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CITY OF"w �P,ERIT SF MF CO PL DE EN FP
Federal Way ` ���///
COMMUNITY DEVELOPMENT SERVICES kTION A
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SITE ADDRESS Y! SUITE/UNIT#
3 2 C q A dii ?t-, -.
PROJECT VALUATION ZONING ASSESSORS TAX/PARCEL#
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TYPE OF PERMIT ❑BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) .,.. . 1.0 Ld-iQ'�al)
PROJECT DESCRIPTION -4A.6'�Y d e Pi-) �F a 3 _TO- A.1
� �� I I4 56 F J _T p
Detailed description of work to A044--R6ylf� Gj t iti5,S7� -7` Ji4 /c,c, ?-Ltc4..-v -
be included on this permit only
NAME i,ry _/,.,,� }}-!� jj ,, PRIMARY PHONE
PROPERTY OWNER 1•.1AZ e-LE„1•.,- /'IltljLt l/y kL.J?
MAILING ADDRESS J E-MAIL
14 ZS.c- S 6. .,Z1 C ' PL,
CITY y,� STATE ZIP
I/ KL•J*— L )r� C7 4:1 _
('V, /NAME . _ PHONE
VYYY��� ,Cr2 's,. 41 Z.c: vrc�t.s-dlid 2c' X41 bS1
MAILING�RESS����� E-MAIL
CONT• ' •. 4 ' CCCYYY �i
1 ., CIj,' STATE ZIPFAX
'1, 0\ . 4-i4- - r' Ed =tc 2Ci� 24/ ,:21 4 l
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PHONE
4/...e, lJkite,
, ,(i
. 2 rig' ,..24)A 405--/
APPLICANT ING ADDRESS E-MAIL
APPLICANT A
CITY STATE ZIP FAX
511—054'14/-1.- L.e, gni _ ems . 41 A931
PROJECT CONTACT NAMEA/ •
Vhs 4 i 1G` • PHONE +�6
(The individual to receive and /� �� 2Z 1�`47
respond to all correspondence MAILING ADDRESS / � E-MAIL
concerning this application) ✓ 13-G4 &to L 7 1/.7 4L 0-1.1 kv'4lIC S-eV'/(;. i . tic,
CITY STATE ZIP FAX
517,4411-1C A 9-.1419
ALTERNATE CONTACT NAME: PHONE E-MAIL
avAey Z3 El 1n10,24/,2Lsi 6--13k-1-6 isbAl.
PROJECT FINANCING NAME , //�1
/�/ ot— ED OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 ass a part of this application.
SIGNATURE: a4/V I S In_ I /C1C1 DATE //3,1
PRINT NAME: L.41 zee.,e� 6 t.✓
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ /3/ 4;5 (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
/ AIR HANDLING UNITS FANS GAS PIPE OUTLLIS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type offxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
U + 44 DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
1�' DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utllity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTItiG PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY L)3
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application
1110 • Mechanical
CCommunity& Econ.of ralDev.aServices Permit #: 12-100440-00-ME
33325 8th Ave S
Federal Way,WA 98003 Vat* 1
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DB SQUARED
Project Address: 33320 9TH AVE S Suite 200 Parcel Number: 926501 0045
Project Description: Installation of a 3-ton packaged rooftop heat pump and associated interior ductwork for a
server room.
Owner Applicant Contractor
DB SQUARED INC NORTHWEST AIRE SERVICES(GENERAL) NORTHWEST AIRE SERVICES(GENERAL)
6720 FORT DENT WAY SUITE 175 PO BOX 66070 NORTHAS963K4(5/24/12)
SEATTLE WA 98188 SEATTLE WA 98166 PO BOX 66070
SEATTLE WA 98166
Additional Permit Information
Mechanical Valuation 13650 Is this an Online or O.T.C.application? No
Mechanical Fixtures
Ducting 1 Roof Top Units 1
PERMIT EXPIRES Sunday, August 19, 2012
Permit Issued on Tuesday, February 21, 2012
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
��'�� , / d the City of Federal Way.
Owner or agent: Ei�:.•�q `�i.. Date: 2—.2 l—G
345/i2
DATE INSPECTOR AREA AND TYPE 0 NSPECTION
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-100440-00-ME Address: 33320 9TH AVE S Suite 200
Project: HAZELETT FAMILY LLC III FEDERAL WAY, WA 98003-6391
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) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date ByDate
•
. . ��1�►.�, a N� , , �k� im s-_,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date