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05-103021 , S ' /- ' • City of Federal Way Mechanical Permit #: 05 - 103021 - 00 - ME Community Development Services 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: VOICESTREAM PWSF FIRE STATION CO-LOCATION Project Address: 31627 1ST Il~Ave S Parcel Number: 072104 9210 Project Description: Gas piping from propane tank(separate approval by FD)to back-up generator. Owner Applicant Contractor FIRE DISTRICT#39 VESTMAN CONSTRUCTION*GARY VESTh VESTMAN CONSTRUCTION*GARY VESTh 31617 1ST AVE S 16951 LEMOLO SHORE DR NE 16951 LEMOLO SHORE DR NE FEDERAL WAY WA POULSBO WA 98370 POULSBO WA 98370 98003-5201 (360)697-3221 Mechanical Valuation. 450 Over the Counter Permit. Yes Mechanical Fixtures D_ e_scription �Quantityl Description Quantity'[ Description Quantity Gas Piping __ --- 1 PERMIT EXPIRES December 21,2005. Permit issued on June 24,2005 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the us 1 be in at. e with the laws,rules and regulations of the State of Washington and the City of Federal W . Owner or agent- / i v! Date: '2 THIS CARD IS TO REMAIN ON-SITE CITY Of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103021-00-ME Owner: Address: 31627 1ST AVE S FEDERAL WAY, WA 98003-5201 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 J .f Date /1.2..01/4..t— ..01/4..t— By 111:: Date 49/ar i 0%A RECEIVe0 Federal Way JUN 2 3 Zoo PERMIT —" �� OONNUM7YDSVBLOPMENTSERVIt33S SF MF CO Q L PL DE EN FP 3332SSERALW Y,WA71.Po» 1 y OF FtOL A IIt, PLICATION FEDERAL WAY,WA!3063-971d 253435.2607.FAX 25343sz609 BUIL©f N G • - I w ww.dtyoffederalway.tom The oilowi • is -• ired in ormation-an inco •tete a••lication will not be acce•ted. Please •tint ie• •1 in or J/ > 7 ■ PROPERTY INFORMATION SITE ADDRESS /Pl C G ,4-' S '//kORC T T SUITE/UNIT i ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)°1-1- ) �GQ,o c�L /2c S7�i -r/1o4, (A Oath aeparaaPM.for JengdW1411 de a„) — ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING XjMECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PRO/ DESCRIPTION(Provide deed description of work included on 's rmit of U S /0//9/ 7�K0�N. ,9/,45Ue /PiV.0 j /06- lTWi t? .47 o,' PROJECT NAME(Name of Business or Owner Last Name) . D t C e 1 yeZ ! // v/_r /e • PEOPLE INFORMATION l { 10 r PROPERTY NAME PRIMARY PHONE OWNER94#4gc.C. Pe?vsgt-r7,1%- � ( ) - MAILING ADDRESS ( /CITY,STATE.ZIP CONTRACTOR �y MPANY NAME PUCANT NAV OFFICE PHONE VES77�ra,v anal_ _L (/GSTsna.� $40 )697 -322.1 MAIUNOADD MATE ZIP /6 pc,L Y CELL PHONE 6 - o .�o to ,i - igx...es�o Gl9.a- 370 (5k o )7/0 -997C CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER / EXPIRATION DATE FAX NUMBER -BL / / )69? y/ RACFOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE COVE -S7 r n C a .L 1 7 Y X 02 / /Z /2©cr APPLICANT NY NAME APPLICANT NAME OFFICE PHONE SS v- — „.7/4t- -C._ MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) - LENDER , - ;,:... . . ,,•. MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) y , - 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 0 CARPORT 0 NUMBER OF FLOORS =STOPS PROPOSED TOTAL **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. MECHANICAL _sem Value of Mechanical Work $ ) • AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS( Ji WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(D scribe) • COMPRESSORS FURNACES OAS 5 WATER HEATERS f'ldC O k- DUCTS GAS PIPE OUTLETS .�ytTblt� PLUMBING l7�_.'-�' BATHTUBS(or Tub/Shower C.mbo, SHOWERS WATER CLOSETS(uses MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sink', 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 authorised 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 relianc •f the city,inc uding officers and employees,upon the accuracy of the Information supplied to the city as a part of this application. / �{�^ NAME/TITLE / Re S L S'� \. DATE r 2` v-; ignature) (Title) RELATION/;�P TO P-.•JECT CIOwner a Agent Contractor 0 Architect 0 Other yea;. c.l,c,.(, . km-,r ? .f:, ;B__ I ") )t C )tt Ok,1t,, e,t,urxilif •;,,i*.vAs;Y ,tj ;a,WPC.ii4t:,);Ycp fati` , r :. .J'4,1t s,i:i(c :•;1-ti'E,('• ;`I7.-443Z-) `(fit -- '/4;011(a. ;) (tt'(r) 11 .0.4i .�t aT..,. iE r_ •7i09-;,4i T1o!a t )=4 t ) ,Fl:Y,:i ;(0-) ,'r-:` ;T,i.lf=)*�If�Ci!%' ,.�D+�- ;re! ;a t,Za: " ', .,5 t! 0, i(4- ;dot.r,ii-i7aleP: t�. jc) Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application