07-106435r
,R
C'Ity of,Fe:eral Way
Comm4hity bbvelopment Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
J
r r 7
Mechanical Permit #: 07- 106435 -00 -ME
Inspection Request
Project Name: BRANDNER COMMUNICATIONS
Project Address: 32026 32ND AVE S i 6arcel Project Description: Installation of ductwork & diffusers and vent fans for tenant
0030
Owner
Applicant
trac `
EAST CAMPUS TERRACE, LLC
PUYALLUP HEATING & AIR CONDITION
PUYALLU G
16400 SOUTHCENTER PKWY
130 15TH ST SE
C NDI N
SEATTLE WA 98188
PUYALLUP WA 98372
PU A975L4 /�
HSTS
WA 98372
, November 30, 2009
lovember 30, 2007
of Federal Way.
� ..................... Yes
/e described property and
the State of Washingt&
1
THIS CARD IS TO REMAIN ON -SITE
CITY OF = a. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106435 -00 -ME
Owner: EAST CAMPUS TERRACE, LLC
Address: 32026 32ND AVE S
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
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Federal Way RECEIVE .� PERMIT SF MF CO I C)&
L PL DE EN FP
COMMUNITY 11'AVENUE OUTH- fSFRVICESAto� � O 2��pLI �ATI CAN
33325 STM AVENUE SO[Iffi • PO BOX 971Tv TD
FEDERAL WAY. WA 98063 -9'7'18
'253.835.2607• FAX 253.835.2609
www.cttuo((ederalwau.com I Y U7' f EDERAL WAY
The following is requires o anion an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS
ASSESSOR'S TAIL /PARCEL #
U U S V
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach repute Page fm IeMfJ legal descrtptfwV
PROJECT • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMNCHANICAL
❑ DEMOLITIOP" , 'ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
. JUC—T U
PROJECT NAME (Nante of Business or Owner Last Name
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with t309 application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
�OMPANY NAME
v iit (A VI
APPLICANT NAME
y
OFFICE PHONE
(-2S3) NE-- 0,181
MAJIfUt qD J y r ` F
(Ab
TTY.. A1E. ZIP 3 .7d--
CELL ) 40 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FA��XNUU3 MB ER
`` (/ 0C �Q
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
r ,
E -MAIL ADDRESS
OMPANY NAME
APPLICANT
OFFICE PH NE
-
v� l
(233)
ApD
STATE. ZIP
CELL PHONE
1301"
lAtill
( )
IMIATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant El Agent Other
M ) 9 "
NAME PRIMARY PHONE E -MAII ADDRS
� ES
s-e- C*A e fLA (2S3) as -
NAME
Per RCW 19.27.095:
Lender irtformation is required }'%proje t value exceeds $5,000
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUUM? ❑ YES ❑ NO `
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVAT E (SEPTIC)
PROJECT ••• AREAS
AREA DESCRIPTION -- EXISTING
__
PROPOSED
S . I'T.
TOTAL
SQ. FT. _
_ --
ASEMENT
FIRST
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
SECOND
BUILDING SHILL ONLY?
o YES ❑ NO
THIRD
a NO
ZONING DESIGNATION
ADDITIONAL FLOORS (DESCRIBE)
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVE
UP /$EPA /SU? o YES
❑ NO
GARAGE ❑ CARPORT
❑ YES o NO
DEMO PERMIT REQUIRED? ❑ YES
NUMBER OORS
ffi•]'QV6
PRO;6i
TOTAL.
TOTAL =wwOsr
7VMALPROrosrwsr
?OTALSr
NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each
Value of Mechanical
AIR HANDLING 1
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub /Shower Comho)
DISHWASHEP-.3
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
to oe tnstattea or
EVAPORATIVE COOL
T FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom Sinks)
I4'SI`'WATER SYST
SHOWERS
SINKS
SUMPS
Par[ Of UUS PrUjec[. aAu ttvL u tuuuc C� —j j—' —
7E MUST BE INCLUDED WrM APPLICATION)
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (Commerola))
RANGES
REFRIG. SYSTEMS
URINALS __ MISC (Describe)
VACUUM BR& -%XLr t:
WATER CLOSETS rrmet)
WASHING MACHINES
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 Wag 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, i iuding its gficers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE
(Signature)
I RELATIONSHIP O PROJECT ❑ Owner Q Agent
fnUe)
Contractor ❑ Architect Q Other
I
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHILL ONLY?
o YES ❑ NO
BASIC PLAN? o YES
a NO
ZONING DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP /$EPA /SU? o YES
❑ NO
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 — January 1, 2007 Page 2 of 4 MandoutsWernut Application