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07-104606J City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 G i Mechanical Permit #: 07- 104606 -00 -ME Inspection Request Line: (253) 835 -3050 Project Name: SORENSON COMMUNICATION Project Address: 33301 9TH AVE S Suite 120 Parcel Number: 926501 0130 Project Description: Install (1) 5 -ton & (1) 1 -ton split HVAC systems including ductwork and diffusers for tenant space. Owner Applicant Contractor SHELBY CO LLC PACIFIC AIR CONTROL INC PACIFIC AIR CONTROL INC 1201 PACIFIC AVE #1400 11812 NORTH CREEK PKWY N PACIFAC230P8 (10/01/07) TACOMA WA BOTHELL WA 98011 11812 NORTH CREEK PKWY N 98402 -4322 BOTHELL WA 98011 Additional Permit Information Mechanical Valuation .................. ..........................23000 Over the Counter Permit?....... ............................... No Mechanical Fixtures Air Handling Units ......................... 2i Ducts............. ............................... 1 PERMIT EXPIRES Monday, August 31, 2009 Permit Issued on Friday, August 31, 2007 I hereby certify that the above information is correct and that the construction on the above described. property and the occupancy and the We will be in accordance with the laws, rules and regulations of the State of Washington a � y of F deral Way. Owner or agent: date: DATE ' 1' AREA AND TYPE OF INSPECTION THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Reeor' Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 104606 -00 -ME Owner: Address: 33301 9TH AVE S Suite .120 FEDERAL WAY, WA 98003 -2602 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 ByCtAj Date . Z©• O. For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date fV Of 0� �ideraI Way EIV E ®PERMIT SF MF CO E L PL DE EN FP COMAIUNnY DEVELOPMENT SERVICES +' *.13325 AVENUE SOUTH • PO BOX 9718 n� � P L I C AT I O N FEDERAL AUG 2 11�ERAL WAY. WA 98063 -9718 1�'7•WI I,CI, � e 253- 835 -2607• FAX 253 - 835 -2609 f'/1) tc wmcilgoaederalmay.com UIT4' 9F � _.A The following is require# � AAVcomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS 333 o) OW- Aje- 5. WM WA SUITE /UNIT # � 2� ASSESSOR'S TAX /PARCEL # 9 a ` (��' 6 ,'0 , -/� � 0 1 30- LOT SIZE (sf) 13-7)112 S -f. LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) W eS+- W m pus t/ TTl Ce �k- Z) T1% 2 (Artach separate Ixige for lengthy legal description) PROJECT • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlq) ?hs{Ai1�4;a� of (1) s -+o-. sPl.t ked-pucKp sys A) G duc+I es5 S p l.i- For- sc�ry -er- rae m r ce, ,e1e4p w/ cam+" is . a- tlri. X11 a¢'ewe rmm )% Aurl,-A bd, ld)'z,,A o-Ff kaurs . A/c 5,4s4e*- fir Serve- revv -t 81WX dlperx� PROJECT NAME (Name of Business or Owner Last Name) r ` I144 b 1" n. • Sol' e", 50Y� PEOPLE •• • PROPERTY OWNER CONTRACTOR COPY of card required with each application APPLICANT PROJECT CONTACT LENDER NAME Gi�tb� �o4u C/o &VA V-;Mew MOAtt\oc --. PRIMARY PHONE MAILING ADDRESS U ) 2 G % e^er -Ct-G A,; e # 1 j4&D CITY, STATE, ZIP I -rAcevwt-, w A 194 o2 E -MAIL ADDRESS COMPANY NAME Paci � A-� c- Co,- l�-ra� APPLICANT NAME �e� (.o OFFICE PHONE (2ao l l0$2 - �o3R3 MAILING ADDRESS 1 �f 1 g12 JU ► G��iG P kw 'U. V St�� 11. ZIP W A 119 (1 ( PHONE )5,1 V CITY OF FEDERAL WAY BUSINESS LICRNSE NUMBER EXPIRATION DATE Z O --OU - I o I ;zgo °-00 -(3L- ( 2-131)©'? FAX NUMBER (2o.O ) 3140 CONTRACTOR'S REGISTRATION NUMBER FA C P A C230 -Psr EXPIRATION DATE 1016-7 E -MAIL ADDRESS I_ mLefno - COMPANY NAME PaCi- -' C- r C-e1kT7o APPLICANT NAME iGe�`(� 1.0 OFFICE PHONE - �� ( 46) b82 MAILING ADDRESS I �12N.cyyk fP iti, faq CITY, TATE, ZIP �4(I vi 9 90 11 CELL PHONE (2v (, )s-7) - 3 &3g RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent k'Other ecsr.E�01C'4 -cu" (20(;) 34o - 22 A NAME PRIMARY PHONE E -MAIL ADDRESS iGemA (2o(o) ('08,1 - b3ct 3 NAME Per RCW 19.27.095: Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE Ot- t C E PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ 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) .Cap v 4 .RIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. VASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS (DESCRIBE) DECK (❑ COVERED OR ❑ UNCOVERED ?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS E%ISTMG 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 fuchire to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work $ 2-3) C�y (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS M1SC (Describel BOILERS FIREPLACE INSERTS HOODS )com ,. a ) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS I., Tub /Shower combo) LAVS Bathro Sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rroneo ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS o NO 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 ade by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance o the city, including its officers and loyees, upon the accuracy of the information supplied to the city as a part of this application. NAME /TITLE (, �,. -_ .� DATE t3 RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES o NO BASIC PLAN? ❑ YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES ❑ NO UP /SEPA /SU? o YES o NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? o YES ❑ NO Bulletin #100— January 1, 2007 Page 2 of 4 k\Handouts\Pennit Application