10-100202 Mechanical
City of Federal Way • Permit #: 10-100202-00-M E
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: COUNTRY FINANCIAL
Project Address: 32001 32ND AVE S Suite 340 Parcel Number: 162104 9001
Project Description: Installation of(4)new VAV boxes,addition/modification of ductwork&diffusers.
Owner Applicant Contractor
FOSS REDEVELOPMENT C F M HEATING AND COOLING INC C F M HEATING AND COOLING INC
PO BOX 94449 (GENERAL) (GENERAL)
SEATTLE WA 98124 PO BOX 3205 CFMHEHC969CD(2/4/10)
KIRKLAND WA 98083 PO BOX 3205
KIRKLAND WA 98083
�''V.',
Mechanical Valuation 28000 Is this an Online or O.T.C.application? Yes
Air Handling Units 4 Ducting 3
PERMIT EXPIRES Wednesday, July 14, 2010
Permit Issued on Friday, January 15, 2010
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
d the City of Federal Way.
Owner or agent: ..,f_e f Date: Ca�°y/J5 O
SIN 4ft;,40
i
•
DATE INSPECTOR AREA AND TYPE OF INSPECTION
Z/i/iJ govcr '/A/J Paces c52 , b` sCfj('/rte
6471.).Ai
THIS CARD IS TO ON-SITE
Con
CITY
of Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-100202-00-ME Address: 32001 32ND AVE S Suite 340
Owner: FOSS REDEVELOPMENT 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
posble(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.
o Mechanical Rough-in(4165) - -0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
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By Date3, z co, l By Date By Date
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El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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Federal Way JAN 1 5 2010 PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES ����� ATI O N / '
253-835-2607•FAX 25 o F F E /�,,r�""�
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8ITE ADDRESS n L;—3ZCo ( 3. 32 ,- v Q.
SUITE/UNIT t ZONING ASSESSOR'S TAX/PARCEL#
L ' zI a 100
NAME OF PROJECT
(Tenant or Homeowner Name) CO l.� l' t I(''Ct(�L i (ti '
❑BUILDING ❑ PLUMBING %MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
-i ill(1 `� c ua VA v b CA e) w{4t‘ el -�1,t,C 'L u i?c I c'(; f c.,e(5
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only f l _,_,C'r
NAME °.' PRIMARY PHONE
PROPERTY OWNER t� , ,/4.; - ( ) -
MAILING ADDRESS.CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME+ PRIMARY PHONE
NAME „ HeCtVlAc ( (let Cc,'I(1c (y25 ) if 2i - /213
CONTRACTOR MAIIdNG ADDRESS,CITY,STATE,ZIP FAX
-go- bok 3v2c5 crld010l, WA. 1tCP3 ( 'Ii.) rezi _ 13'L3
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
CFA/111E11C5bciC0 £Z icLi ilc)
NAME
M JI PRIMARY PHONE
APPLICANT e(e i 7"I()O.L(P,r ( t/l5') ( _ I Z 9
MAILING ADDRESS.CITY,STAT ,Z
pc. vrx 67_05 I , Kictio, u, _ 1 c13 (L1 3)iLi F� r3y3
PROJECT CONTACT NAME
p n PRIMARY PHONE
(The individual to receive and L t 1 1_l u r o0l`L (L12> ) e2 I - (4 13
respond to all correspondence MAILIN DRESS.CITY,STATE,ZIP ([�� 2 FAX
concerning this application) 47_0, L✓L')c 3205 f<k( k Lrc LEA _ G(✓t,✓ ((125 ) "2( - 15Y3
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
(
PROJECT FINANCING NAME
Required for projects with
❑ OWNER-FINANCED
value of$5,000 or more MAILING ADDRESS,CITY,S _
(RCW 19.27.095) PRIMARY PHONE
)(
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city,but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
7
SIGNATURE: �,r.t c.t.4-"1 ;1 ,tG"C�Gr'7 /
( 1 �''j' t� // DATE ��• �� L
PRINT NAME: \._.1 V ereim / /4/eL/l(1Cf
Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
4
Value of Mechanical Work$ � 00• ,I ff!i,PY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of facture to be installed or relocated• •art of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commemtaq
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
3 DUCTING GAS PIPING WOODSTOVES
44 Omit s Y'.: a { f✓ r_:.. 3 y i"� ,s`�i•",ax `'� z, �4m I
<
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not inch file 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(wtehen/ussty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES k0r �IZlrr
«A.�,.<...,. .. ,- �» .mar erv�•..:
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $T
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
Vii s n" ),N) ' 'tar c
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
$ASS _...._...._...._._.._... .._..__ ._.._._�._ .._.__�._._._�_.._.
FIRST FLOOR(or Mobile Home)
84'1.`x "*ice`" 1 ? z .._....._...._._......._._..................-.....-.._._.-._.._...____._._.___._._.._._.__._.....____
COVERED ENTRY
_-._.._._.__....__. ...._.._._.._.._._.._.___.._._..._..._�.__.�..._..___.._._.._..._._
GARAGE ❑ CARPORT ❑ , --_
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
A
.4;x"4_( r - -,. ��""�, 3 D T _..
a a
AREA DESCRIPTION Area #of
in ware Feet Occupancy Group(s) Maga Ma,. Stories Additional Information
Y':
� ?I
ADDITION
litaltairantainertriTIM7i3 .S;-;k) r.,41:*4=7.hrrjk 71217,70,1.1111131111111111111111111
M
AREA DESCRIPTION Area Construction #of
in ware Feet Occupancy Group(s) A.a Stories Additional Information
warligt
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TENANT AREA ONLY
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Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application