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16-105931 Mechanical City Community fDevelopmentFederal Dept. Permit #:16-105931-04-ME 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: HOME STREET BANK Project Address: 33405 8TH AVE S Parcel Number:926500 0060 Project Description: Furnish and install new duct/diffusers and relocate existing diffusers per plan. Furnish and install(1)new ceiling exhaust fan for the server room,vented to ceiling plenum. Owner - Applicant Contractor LBA REALTY FUND II-CO I LLC UNITED SYSTEMS MECHANICAL UNITED SYSTEMS MECHANICAL PO BOX 847 1400 AIRPORT WAY S SUITE 202 UNITESM962QA(11/1/18) CARLSBAD CA 92018 SEATTLE WA 98134 1400 AIRPORT WAY S SUITE 202 SEATTLE WA 98134 Additional Permit Information Mechanical Work Valuation? 11175.00 Is this an Online or O.T.C.application? Yes . Ducting 1 Fans 1 CONDITIONS: Subject to field inspection with plans. PERMIT EXPIRES Tuesday, 13 June,2017 Permit Issued on Thursday,December 15,2016 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. Owner or agent: Date: /2-1/C ( 16 THIS CARD IS TO REMAIN ON-SITE x � 40A. Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16 105931 00 Address: 33405 8TH AVE S Suite 200 Project: LBA REALTY FUND II-CO I LLC FEDERAL WAY WA 98003-6305 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. •Q Mechanical Rough-in(4165) „El Gas Piping(4125) "0 Final-Mechanical(4065) , Approved Approved to release test Approved,, ..By AO Date )212,C1)(a 1..By Date ...By !�v Date .2/'1/17 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date .‘ • PERMII APPLICATI O N Federal PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325 253-835-2607 QYfvpermitcenter(ccityoffederalway.com dr Sin PERMIT NUMBER ((42 _ 0 .5- 9 - ( _ Ik/tDEC 1 5 2016W pm /0111/// TARGET DATE CITY OF FEDERAL WA SITE ADDRESS CDS SUITE/UNIT# 3i-,t(f 54 /kW"CAI., x'91.fli z-r,,— PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ (I/ 175.oo `l 2 6 b o _ 0 0 6 o TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING NrMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT rttk'hist, and thy(-aj( -hew d(.4,‘Vd A,.re✓t QNB ' Ia C4 1701 vt PROJECT DESCRIPTION Detailed description of work to ecit 4-l''9 el,' Nde✓r re✓ p ht i4. f ki'bt.Tt, Q.-tL fst,t4,tl be included on this permit only /� 6ht ne-kj C6 t• lint e�IN Flan 4 r Ad- fev✓ar vDon, ven..-ed NAME `MARY PHONE 1_1A- IZCil-s-fr Y Fuwp Id (pm) gu.. OSiop PROPERTY OWNER MAILING ADDRESS E-MAIL 3 5 4 7 AA G11 15o4 D rr-ve CITY STATE ZIP f r vAh,a u+- x2.61 Z' NAME l(Ntrc© fVriw t lite-Cwit-ri c 1.- PGS 9133- 6036 MAILING ADDRESS .64-4 E-MAIL _ CONTRACTOR NO° 4Irr 0'"r Wel S� Z fomr s-r e[tia aT e.d, an, CITY sieiit/If STATE ZIP FAX WA' L b !3 4 (2:00 ?3 7- 7"Sill 1 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE l/FFEEDDERAL WAY BUSINESS LICENSE# 0NlT(SI416144 /1 / / / /g NAME To ril /I L Q p y P ARY ONE ,`G. �y ,PH6 0 L- 17/I APPLICANT MAILING ADDRESS �^ L , E-MAIL (Y40 A(rpp^t Wing J`Jw� J.* J2 71,144 us-h.e4i4niGar•CQ.44. CITY V.?a .�j 1�I",MSTAVE ZIP lei i 7 / F o 6177_ 7 0 8 q NAMET' Z PRIMARY PHONE PROJECT CONTACT 5,4 ate as a/Po Gteeyt (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING Nik 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 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, 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. D-34/11)..et--4 / ( 7 5 r(C SIGNATURE: DATE PRINT NAME: �� /Cell., `/ Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application