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