10-102526r
y � Mechanical
City of Federal Way � •
Community Development Services Permit #: 10- �/ 02526-00-ME
P.O. Box 9718
Federal Way, WA 98063 -018 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 P q
Project Name: HIGHLINE THERAPY
Project Address: 1010 S 336TH ST Suite 112 Parcel Number: 926501 0010
Project Description: Relocate (2) supply diffusers, (6) slot diffusers and (13) return grilles. Install (3) new supply
diffusers and (3) return grilles. Install (1) energy recovery ventilator and dryer exhaust.
Owner
Applicant
Contractor
OMNI PROPERTIES
MACDONALD MILLER FAC SOL INC
MACDONALD MILLER FAC SOL INC
909 S 336TH ST SUITE 103
(GENERAL)
(GENERAL)
FEDERAL WAY WA 98003
7717 DETROIT AVE SW
MACDOFS980RU (12131110)
SEATTLE WA 98106
7717 DETROIT AVE SW
SEATTLE WA 98106
Mechanical Valuation ..................... .......................21974.00 Is this an Online or O.T.C. application? ................. No
PERMIT EXPIRES Tuesday, January 1.1 2011
Permit Issued on Thursday, July 15, 2010
I hereby certify that the above information is correct and that the construction on the above described property ar
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
Owner or agent: 0, _Q Date: -7
-r. DpJ rIL1P1f0
THIS CARD IS TO AIN ON -SITE
�rnoF THIS
InsiRction Record
Federal Way INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 10- 102526 -00 -ME Address: 1010 S 336TH ST Suite 112
Owner: OMNI PROPERTIES FEDERAL WAY, WA 98003
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)
as Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date /
By Date
By Date rX
Rough Electrical
Approved
Final Electrical
Approved
Right of Way �^
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253 - 835 -2607• FAX 253-835 -2609
PERMIT
APPLICATION
SF�IVIF CO E EL PL DE EN FP
�O / 30 / /O
I certtfy 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 supplie to as apart of this application.
SIGNATURE: v " \ \ DATE 06 -16 -2010
PRINT NAME: DARLA DOLL
Bulletin #100—January 1, 2010 Page 1 of 4 k:\Handouts\Permit Application
❑ BUILDING ❑ PLUMBING MECHANICAL
TYPE OF PERMIT
4K
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
RELOCATE (2) SUPPLY DIFFUSERS, (6) SLOT DIFFUSER AND (13) RETURN GRILLES
PROJECT DESCRIPTION
INSTALL (3) SUPPLY DIFFUSERS AND (3) RETURN GRILLES. INSTALL (1) ENERGY
Detailed description of Mork to
be included on this permit only
RECOVERY VENTILATOR, (1) ELECTRIC DUCT HEATER AND INSTALL DRYER EXHAUST
DUCT. ADD MISC DUCTWORK PER PLANS
...
..
.
NAME
PRIMARY PHONE
PROPERTY OWNER
OMNI PROPERTIES, INC
(253) 661-8095
-
MAILING ADDRESS, CITY, STATE, ZIP
E -MAIL
909 SOUTH 336TH STREET STE# 103 FEDERAL WAY, WA 98003
OWNER IS "ALSO:
5vf b ❑ CONTRACTOR MAO APPLICANT
A0 PROJECT CONTACT
NAME
PRIMARY PHONE
&'Oe
MACDONALD MILLER
( 206) 768 -4278
MAILING ADDRESS, CITY, STATE, ZIP
FAX
CONTRACTOR
7717 DETROIT AVE SW SEATTLE, WA 98106
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
MACDOFS980RU
12/31/2010
20 -03- 100372 -00 -BL
NAME
PRIMARY PHONE
DARLA DOLL
( 206) 768 -4278
APPLICANT
MAILING ADDRESS, CITY, STATE, ZIP
FAX
7717 DETROIT AVE SW SEATTLE, WA 98106
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
CHRIS LEE
( 206) 768 -4266
respond to all Correspondence
MAILING ADDRESS, CITY, STATE, ZIP
FAX
concerning this application)
7717 DETROIT AVE SW SEATTLE, WA 98106
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E -MAIL
DARLA DOLL
( 206)I 768 -4278
CHRIS.LEEOMACMILLER.COM
PROJECT FINANCING
NAME
NIA
❑ OWNER - FINANCED
Required for projects with
value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
(RCW 19.27.0 95)
I certtfy 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 supplie to as apart of this application.
SIGNATURE: v " \ \ DATE 06 -16 -2010
PRINT NAME: DARLA DOLL
Bulletin #100—January 1, 2010 Page 1 of 4 k:\Handouts\Permit Application
a
EM
Value of Mechanical Work $ 21 974.00 (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
1 AIR HANDLING UNITS FANS GAS PIPE OUTLETS 1 OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial) DUCT HEATER
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (band Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS witchen /otuity)
WATER HEATERS (ECectric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL - FIXTURES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ 21.974.00
In Square Feet
$
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER
PROPOSED FIRE SUPPRESSION SYSTEM?
N}
^upancy
SYSTEM?
❑ Yes o No
NO CHANGES
TENANT AREA ONLY
o Yes O No
rr
AREA DESCRIPTION Area p Construction # of
in uare Feet Occupancy Group(s) Stories Additional Information
NEW BUILDING
ADDITION NO NEW SQ FT
AREA DESCRIPTION
Area
Occupancy Grous)
Construction
# of
Additional Information
In Square Feet
a
Stories
TOTAL BUILDING
N}
^upancy
TENANT AREA ONLY
rr
PROJECT AREA ONLY
Bulletin #100 — January 1, 2010 Page 2 of 4 k:�Handouts\Permit Application