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04-104374 t' a City of Federal Way • . Mechanical Permit #: 04 - 104374 - 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) 835-3050 Project Name: HOYT ROAD SHOPPING CENTER RETAIL PAD B Project Address: 34024 HOYTtSV' Parcel Number: 30.8900 0320 Project Description: Installing ductwork,grilles,registers and restrooms exhaust fans for 5 new tenants in the new Hoyt Rd Pad B building. This is for tenants in the B,C,D,E,&F suites. Owner Applicant Contractor HOTIE TOYTIE,LLC C/O NICHOLSON INVE UNIVERSAL REFRIGERATION INC. UNIVERSAL REFRIGERATION INC. 2333 CARILLON PT PO BOX 614 PO BOX 614 KIRKLAND WA AUBURN WA 98071-0614 AUBURN WA 98071-0614 98033-7353 (253)939-5501 Mechanical Valuation 14340 Over the Counter Permit No Mechanical Fixtures 4Quanti Description rpuenti Description i[ antity; - --Description= - -- -== - entity - � Ducts II 5 Fans i 6 1 PERMIT EXPIRES April 30,2005. Permit issued on November 1.,2004 I hereby certify that the above information is correct and that the construction on the above described property arid the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent:<" / Date: //—/ f „.._ r( THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development InsiSection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-104374-00-ME Owner: BRENT NICHOLSON Address: 34024 HOYT RD 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. 0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By C,63 Date IZ. .3"e' C1 o o 4, 4 c42. w � Q ' - CT- T7 / , - / l ) 'Th .1 sisss • ,�� , RECEIVED. l CRY OF . 1 (-_-1_ __ I 4 Federal Way n`' PERMIT SF aleD 3OMM1MUNITYDEVELOPMENT SERVI4cT 2 5 2004 SF MF C� L PL DE EN FP 33530 FIRST WAY SOUTH•PO BOX 9718O APPLICATION D FEDERAL WAY. X 53-6 7T1 /P - AO - 353-667-4115•FAXA 3 -6 z OF FEDERAL www cttyoffederalwaucorn BUILDING DEPT. The ollowi • is re•uired in ormation-an Inco •fete a••lication will not be acce•ted. •le• AMICIIIPPAI ley PROPERTY INFORMATION SITE ADDRESS 0 0 I r. r i SUITE/UNIT ASSESSOR'S TAX/PARCEL# ,' D O Q- , Z d LOT SIZE(s) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal descnphon) PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING ❑ PLUMBING X MECHANICAL o DEMOLITION XELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTIOONN (Prove detailed description of work included on this permit onlu) , rr e GLt.I� kVOY'k 9I/vi25' /9.L pe t'S�C.rt'Sf,- w� ex 4.0-70,(1' 71 �0 (moi /� l N c // �'X/ .LGI f fief i./e.+1714:7 PROJECT NAME(Name of Business or Owner Last Name) I l0erza d �! Cp /y' Te f g PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 0 7 7 y* P�l ( ) - MAILING AD ESS ( CITY,STATE,ZIP 0 ”3 Cewi//i01 . RI- K.I'V4 I, 'v CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE WH f v�4,"Of i �� ( Z ) 9n - -9-40/ MAILINGA5QE c�Y , /CITY, T T //�/!�/ (UO7/ ELL PHONE - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER L1 -9L-16-7-Qq _ -- B L (Zl 3( b d'( (25,)73$ `q32. CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE _PW/v �/ /5q/-f y 1 ( / ©C, APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE aid w`e.rsa( f P�A/Es (25-3) 939 SSD( MAILING ADDRESS���(����^�' CI STA E,ZIP CELL PHONE RELATIONSHIPF.c PROJECT b �f 9867/ (AX NUMBER) ❑ Architect 0 Tenant XAgent 0 Other(Describe) (25') 73 -37$ Z- CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS eive 1Tae (253) 939 - ASO/ LENDER Per ROW 19.27,095: mer ittroY maxum is, , NAME /, required if project value exceeds$5,000 p m/L k e / Lt.ert ',C(, MAILING ADDRESS , i' e. iS CITY, 15STATE, -f 4(7,01- . ?g/�/y ,VV ,T/T(�DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE [� � EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ / //V3!Z+ 0 SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) o79d90 a$$ A PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL*'O°TQ° TOTAL'o'ND TOTAL ITIMATOIOAND ritOPOAIED **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 Value of Mechanical Work $ /�r `T 3 O 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 filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE /� DATE !C) ^22--T---0(Signat (Title) / 1(( RELATIONSHIP T ROJECT a Owner a Agent xContractor ❑ Architect a Other a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? • • ,a YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO • NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES ©NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application