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07-102508Clt' of Federal Way `Community Development Services P.O. Box 9718 Oederat Way, WA 98063 -9718 Ph: (2'53) 835 -2607 Fax: (253) 835 -2609 Mechanical Permit #: 07- 102508 -00 -ME Inspection Request Line: (253) 835 -3050 Project Name: PUGET SOUND BLOOD CENTER Project Address: 1414 S 324TH ST Suite B101 Parcel Number: 150050 0080 Project Description: STFI - installation of new supply a t 4r> air ding, install new inline exhaust fan and t.a ductwork. � Owner Applicant Contractor PUGET SOUND BLOOD CENTER AMBIENT CONTROL CO INC AMBIENT CONTROL CO INC 921 TERRY AVE 1411 R ST AMBIECC101PW (10125/07) SEATTLE WA 98104 AUBURN WA 98001 1411 R ST AUBURN WA 98001 Additional Permit information Mechanical Valuation .................. ..........................20000 Over the Counter Permit? ....... ............................... No Mechanical Fixtures *,Units ....................n .. ri' 2 -Ducts,,'... ....... ............................... 20 FINALED .i THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 102508 -00 -ME Owner: PUGET SOUND BLOOD CENTER Address: 1414 S 324TH ST Suite B101 FEDERAL WAY, WA 98003 -8444 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 S Date ZIF For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date < RECEIVED cm of MAY 4 8 2007 7 Federal way PERMIT CO MMUNITYDEVELOPMENTSERi(i�9'V (� � �� SF MF C ME L PL DE EN FP 333258n'AVENUE SOUPH•YO BO �Ui WING XPFOLICATION FEDERAL WAY, WA 98063 -97t 8 TD J j 253 -835 -2607• FAX 253-835-2609 rnww,cituo(feeieraliaau.com The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS , j / `� S • :5- ccee l � SUITE /UNIT # `U I ASSESSOR'S TAR /PARCEL # i S—' Q Q _ -0 - d 0 _& ° ©rJ ^' LOT SIZE (sfJ 30 ('00 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) L45 :7 t a (Affachs p—fe pngefor 1-9thy legal d,x fpf0,,) TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 'MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlu) :rX1 1t r -ld441 5�9QL)f lfc &f AJ cx� - dJC,kt o� ©� eK�5 -•-tn_5 PROJECT NAME (Name of Business or Owner Last Namel PROPERTY OWNER CONTRACTOR COPrd requi wiappllcatian APPLICANT PROJECT CONTACT LENDER NAME H�J MAILING' ADDRESS 4 " o ' Way to a. CnY, STATE, MP , to � quo 1 E -MAIL ADDRESS CO �AP?Y N E ICANT NAME .m rt, +_ tcrYti� 1 - LIC�� LINC; RESS,- CITY, rA'ZIY � t' S 1QU OFFIC PHONE CELL PHONE /p - , 7, )\ CITY OF FEbtRAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE 2- -p - /0 r _o6. / 2- i -0 FAX NUMBER 53) &� - ".� CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE m E C C 10 t 10CG✓ 1c,2-.2L5'_— E -MAIL ADDRESS e 45 �e `a,.-j CO ANY N E ih t 1 PLICANT NAME .� Lk k £Y>1q OFFICE PHONE MAILING ADDRESS 7 7 &,&J. C 11Y, STATE, ZIP r CA. CELL PHONE t20&) vo - 74.11j? RELATIONSHIP TO PROJECT rr_� ii -- ❑ Architect ❑ Tenant ❑ Agent X Other MCC jr as _, CGL A �-C FA KYse Vr- FAX NUMBER 053 ) e;7& Ca.k e_r N4Lr\ (20(PY) PHONE `.fro - & CA E-MAIL -1- L ADDRESS I'a QJh NAME Per RCW 19.27.095: Cdri • C Lender information is required f project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP /PHONE t ) - EXISTING USE _4i PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ LXXC ) 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) ? -2- e,6 b .4e,+` FLOOR 0 PROJECT AREAS 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 EWSTauc PROPOSw TOTAL Tar*11L2Ksr2vsP TOTAL PM1116M SF TOTAL * *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of f icture to be installed or relocated as part of this project Do not include existing fixtures to remain. 1Vatue of Mechanical Work $26,000 A OF BID OR S7 AIR HANDLING UNITS EVAPORATIVE COOLERS BBQS FANS BOILERS FIREPLACE INSERTS COMPRESSORS FURNACES DUCTS GAS LOG SETS MUST BE INCLUDED WITH APPLICATION) GAS PIPE OUTLETS WOODSTOVES GAS WATER HEATERS MISC (Describe) HOODS (Commereiull RANGES REFRIG. SYSTEMS PLUMBING BATHTUBS (o, T b /Sh— C,—bo) LAVS (Bamr... S¢mk5) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rr.iw) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS 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, inclu 'ng its o{Jicers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME /TITLE �G ^� _DATE (Signature) Mile) RELATIONSHIP TO PROJECT e Owner ❑ Agent Vontractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW c ADDITION ❑ ALTERATION c REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? n YES n NO BASIC PLAN? ❑ YES r NO ZONING DESIGNATION CHANGE OF USE? ❑ YES c NO NEW ADDRESS REQUIRED? ❑ YES o NO UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES c NO 1 Bulletin #100—April 2, 2047 Page 2 of 4 klHandoutslPermit Application