSER UNITS WEIGHING 220 POUNDS EACHON A CONCRETE PAD OUTSIDE. PROJECT NAME(Name of Business or Owner Last Name) _CINGULAR CELL SITE OWNED BY FEDERAL WAY STORAGE • PEOPLE. INFORMATION PROPERTYN.ME PRIMARY PHONE OWNER FEDERAL WAY STORAGE,INC ( ) - FEDERAL WAY CONTRACTOR COMM .Z,=M. ' .^'r: .= ' firrc::= '-- PACIFIC AIR CONTROL I RONN LARPENTEUR ( 206)682-6393 dii,Ezll•ADDRr? ' CITY.STATE.jar l.p....rnVinc. 11812 NORTHCREEK PARKWAY NO,#104 BOTHELL,WA 98011 ( ( ) - -r�ny rtn cs..vn.T m.�IN CT,.0 „rp.,�.n...ow a„o,nA-TF•11.".T. FAY.?P.m 2 0 _0 0 _ 1 0 1 2 8 0 -B (, 1 2/ 31 / 2005 I I 206 )340 2270 - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) ...J.. PA CI FAC 2 3 0 P 8 1 0 / 01 L/2005 APPLICANT m..D.w?!AMR' _ OF=......... PACIFIC AIR CONTROL RONN LARPENTEUR ( 206) 682-639-3 CELi.PHOWE 11812 NORTHCREEK PARKWAY NO,#104 1 BOTHELL,WA 98011 ( ) - RELATTONSHIP ID PROJECT FAX 1?-^,-1^2E21 ❑Architect ❑Tenant 0 Agent 5 Other(Descn73e,'MECH CONTRACTOR ( 206)340 2270 CONTACT NAME Pliiiiinif PHONE rrianip Jwv u..,S RONN LARPENTEUR ( 206 )682-6393 RO4NL@PACIFICAIRCONTROL.4OM LENDER Per RGW 19.27.095: Lender information is NAME required ifproject value exceeds$5,000 NONE MAILING ADDRESS CITY.SIAM.ZIP III DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ _ VALUE OF PROPOSED WORK $ 11.017.80 SPRINKLERED BUILDING? ❑YES 7 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 9 YES ❑ NO WATER SERVICE PROVIDER 9 LAKEHAVEN 9 HIGHLINE 9 TACOMA 9 PRIVATE(WELL) SEWER SERVICE PROVIDER 7 IAKEHAVEN n HIGULINE 9 PRIVATE(SEPTIC) '7P )9 DO eo 1114111t • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. Sg.FT. SQ.FT. BASEMENT FIRST' EQUIPMENT ROOM 190 SQ FT 190 SQ FT 190 SQ FT SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE D CARPORT 0 NUMBER OF FLOORS cmc "ROPO n) TOTAL TOTALSZAIm ®IO Sr TOTAL PROPOSSr 'TOTAL Sr **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FLYTURE S Indicate number of each type of fixture to be installed or relocated as part of this project Do not Include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNIT'S EVAPORATIVE COOLERS GAS LOGS 2 REFRIG.SYSTEMS BBQS 2 FANS HOODS(co,00r) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Dt-serilx-) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS lor-neisbovor.combo) SHOWERS WATER CLOSE TS rrmico MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS uimn,o®sO.l VACUIIM 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,inclu ing its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE I7�'� (h eel,' DATE 7 7 OS (Signature) / (Tile) RELATIONSHIP TO PROJECT f r ❑Agent 44 Contractor ❑Architect El Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION a REPAIR ❑TFNMIT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES Ci NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? 0 YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100—January 7,2005 Page 2 of 4 k11-Handouts\Permit Application