16-104685, 4
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: CAMPUS SQ OFC PARK BLDG B
Project Address! 33310 1ST WAY S
Mechanical
Permit #: 16- 104685 -00 -ME
Inspection Request Line: (253) 8353050
Parcel Number: 926500 0255
Project Description: Boiler replacement which includes installation of (1) Hydronic Heating Boiler (113 -724).
Owner
ARRlican
Contractor
FAWLTY TOWER JACKS
ANDRIY HEICHENKO
PACIFIC AIR CONTROL INC (GENERAL)
2686 SW 300TH PL
PACIFIC AIR CONTROL INC
PACIFAC230P8 (10/01/17)
FEDERAL WAY, WA 98023
1916 SE 220 ST
1916 220TH ST SE
BOTHELL WA 98021
BOTHELL WA 98021
Additional Permit Information
Mechanical Work Valuation ? ....... ..........................13755 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Boilers............. ............................... 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES_ Sunday, March 19, 2017
Permit Issued on Tuesday, September 20, 2016
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
e City of Federal Way.
Owner or agent: Date: /9
FINALED
• THIS CARD IS TO MAIN ON -SITE
Federal W Construction In g tion Record
INSPECTION REQ (253) 835 -3050
PERMIT #: 16- 104685 -00 -ME Address: 33310 1ST WAY S
Project: FAWLTY TOWER JACKS FEDERAL WAY, WA 98003 -4544
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 4
0 as Piping
0 Final - Mechanical
Approved
Approved to release test
Approved
By Date
By Date
Dated 2, S-- lf.
Rough Electrical
Approved
Final Electrical
Approved
■
Right of Way —�
Approved
By
Date
By
Date
By
Date
` . RECEIVED
PERM ITOWPLICATION
CITY OF SEP 2 0 2016
Federal Way
CITY OF FEVERAL WAY
PERMIT NUMBER _ / q (V l TARGET DATE
SITE ADDRESS
SUITE /UNIT #
33;10 u% 5
PROJJECT'yVALU�A'TION
ZONING
ASSESSOR'S TAX/PARCEL #
JrA
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING lb MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
1,,,r rep la "tee
� '/-a r r tea
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
vLT T c p- ks
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
Piw" f
PHONE
MAILING ADDRESS L'
E -MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
�I G�
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
PfI F AC �f3 o
roil ids
NAME K %/� ,1 e %c E? i�% yr f7
v
6`PHOTY. - 8 C% G8
/) 7
APPLICANT
MAILING ADDRESS
C ot 1•-� Q G+ Co if / ^�r c /0/-
E-MAIL
aNAlri Apo c41'E
CITY
STATE
ZIP
FAX U "I % LQK 7 11-01.
NAME
S
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER - FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1 certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify 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 flied against the city,
but only where such claim arises out of the reliance of the city, including its ofjlcers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE
PRINT NAME: n h fi� /� I t-,p -o
Bulletin #100 — February 22, 2016 Page 1 of 2 k:lHandoutslPermit Application
2X4
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commereiai)
BOILERS FURNACES HOT WATER TANKS (G—)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
EXISTING PROPOSED TOTAL
Area Totals
"AlEWHOM�ES ONLY"
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL - NEW /ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet a Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application
UE OF PLUMBING WORK
PLUMBING PERMIT
T$;
Indicate how many of each type of
re to be installed or relocated as part of this project. Do not include existin g res to remain.
BATHTUBS (or Tub /Shower Combo)
LAYS (Rand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (kitchen /Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE
LOT SIZE
(In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
EXISTING PROPOSED TOTAL
Area Totals
"AlEWHOM�ES ONLY"
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL - NEW /ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet a Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application