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09-104498M 0 City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: CASCADE REGIONAL BLOOD CENTER Project Address: 909 S 336TH ST UNIT B102 Mechalical Permit #: 09- 104498 -00 -ME Inspection Request Line: (253) 835,3050 Parcel Number: 926480 0150 Project Description: Modify ductwork for tenant improvement. Including (4) new grill and relocation of (3) grills. Owner Applicant 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 -6311 899 W MAIN ST IECS * * *044QL (11/20/10) AUBURN WA 98001 -5254 899 W MAIN ST AUBURN WA 98001 -5254 Mechanical Valuation ................. ...........................5900 Subject to Is this an Online or O.T.C. application ? .................Yes PERMIT EXPIRES Sunday, May 16, 2010 Permit Issued on Tuesday, November 17, 2009 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. Owner or agent: Date: n /zs /ot -4 • .� Gty of Federal Way OMNI PROPERTIES INC Community Development Services P.O. Box 9718 1 E C S INC DBA SEATTLE MECHANICAL Federal Way, WA 98063 -9718 FILL Ph: (253) 835 -2607 Fax: (253) 835 -2609 FEDERAL WAY WA 98003 -6311 Project Name: CASCADE REGIONAL BLOOD CENTER Project Address: 909 S 336TH ST SUITE 101 • Mechanical Permit #: 09- 104498 -00 -ME Inspection Request Line: (253) 835 -3050 Parcel Number: 926480 0150 Project Description: Modify ductwork for tenant improvement. Including (4) new grill and relocation of (3) grills. Owner Applicant Contractor OMNI PROPERTIES INC I E C S INC DBA SEATTLE MECHANICAL 1 E C S INC DBA SEATTLE MECHANICAL 909 S 336TH ST SUITE 103 899 W MAIN ST IECS * * *044QL (11/20/10) FEDERAL WAY WA 98003 -6311 AUBURN WA 98001 -5254 899 W MAIN ST AUBURN WA 98001 -5254 t- a �'��,l�a��:..., gam. "�� .'i..�.. �_ <.��. '� � �, c� •. ..�.� „� \ 14t�.�..:..»',„`a ,r',:.. ,, .,,:.. Mechanical Valuation ................. ...........................5900 Su ................................ 1 Is this an Online or O.T.C. application ? .................Yes PERMIT EXPIRES Sunday, May 16, 2010 Permit Issued on Tuesday, November 17, 2009 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. Owner or agent: Date: Z st� er _ Federal Way PERMIT #: Owner: THIS CARD IS TO&MAIN ON -SITE .c Construction InTpection Record O INSPECTION REQUESTS: (253) 835 -3050 09- 104498 -00 -ME Address: 909 S 336TH ST SUITE 101 OMNI PROPERTIES INC 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. E] Mechanical Rough -in (4165) Gas Piping (4125) Final - Mechanical (4065) Approved Approved to release test Approved By C, DateCI . �j tA By Date B C Date S ^' Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date �� Wd�/ � fA PERAl�'�[T, „, SF MF CO E L PL DE EN FP CnV COMMU35T260 - FAX 2 ENr SE2609 P AI [ ",7 N 253- 83b2607• FAX 25335 -2609 i V/ www.dWoffederalwauxon �L VA, V �/ SITE ADDRESS 9 SUITE /UNIT # ZONING ASSESSOR'S TAX/PARCEL # NAME OF PROJECT (Tenant or Homeowner Name) C(�Gf ' ❑ BUILDING ❑ PLUMBING MECHANICAL TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION CO k..) lCA LO t' PROJECT DESCRIPTION Y r �� cA^ cry" Detailed description of work to be included on this permit only n. NAME PRIMARY PHONE PROPERTY OWNER f—1 C - G ADDRESS. CITY. STATE. ZIP E-MAIL / 0 -1 s 3 3C e' .4-e- /w> OWNER IS ALSO: CONTRACTOR APPLICANT PROJECT CONTACT NAME PRIMARY PHONE �. c 2s3 flcteM- �� MAEM-WG G ADDRESS. CITY, STATE, ZIP � M ,,, (.rH G-A- IYCV FAX (ZS 3) 3 - 92 Go ,4G5r AC K Oa% C9f WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY B USINESS LICENSE # /V re, 4$ to AA Q(, I WO 2-V• -1 v- <x.:,-6 NAME PRIMARY PHONE ; ( S'3 �17 - V- APPLICANT MAIIdNG ADDRESS. CITY, STATE. ZIP Or., C1 C4 LJ c hA C4 t,h L) 9 YW � FAX (zn � u 7 -a/ PROJECT CONTACT NAME PRIMARY PHONE (The individual to receive and respond to all correspondence MAILING ADDRESS. CITY. STATE. ZIP FAX concerning this application) C AtwE- VP yY VU) (z ) ,37 - 'is- ALTERNATE CONTACT NAME: ficr CVVr 5 -t PRIMARY PHONE ' E-MAIL SeC hV4, -41 40 uscr PROJECT FINANCING NAME OWNER- FINANCED Required for projects with value of $5,000 or more MAILING ADDRESS, CITY. STATE. ZIP PRIMARY PHONE (RCW 19.27.095) ( 1 _ I certUy 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 certVy 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 o,(ficers and employees, upon the accuracy of the igforrnation supplied to the city as a part of this application. azz.,,% / J f� A� i'- 7 � 9z c( SIGNATURE: DATE t PRINT NAME: Bulletin #100 - 4/21/2009 Page 1 of 4 k:\Handouts\Permit Application GENERAL INFORMATION MECHANICAL FIXTURES FIXTURES _ is; Value of Mechanical Work $ Tf %A f cc (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. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) BOILERS FURNACES HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION PLUMBING FIXTURES _ 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) LAYS (Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (wtehen /Umky) WATER HEATERS (Ekctdo HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ 5-,2 ax.) BASEMENT NEW BummngG $ EXISTING /PREVIOUS USE LOT SIZE an Square Feet) EXISTING MM SPRIKKUM SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ADDITION ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE ---- �--- �----- ��- - -� —�- BASEMENT NEW BummngG FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR COMMERCIAL - REMODEUTENANT IMPROVEMENTS ... __ ......... _.._._..- -.--- -_.._..__. —.. COVERED ENTRY AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction DECK Additional Information TOTAL BUILDING GARAGE ❑ CARPORT ❑ TENANT AREA ONLY OTHER (describe) Area Totals Psa� TOTAL .._...._._.__.._.__._.._._.._. "NEW HOMES ONLY"• ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL - NEW /ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction TvDe # of Stories Additional Information NEW BummngG ADDITION COMMERCIAL - REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 - 4/21/2009 Page 2 of 4 k: liandoutsWermit Application