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05-104913 ft�� .� • City of Federal Way Mechanical Permit#: 05 - 104913 - OQ ME .community Development Services PO Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 1 Project Name: DAVITA FEDERAL WAY Project Address: 1015 S 348TH gt Parcel Number: 202104 9140 Project Description: Installation of(1)split system heating and cooling unit and ductwork. Owner Applicant Contractor CITATION MANAGEMENT GROUP EVERGREEN REFRIGERATION EVERGREEN REFRIGERATION 5312 PACIFIC HWY S 727 S KENYON ST 727 S KENYON ST FEDERAL WAY WA SEATTLE WA 98108 SEATTLE WA 98108 (206)763-1744 Mechanical Valuation 17800 Over the Counter Permit No Mechanical Fixtures Description Quantity L_ Description Quantity Description TQuantity -Air Handling Units 1 PERMIT EXPIRES March 29,2006. Permit issued on September 30,2005 I hereby certify that the above information is correct and that the constru 'on on the above described property and the occupancy and the use will be 'I .rdance with ti aws, . - Ailrregulations of the State of Washington and the City of Federal Way. Owner or agent: Date: �© ^ ©s ,A THIS CARD IS TO REMAIN ON-SITE , - CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 _ PERMIT#: 05-104913-00-ME Owner: CITATION MANAGEMENT GROUP Address: 1015 S 348TH ST FEDERAL WAY, WA 98003-7027 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) I Final-Mechanical(4065) . Approved Approved to release test Approved , By L./t C Date lD//3/o( By Date By r II Date I Z b CJ1 o L 73, n_ 0 7, f.,, y .7,..,r..,. . ._, t) z c� c 0 ,P .1i f n 0 . , iiA . c / oqq / 3 F peralWay P1RMI'jEGEIVEp COMMUMTIDEVELOPMEM•SERVICES SF MF Ct EL PL DE EN FP 333258*" FEDEAVENURAL Y,W177t•PO79718 APPLICATIs ,1�T3 2005 TD Ti -� / Q FEDERAL WAY,WA 98063-9718 �( 253-835-2607•FAX 253-835-2609 �/1 5 i www.dhro(kderalway.com (f ` The oIlowi • is re•uired in ormation-an inco •fete • ••li,;iy, s'-"WADE itelag•%ted. Please •rint le•ibI (in in or -. `` II l''C R A' PROPERTY INFORMAM:C l SITE ADDRESS ' o 5 S = g`" D . St� -f- r ec e CA\ O( SUITE/UNIT N ASSESSOR'S TAX/PARCEL# V /v ( 9 - -I 1 `7 C) LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 'MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) `r‘r�_ a l\ come_, S \;-4--- S\S deo* rNo. c1- ( OC)\;e--‘s vr' \- ' PROJECT NAME(Name of Business or Owner Last Name) pall\L'I G \€ • PEOPLE INFORMATION PROPERTY NAMENAr- PRIMARY PHONE OWNER l- \ Cyt tA O yC V krC)Li 0 ( ) - I MAILING ADDRE S CITY,STATE,ZIP .5 51 a Vc,G-�`c, v� , ''fie--, l • q tk I CONTRACTOR COMPANY NAME (� APPLICANT NAME OFFICE PHONE %.2, t,. \/ �(eA n .-rk � {-ice (-2(6)`11) - t 14L{V MAILING ADS CITY,STATE,ZIP V CELL PHONE ( �'? Z1 S . \40P-N Sit'• SeD t�,\n1 - lJ`V CITY OF FEDERAL WAY BUSINES LICENSE NUMBER EXPIRATION DATE FAX NUMBER 2a- oc)-la LLQ ..-B L /.2_ /. /e5 ( ) - CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE . _\/--e 'R G-17x ,2 to \ 0 7 `7 /31 /6(,, APPLICANT 1COOMMPANY NAME �i � APPLICANT NAME ' OFFICE PHONE COES t i CITY,STATE,ZIP — ( t( )'7 > 1`)4 Li� MAILING 79:7 S. l2,e,>n\i(Y\ cm-fi telWfot. Q8-1v8 ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAMEPRIMARY PHONE E-MAIL ADDRESS dc M\{e (1014 )-1t3 -n4u Y� LENDER ': ,e' Itti+D? ,' ". X:Kt, '!y,',.f;i :•''S . . R .. • NAME f AI MLING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE _;,�..' ,. PROPOSED USE It / EXISTING ASSESSED/APP' • ,` ALUE $ UE OF PROPOSED WORK • SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRES •N SY'TEM PROPOSED/REQUIRED? ❑YES ❑ NO 1 WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 BIGHLINE ❑TACOMA 0 PRIVATE(WELL) SEwER SERVICE PROVIDER a LAIEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) - PROJECT FLOOR AREAS �'` AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ. FT. SQ.FT. BASEMENT FIRST it SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 I marrow PROPOSED TOTAL -.f TOTAL�E'NISTINO sr. ": . '"-,TOTAL PROPOSED Sr Z' TotAL sr :;,yg NUMBER OF FLOORS .,:- ` '. �; •W" ,.:3�rx; _ . 'z.e , **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES . Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MEC,&A1VIC.AL ". Value of Mechanical Work $ I-7; 1 AIR HANDLING UNITS EVAPORATIVE COOLERS _ GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commerc,al) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES _ MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS I DUCTS GAS PIPE OUTLETS PLUMBING i BATHTUBS(or-rub/showsrCombo) SHOWERS WATER CLOSETS(roue) 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 filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and .loyees,upon the accuracy of the information supplied to the city as a part of this application. / NAME/TITLE — (Signature) .��2 (Title) 9 DATE ( 2 1— °5 RELATIONS PROJECT . Owner I :Lent 0 Contractor 0 Architect 0 Other '.....63-Wit- ..'-',4,4-44.A. !ITION;kE z ' :AI.�,14, R,ATTON`t r e,cARfi TMPR MINT., . . 1 1 1 I -;,:, iELL' ?+' d:i,.�,tat. � "' ,nx i ' r- s... '�1.:;❑1*‘,' IN,OA �£4'. et '_ - ,..,�«„� ��' �..,..M. Os�=',,�? �EB�SICyPI'AN..�c�� r'� 04:�_ r. Tl�,..�`�„��`.:_r: , ^ •-1 ' �+i(GNA'1.'IUN a: a-;.,<` r"'i,: d�• s:tilr,=i ,x eaf";•i. +` s� `:-•s `,o,YE.S' :p`ilp rte'_ � -;�i: r�:�v. =�CHANGE�OF�US�?���-,t,� �•.,:.,.��> . �.. , a ti 'dl, /�,�FQUIRED�~��' ��NO�,.::�= ='•' i�u•r'>. . ,_� SUP/BFPO/rS.II?'� _ -77:`,.::-.'040#0i44:2179;444.:,-5',:,,!;:,N:, �,x -,...�_a�:. 'r_'•1' _ ",y'., " ,, 1`�,�..,:`. ,r,;,"�`". :�r=; 'cs'3.• .,MO '.1 1j,._._.. D.s:..t i .�,-S•- A. isi•u•, ,., I 0 Bulletin#100—January 7,2005 Page 2 of 4 k\I-landouts\Permit Application