10-104417P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: SPENCER BASTRON CHIROCPRACTIC
Project Address: 1010 S 336TH ST Suite 120
• Mechanical
Permit #: 10- 104417 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 926501 0010
Project Description: Install new vav box and related ducts and diffusers, subject to field inspection.
Owner Aeglicant Contractor
OMNI PROPERTIES INC I E C S INC DBA SEATTLE MECHANICAL I E C S INC DBA SEATTLE MECHANICAL
909 S 336TH ST SUITE 103 (GENERAL) (GENERAL)
FEDERAL WAY WA 98003 899 W MAIN ST IECS * * *044QL (11/20/10)
AUBURN WA 98001 -5254 899 W MAIN ST
AUBURN WA 98001 -5254
Mechanical Valuation.. .......................................... 6900
Is this an Online or O.T.C. application ? .................Yes
.......................... 9 Fans ........
PERMIT EXPIRES Sunday, April 17, 2011
Permit Issued on Tuesday, October 19, 2010
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. g
Owner or went: Dater � ( ? -z y
0/? ts//o
City of Federal Way •
•
Community Development Services F
FILE
Project Name: SPENCER BASTRON CHIROCPRACTIC
Project Address: 1010 S 336TH ST Suite 120
• Mechanical
Permit #: 10- 104417 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 926501 0010
Project Description: Install new vav box and related ducts and diffusers, subject to field inspection.
Owner Aeglicant Contractor
OMNI PROPERTIES INC I E C S INC DBA SEATTLE MECHANICAL I E C S INC DBA SEATTLE MECHANICAL
909 S 336TH ST SUITE 103 (GENERAL) (GENERAL)
FEDERAL WAY WA 98003 899 W MAIN ST IECS * * *044QL (11/20/10)
AUBURN WA 98001 -5254 899 W MAIN ST
AUBURN WA 98001 -5254
Mechanical Valuation.. .......................................... 6900
Is this an Online or O.T.C. application ? .................Yes
.......................... 9 Fans ........
PERMIT EXPIRES Sunday, April 17, 2011
Permit Issued on Tuesday, October 19, 2010
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. g
Owner or went: Dater � ( ? -z y
0/? ts//o
Mechanical Valuation.. .......................................... 6900
Is this an Online or O.T.C. application ? .................Yes
.......................... 9 Fans ........
PERMIT EXPIRES Sunday, April 17, 2011
Permit Issued on Tuesday, October 19, 2010
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. g
Owner or went: Dater � ( ? -z y
0/? ts//o
0w
Federal Way
PERMIT #:
THIS CARD IS TOR 'MAIN ON -SITE
E Construction In ction Record
INSPECTION REQUE TS: (253) 835 -3050
10- 104417 -00 -ME
Address: 1010 S 336TH ST Suite 120
Owner: OMNI PROPERTIES INC Federal Way, WA 98003 -6385
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)
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
B
Date
By
Date
By
Date ---
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
0 - rU y ZI.L2
Fe HERMIT ECEIV5dD
Federal Way PL DE EN FP
NnY �EM fC� APFLICATIO
253 -835- 2807•FAXxi ,"B'2=9
OCT 19 wo
SITE QDRr8,8S F FEDERAL W
'
rao
PR Ion VALUATION
$ 200
ZONING
ASSESSOR'S TAE /PARCEL 0
1 q 2- dr i � 1- �2
TYPE OF PERMIT
0 BUILDING O PLUMBING 9 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
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/ IV /Z-d. '/ �C',
1' IennntNanu /llonuoiorecrLnsLNaiaxl
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PROJECT DESCRIPTION
�
Detailed description of tvark to
r
be included on tits permit only
PROPERTY OWNER
Mow {' PP A c
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PRt1(ARY PNOt1E
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CONTRACTOR
ZIP
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zo °939
A STATE CONTRACTOR'S LICBNSB i
f5W
EXPIRATION DATE
2a
FEDERAL WAX W5131188 LICENSE 0
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T
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9- o
NASA -G' �l�
PROMS � - Ig q S
APPLICANT
KA&INGADDRIVIS
B Ir1AU,
�
eTA a-
FAX
IIh
PROJECT CONTACT
PRONE
rPhe Individual to receive cued
RAD1rrGwnDRBSS
respond to all correspondence
concerning this application)
CITY
STATE ZIP
FAE
Aires CONTACT NA"k PRONE
It-NAM
PROJECT PaMCING
RAUB
OWII$R- FINAPCED
Required value of $5,000 or more
IRM 19.27.0951
NAMING ADDRESS, CITY, STATE, ZIP
PRONE
I certVy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the best
of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert(fy 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 faun.
