11-1040430
AADMicant
0.*
Mechranioal
City of Federal Way
Community Development Services
_
Permit #:
11 - 1 04043-00-ME
_
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
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Inspection Request Line: 253 835 -3050
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Project Name: OMNI BUILDING
SEATTLE WA 98106
7717 DETROIT AVE SW
Project Address: 909 S 336TH ST
SEATTLE WA 98106
Parcel Number: 926480 0150
Project Description: Replace existing gas boiler.
Own r
AADMicant
Contractor
OMNI PROPERTIES INC
MACDONALD MILLER FAC SOL INC
MACDONALD MILLER FAC SOL INC
909 S 336TH ST SUITE 103
(GENERAL)
(GENERAL)
FEDERAL WAY WA 98003 -6311
7717 DETROIT AVE SW
MACDOFS980RU (12/31/12)
SEATTLE WA 98106
7717 DETROIT AVE SW
SEATTLE WA 98106
Mechanical Valuation .................. ..........................26000
Is this an Online or O.T.C. application ? .................Yes
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PERMIT EXPIRES Monday, April 2, 2012
Permit Issued on Wednesday, October 5, 2011
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
0 and the City of Federal Way.
Owner or agent 12 1 Dater
GTY OF
Federal Way
PERMIT #:
11- 104043 -00 -ME
THIS CARD IS TO MAIN ON -SITE
Construction In Jection Record
INSPECTION REQU TS: (253) 835 =3050
Address: 909 S 336TH ST
Project: OMNI PROPERTIES INC FEDERAL WAY, WA 98003 -6311
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 /I '
Approved
By Date
By Date �d .!�
By Date w
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
a
FCITY e MIT
Federal Way � ��"
COMMUNITY DEVELOPMENT SERVICES AT I O N
253. 835 -2607• FAX 253- 835 -2609
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SITE ADDRESS 909 SOUTH 336 LR4LD ?AY, WA 98003
CD
SUITE/ BASEMENT
PROJECT VALUATION
ZONING
ASSESSOR'S TAR /PARCEL #
$ 26,000
OP
9 2 6 4 8 0 _ 0 1 5 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMO ITION ❑ ENGINEE ❑ FIRE PREVENTION
NAME OF PROJECT
iTenantName /Homeowner Last Name)
CHANGE OUT EXISTING BOILER AND INSTALL 1 NE S BOILER.
PROJECT DESCRIPTION
Detailed description of Mork to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
OMNI PROPERTIES INC.
MAILING ADDRESS 909 S 336TH ST
E MAIL
CITY FEDERAL WAY
'WA
ZrP 98003
NAME MACDONALD MILLER
PHONE (206) 768 -4278
CONTRACTOR
RIAILING AD 7717 DETROIT AVE SW
da a.doll @macmiller.com
CITY SEATTLE
STATE
FAX
F
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
MACDOFS980RU
12 / 31 /12
20 -03- 100372 -00 -BL
NA=
DARLA DOLL
PHONE
(206) 768 -4278
APPLICANT
MAIINGADDRESS 7717 DETROIT AVE SW
E-MAIL
dada.doll@macmiller.com
CITY SEATTLE
SWE
ZIP 98106
FAX
PROJECT CONTACT
(The individual to receive and
NAME STEVE FLINK
PHONE
(206) 768 -3172
MAIL[NG ADDRESS 7717 DETROIT AVE SW
E-MAIL
dada.doll@macmiller.com
respond to all correspondence
concerning this application)
CITY SEATTLE
STATE
WA
ZIP
98106
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
DARLA DOLL
(206) 768 -4278
dada.doll @macmiller.com
PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of $5.000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I cert(Jy 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 iatformation 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 laws.
I further agree to hold harmless the City gfFederal 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 supplied to the city as a part of this application.
SIGNATURE: � %
•
s
VALUE OF MECHANICAL WORK $
26,000.00
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include exis ' ,fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commem)a))
1 BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or7Wb /Shower Combo)
LAVS (band Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS MWhen /Um)ty)
WATER HEATERS (nechlc)
HOSE BIBBS
SUMPS
WASHING MACHINES T(YIAL Fi7C1`URES
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application