07-100313City. of Federal Way Mechanical Permit #• 07- 100313 -00 -ME
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: STERLING SAVINGS BANK
Project Address: 31620 23RD AVE S Suite 104
Parcel Number: 092104 9051
Project Description: Install (2) VAV bxes with reliable control. To include ductwork and diffusers
Owner
Applicant
Contractor
BALLI ROAD LLC
PACIFIC AIR CONTROL INC
PACIFIC AIR CONTROL INC
31620 23RD AVE S UNIT 218
11812 NORTH CREEK PKWY N
PACIFAC2301`8 (10/01/07)
FEDERAL WAY WA 98003 -5049
BOTHELL WA 98011
11812 NORTH CREEK PKWY N
USAY
BOTHELL WA 98011
USAY
Additional Permit Information
Mechanical Valuation .................. ..........................19443 Over the Counter Permit?....... ............................... No
Mechanical Fixtures
0-1-
3�
FINALED
A
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100313 -00 -ME
Owner: BALLI ROAD LLC
Address: 31620 23RD AVE S Suite 104
FEDERAL WAY, WA 98003
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date
Federal Way �,'ERMIT
COMAUNITYDEVELOPMENTSERVICES SF MF CO E L PL DE EN FP
33325 8T" AVENUE SOUTH PO BOX 9718�P aP L I C ATI O N
. FEDERAL WAY. WA 98063 -9718
253- 835 -2607• FAX 253835 -2609 S `
www.citUO((ederalwaU com ((``��` q\ v
The following is requii'�d iioo rmation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY • •
SITE ADDRESS 3 f 4�,2 d 23 rel A v -s, "j l=ed era( W A%) WA C' 8063 SUITE /UNIT # I vT
ASSESSOR'S TAX /PARCEL # 0 1 2 0 _, - 01 0 15 t LOT S�IIZE (sfl T-
LEGAL DESCRIPTION (e.g. Acme Estates, Lot]) 5+ex -1 i m A Sew (M -s �Glr ktewl e X2C i>t1 V e
(Allach separate P'g'j�1 —qft legal de— tplinN
PROJECT • •
TYPE OF PERMIT O BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION.O�ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oni_t♦)
+»11 (al ` AV boxes lu +1, r- e,ti&we ccn-[-r-a o - 7sW( Ne.
c(uGfiW;Ark a40 q i-� U:5ere
PROJECT NAME (Name o Business or Owner Last Name) PACV-�Ut-
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
COPY of card regeired
with etch appue tf-
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
8x A T Cox rti (ZC� ) G19 2 -Gs�3
MAILING ADDRESS CITY, STATE. ZIP E -MAIL ADDRESS
i1�02. N. C-i eek l2y, IV.'*/C# bot e() WA 1901
COMPANY NAME
Pacif -Ic Air Co-n°k'at
I APPLICANT NAME
�ViK
OFFICE PHONE
(ZG(v) (.-,Sy -&3q3
MAILING ADDRESS
t�St2 A), ,ee- k PKw lit ' #tick
a
MAILING ADDRESS
19 12 iy,. Cree-L P AJ, 1 O
CITY, STATE. ZIP
E3oil-ei� WA 990(t
CELL PHONE
( ) -
FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICFASE NUMBER
2 0 w p f 2� y. -005L-
EXPIRATION D TE
i2��/�� -7
FAX NUMBER
(2(*) 340 -227D
CONTRACTOR'S REGISTRATION NUMBEOAC
AC tFAt 23f�r'IFA C> sPC
EXPIRATION DATE
IC10i'200t-J
E -MAIL ADDRESS
PAC �;c
COMPANY NAME
PcLo.Vic kic Coxto
APPLICANT NAME
J:� ev i vt L 0
OFFICE PHONE
(2W �) & $ ;7- 3q 3
MAILING ADDRESS
t�St2 A), ,ee- k PKw lit ' #tick
a
CITY. STATE. ZIP
' +,e(I WA q�c^►I
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAME (� PRIMARY PHONE E- MAILADDRESS
l /Or1 -G39 c�t1@ l�:cn;rc: ittmi w1
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRiNKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES - ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
C.vw�
PROJECT FLOOR
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S . FT. S . FT. S . FT.
,BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EusnRC PROPOSED Tarty, TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or r 1 at
as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Ul
LAYS )Bathroom Smks)
Value of Mechanical Work $
(A C Y O B OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
2_ FANS
GAS WATER HEATERS 2_ MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS 1commerrr p VAN/ b6yp-e)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PL MBING
BATHTUBS )or Tub /Shower Combo)
LAYS )Bathroom Smks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS rr�ueq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
NEW ADDRESS REQUIRED? o
I certify under penalty ofperjury that the information furnished by me is true and correct to the best of my knowledge, and further, that l
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
)Signa
RELATIONSHIP TO PROJECT
❑ Owner Agent Xcontractor
5`1if):'rtDATE I 9167
o Architect o Other
Bulletin #100- January 1, 2007 Page 2 of 4 k\Handouts\Permit Application
o NEW ❑ ADDITION
o ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN? o YES
c. NO
ZONING DESIGNATION
CHANGE OF USE? o YES
c NO
NEW ADDRESS REQUIRED? o
YES o NO
UP /SEPA /SU? o YES
a NO
PLATTED LOT? ❑ YES o NO
DEMO PERMIT REQUIRED? o YES
c NO
Bulletin #100- January 1, 2007 Page 2 of 4 k\Handouts\Permit Application