04-103969 / r
City
nmuniFederal Way echanical Permit #: 04 - 103969 - 00 - ME
Community Development Services
/
P.O.Box 9718
Federal Way,WA 98063-9718 I1
Ph-(253)8354000 Fax (253)835-2609 1 Inspection request line: (253) 835-3050
Project Name: ANIMAL ' PPLY
Project Address: 32001 32NDIS uite420 Parcel Number: 162104 9001
Project Description: Install split-duct AC Unit and refrigeration piping for the AC unit.
Owner Applicant Contractor
FOSS REDEVELOPMENT P S F MECHANICAL INC P S F MECHANICAL INC
FOSS REDEVELOPMENT P S F MECHANICAL INC P S F MECHANICAL INC
1111 FAIRVIEW AVE N 9322 14TH AVE S 9322 14TH AVE S
SEATTLE WA 98109 SEATTLE WA 98108 (206)764-9663
Mechanical Valuation 4000 Over the Counter Permit No
Mechanical Fixtures
Description Quantity L Description Quantity Description (Quantity
j Air Handling Units 1
PERMIT EXPIRES April 10,2005.
Permit issued on October 12,2004
I hereby certify that the above information is correct and that the construction on the above described property and
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. ��f /�,
Owner or agent:_.e7./� /�� /�0f;/ 2/�e'�l Date: /O/%2�(
• 4
THIS CARD IS TO REMAIN ON-SITE
--� Community Develop -,- ('Ilt Tn>pectii) _ _ rd
i al irk ay
I VJR LtiSPECT1ON _RI;QUL:3': I i i(JNE +r' (=53)
PERMIT #: 04-103969-00-ME
Owner: FOSS REDEVELOPMENT
Address: 32001 32ND AVE S Suite 420
FEDERAL WAY, WA
This card is part of your required inspection documents Scheduled inspections ma; be failed if this card is nut on-sue !N) ()c is'i'i i IS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom) Nc.ise schedule inspeLJ ions as apt); i.ite \Volk gnu;; not
be - ' ,; !fl it 1,.1,-pncved. Check with you f;, :;.sure about any oft} t ; , c. .L 1,..7pection sequence On ;,!,on,
are logged on the back of this card.
Approved Approved to release test �i Approved
By Date By Date By fir Date /0,0171.1
tenor�!.� . r4- - a 3 12 . _
Federal Way RECEIVED PERMIT '
COMMUIVilY DEVELOPMENT SERVICES
SF MF CO ME EL PL DE EN FP
3J32Fda•AVENUE SOU771•PO 971 9718 A::• PLICATION -TD
FEDERAL WAY,WA 9d063-9714 SEP 2 9 �
253-835-2607•FAX 253.835-2609 09
unuw.cituolfederoheau.com V ! / i
CITY OF FEDERAL WAY l
The following is require; biLot;:31! • - •n incomplete ap•lication will not be accepted. Please •rint legibly(in ink)or type.
- .• . , . • PROPERTY INFORMATION
SITE ADDRESS Foss Ec7, C cin-( (AS ),32D:)1 5.33-Id Ive,RPa 1 In l`J Q SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# Z I S Li. (0 5 - (J C) 1 O LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1,,jikoveco.• >\LvZZ } y.\:Ar,F Lc r-
,separate page for lengthy legal d pnonf
■ PROJECT INFORMATION -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
%
fl----1_0 (:):. SSA<—camf _ P C _s,(-��• -I— liff Z , 6ci- p "
PROJECT NAME(Name of Business or Owner Last Name) AY\\'CY103, S v\( ,T.Z,
• • PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER FOSS '�cveo'Pmertk- ( ) -
MAILING ADDRESS CITY,STATE,ZIP
cO 6ox 6314144cl Sec t{e, w i ►'2 eS ID-Lt
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
PSFACC Arkc.J\C ,':irc. ,91-\anrro►n M'11\er (2.124 ) O`1- - (1(.663
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
C 3 11 I W\ 1 venue S. k-1-\-e) ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX FAX NUMBER
2 0 -.0Q-1 O L s2
- -B L 12 / 3 ( / o. ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
P S F4 E i_ -* O g O N m. 10 /o( /2f'0.S
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
P5F Mecklanico.\,a.m. &Ian nor ' \e-- (20(0 ) 3-(54-1 - q(oh3
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
C\33• • \ kienUe S• C t C, \ 44 CV o ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER p�
0 Architect 0 Tenant 0 Agent 4] Other(Describe) CrvAro.0 Or' ( 2U(,) ---4,10 . C�
,Ipa - 3E I
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Mvv Af\YI v ner (ecce T - c1/04,3 mkTer mukv
LENDER •Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• .■ DETAILED BUILDING INFORMATION - -
EXISTING USE PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
.. ..is Vs'''.• _ ,
• • PROJECT FLOGR AREAS •
AREA DESCRIPTION
EXISTING SQ_F:X. PROPOSED S•.FT. TOTAL
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL.PROPOSED TOTAL EXISTING AND PROPOSW
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
-:.: ; :--1: : `---•;-_.=FIXTURES - . - - ;% _
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $.4 Ono.C)n
AIR HANDLING UNITS
GAS LOGS REFRIG.SYSTEMS
EVAPORATIVE COOLERS WOODSTO ST
FANS HOODS(c...........4MIST(Describe)`
' I
FIREPLACE INSERTS RANGES �
BOILERS GAS WATER HEATERS S
BBQS
COMPRESSORS
DUCTS
BATHTUBS(o,Tub/shoFURNACES
GAS PIPE OUTLETS
PLUMBING WATER CLOSETS(rode) MISC(Describe)
te.<rCombol
SHOWERS
DISHWASHERS
GAS PIPE OUTLETS
SINKS DRINKING FOUNTAINS
SUMPS RAINWATER SYST
HOSE BIBBS
WASHING MACHINES URINALS
VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS(Bathroom Sulks)
—_r=.- :- =