14-104871 • • r
Mechanical
Comma ity&Econ.De"Services Permit #: 14-104871-00—ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (263)'$35.3 0
Project Name: COSTA VIDA
Project Address: 1900 S COMMONS Suite A Parcel Number: 762240 0010
Project Description: Ducts and diffusers for tenant improvements.
Owner Applicant Contractor
CV VIPER GREENTECH INC GREENTECH INC
858 SW 312TH ST GREENI*893JL (4/24/15)
FEDERAL WAY WA 98023 858 SW 312TH ST
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Ducting 1
PERMIT EXPIRES Saturday, March 21, 2015
Permit Issued on Monday, September tember 22, 2014
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 t City of Federal Way.
Owner or agent Date: 5/2--2-//v
FINALED
P
THIS CARD IS TO IN ON-SITE
CITY OF = Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-104871-00-ME Address: 1900 S COMMONS Suite A
Project: C V VIPER 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.
0 Mechanical Rough-in(4165) "CI Gas Piping(4125) "0 Final-Mechanical(4065)
Approved Approved to release test Approved
Date k O_ 8- `4,. By Date <`c Date t fi 4 ( ,
I!!?4ALEø
_.
. ___.,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
riii ` RECEIVED PERMIT APPLICATION
Federal Way
SEP222014 v
PERMIT NUMBER /Vy_07(gq- r 7 / _ 4t//vvv ` /// TARGET DATE
SITE ADDRESS SUITE/UNIT#
J9:0 s c° 6114s - 4, fpJco', oDA ?k°-v3 /4
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 6.aZt, f--- � (9 � oZ I - 00 ( 0
TYPE OF PERMIT ❑BUILDING ❑PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT 0145, -,g IS
V�P
PROJECT DESCRIPTION 4�ao I,/UA-c DUC7 770 ,a.04 L 7iJ4 1%1 l G(
Detailed description of work to
be included on this permit only
NAME '�J/�Qn PRIMARY PHONE
PROPERTY OWNER G�jx�xGtS �c�/`
MAILING ADDRESS E-MAIL
CITY STATE ZIP
v/��� 7n PHONE
NAME
MAILING ADDRESS E-MAIL •/
CONTRACTOR
•10• 90 . ,
4 a 4 /...4; -::r/ i 7 -
CITY STATE ZIP AX
WA STATE CONTRACTOR'S LICENSE# ��� EXPIRATION ION DATE FEDERAL WAY BUSINESS LICENSE#
�v ` 4
r J
NAME PRIMARY PHONE
GI an" , S' /)ce-N 2-06-g-I-3--37?i
APPLICANT MAILING ADDRESS / E-MAIL
ar yn.?' Rd, GLK''0�`-e.
CITY-' STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT 4 01off e as ' ,
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify 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 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 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 part of this application.
SIGNATURE: DATE 9/2-�/ff
PRINT NAME: A i..1161i11 o w 4040
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
1
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ S o�
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include exiting 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS _ URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(K tcheu/Ut ity) WATER HEATERS(Electric)
HOSE BIBBS SU 'S 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) E -TING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOT FOR OFFICE USE _ _
a{s ,v` .�,C``%�rY s/�s /h/` � "'a�r�,fs ,s'/ r.• ,' v �
� t VegO'r� ,1'1,a`` //
xr :k� � ' �'•r.%s� >y�"/*� /F, k ,�fi+ �'�; ,"r,,,:�xs/ r.r�! L•v v!'- ..__._..—__. _ ._.—.__..._.__..__._._._.---------- ---
FIRST FLOOR(or Mobile Home)
n,. .�;r � ✓i,�,s. •� ----. ..._..__--____ _------ ____-__.._..._._.._
COVERED ENTRY
,;/r 0347V, sl/i/ :0,/
'w';t,y.tft.,,���,t:/x;.r...:c� ,,F ., i,',�F��r,. iid ,.,:_�r.�,d� i,• WA/�:.i"�"G,r,;r A?;-��i/.
GARAGE ❑ CARPORT ❑
°,.j / // T;/7 ; /F �' r.
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
/ / /" / /s/,.n`' .r' �ti ''' 'r ✓ ,iy ' y�i`/ r .
u�///f ,,. / �,; r ,''f,,.. t:./E/� r;"`f ;�i "7;/'fi`i " ��,���� �r� �,x✓ ;,,, / ''' �// �?'`• � �`•l ,' `i'r� s f0)(0.0Wv�Cf
s ,
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
y:; •,..� -� r ;;,,,, /„ ,„:; '/ ,,,,`r�?��:x //;i','•'', ,/7;! '/!z`,,, / *.x/„,`/ ,/n.'./ ,,,./ /•l„5y,.,'',/ ,,,.,/i",, . ,.4r,,7F/!//s,'//,
TENANT AREA ONLY
AttA
Fi�t?JEC ONLY y p s/y '/ /
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application