Ifurther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and dgfense 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
igjormation supplied to the city as apart of this application. /
SIGNATURE: DATE f 000
/
PRINT NAME.
Bulletin #100 -April 14, 2010 Page 1 of 3 k:WandoutslPermit Application
f.5 4t1
Wr"A'4--
• •
PLUMBING FIXTURES
Indicate how mmy of each type cif ftxtt[re to 1x installed or rekwated as part of i11fs project. W not include ", stitt jwures to refriain.
13AT1rrU135 tr.r,a,isi „n.,. ' ,,,, n LAVS ui: „a --k,) TOILL•'TS WATER PIPING
DISHWASHERS IWNWATL•'IZ SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM 131ZEAKEIZS
DRINKING FOUNTAINS SINKS IK110,/1'. ill.0 WATER IfEATEIZS (rk -io
HOSE B113DS SUMPS WASIIING MACI LINES TOTAL MCTURES
GENERAL INFORMATION
M(?,CHANICAL
FItTI;RES
VALUE OF MECHANICAL WORK $
r 0 (u co
of bid or estirrwte inusl be provided)
Indicale how man o'cwh type o j bLiture to 1x installed or relocaled as pail ol'this pr ' wi. Do nol include evislin i%lures to reinain.
_ AIR IIANDLING UNITS
FANS
GAS PIPE OUTLETS_ OTHER (Describe)
AIR CONDITIONER
FIRLPLACL INSL•'IZ'113
HOODS Ic...., a —vI M ] !$L, .
13O1LEIZS
FURNACES
HOT WATER TANKS (Gul
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST �
DUCTING ('V1 ffjM
GAS PIPING
WOODSTOVES
PLUMBING FIXTURES
Indicate how mmy of each type cif ftxtt[re to 1x installed or rekwated as part of i11fs project. W not include ", stitt jwures to refriain.
13AT1rrU135 tr.r,a,isi „n.,. ' ,,,, n LAVS ui: „a --k,) TOILL•'TS WATER PIPING
DISHWASHERS IWNWATL•'IZ SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM 131ZEAKEIZS
DRINKING FOUNTAINS SINKS IK110,/1'. ill.0 WATER IfEATEIZS (rk -io
HOSE B113DS SUMPS WASIIING MACI LINES TOTAL MCTURES
GENERAL INFORMATION
Car1ICAL ADZ” ON PROPZWM
WAM MMVEYOa
eEWEa PURVErOa
VALUE OF EffieTING D"MOVRMENTS
TOTAL
FOR OFFICE USE
13ASEMENF
USTDIG /PREVIOUS Uss
LOT a= as Sgaars Feet)
EXISTING FIRE SPIUNMI R SYSTEM?
PROPOSED MR SUPM1681011 SYSTEI[4
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
-NEW OR ADDITION
AREA DESCRIPTION (in squire feet)
FMISTING
PROPOSED
TOTAL
FOR OFFICE USE
13ASEMENF
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
CO- MMERCIAL — REMODEL/TENANT ITNIPROVEMENTS
AREA DESCRIPTION
Area Feet
in Square
COVERED ENTRY
Construction
Stories
Additional Information
TOTAL BUiwvto
DECK
GARAGE ❑ CAltlURf ❑
9
OTHER (descTfbci
PROJECT AREA ONLY
Area Totals
PRe111,e.w
reTAL
0" S
"NEW HOMM ONLY"
ESl'1MAIED SELLING PRICES
1 # OF BEDROOMS
COM7MERCIAL — NE`V /ADDITION
AREA DESCRIPTION
in urea Feet
Occupancy Gronp(s)
Construction
Stories
Additional Information
NEW BUILDING
ADDITION
CO- MMERCIAL — REMODEL/TENANT ITNIPROVEMENTS
AREA DESCRIPTION
Area Feet
in Square
Occupancy Group(s)
Construction
Stories
Additional Information
TOTAL BUiwvto
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 -April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application