07-101574City of Federal Way
Community Development Services Mechanical Permit #: 07-101574-00-rAE
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: VERIZON AT THE COMMONS
Project Address: 2125 S 320TH ST Parcel Number: 762240 0010
Project Description: Installation of (3) new RTU HVAC units and distrubution duct work. Restroom exhaust fan
and ducting.
Owner
Applicant
Contractor
STEADFAST COMMONS LLC
AMBIENT CONTROL CO INC
AMBIENT CONTROL CO INC
1928 S COMMONS
1411 R ST
AMBIECCIOIPW (10/25/07)
FEDERAL WAY WA 98003-6013
AUBURN WA 98001
1411 R ST
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation .................: ..........................30328 Over the Counter Permit?....... ............................... No
Mechanical Fixtures
.................... fn uc t-.14-."; ........................................... 3 Fans.............. ............................... I
• THIS CARD IS TO REMAIN ON -SITE 4.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101574 -00 -ME
Owner: STEADFAST COMMONS LLC
Address: 2125 S 320TH ST
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 �%
f RECEIVED
' CITY OF O -7
Federal way PERMIT
COMMUNITY DEVELOPMENT SERVICEMAR 2 6 2007 SF MF CO ® EL PL DE EN FP
33315 81 AVENUE SOUTH • BOX 9718 p LI C ATI O N
FEDERAL WAY, FAX 98063_9718 g TD -
253- 835- 2607•FAX253- 835 1'�i OF FEDER }
wurw�cRyofjederahunu. corr. BUILDING DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS
s� s -3.
ASSESSOR'S TAX /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
'M
SUITE /UNIT #
LOT SIZE (sfi
/Attach separate page for lengthy legal descriplion)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING W4ECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DESCRIPTION Cgrouide detailed description of work included on this permit onlu)
2
A
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAMF
PRIMARY PHONE
MAILING ADD SS
I CI ,STATE, ZIP
E -MAIL ADDRESS
ADDRE
, ST TE, ZIP
m
r
COM N E
APPLICANT NAME
/%
OFFICE PHONE
(Izv ) lfw
- 'r`Y -?3
ADDRE
, ST TE, ZIP
m
r
CELL PHONE
(20-s u-x
-/ Zo
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
X20 - vS =Iv�S' /x`00 -lyL
LfX151RATION DAT
12 3� a
FAX NUMBER
(2s )��
-5'S3
CA /q ETC— C C- 10 l P�
E1�
?� o 9L_
EMAIL ADDRESS
C NAME
APPLICANT NAME
OFFICE PHONE
( )
-
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
�►
r� 6('461
PRIMARY PHONE
(266 ) VC)
- / Z v
E -MAIL ADDRESS
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)
PROJECT ••
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 EXISTING PROPOSED TOTAL. 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
MECHANICAL �t ', k f.•.JL I —
Value of Mechanical Work $ v (A -COPY OF BID OR E,z
3 AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub /Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bat broom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
as part of this project. Do not include existing fixtures to remain-
. I. .
s-ri w
MUST BE INCLUDED WTTH APPLICATION)
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commereiai)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS iroaeO
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 A-Z--
(Signature)
RELATIONSHIP TO PROJECT ❑ OWner 0 gent
(Title) -
❑ Contractor ❑ Architect ❑ Other
3- -..26-d3-
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ATENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES 3*NO
BASIC PLAN? ❑ YES
^NO
ZONING DESIGNATION
CC- L
CHANGE OF USE? ❑ YES
4NO
NEW ADDRESS REQUIRED? ❑
YES ANO
UP /SEPA /SU? ❑ YES
XNO
PLATTED LOT?
S ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
NO
Bulletin #100 - January 1, 2007 Page 2 of 4 k \Handouts\Permit Application