12-104855 4
! IP • Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-104855-00-ME
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: KHO,DDS
Project Address: 33915 1ST WAY S Unit 201 Parcel Number: 926504 0150
Project Description: Relocate/add ductwork,diffusers and vent fans for new tenant.
Owner Applicant Contractor
CUNA MUTUAL INVESTMENT CORP HEATTRANSFER CO(GENERAL) HEATTRANSFER CO(GENERAL)
5910 MINERAL POINT RD PO BOX 1268 HEATT**206Q0(9/11/13)
MADISON,WI 53701 CARNATION WA 98014 PO BOX 1268
CARNATION WA 98014
Additional Permit information
Mechanical Valuation 9960 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Ducting 1 Fans 7
PERMIT EXPIRES Monday, April 22, 2013
Permit Issued on Wednesday, October 24, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u 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: / 2" Z 4
tN 01 illi
`DATE INSPECTOR AREA AND TYPE C INSPECTION
/(9-"Zi-Z-' &9 C 9 ki)6//S i' 71;Pl/ /4 `r .CP/C r''c,v-er---
THIS CARD IS TO MAIN ON-SITE
CITY OF , y
Federal Way Construction In ection Record
ECTION REQUE TS: (253)835-3050
PERMIT#: 12-104855-00-ME Address: 33915 1ST WAY S Unit 201
Project: CUNA MUTUAL INVESTMENT COF 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.
Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test
Approved
By /" Date ff.-02,i,—(Z By Date By Date /2-11.12.
❑ Rough Electrical ❑ Final Electrical Right of Way
Approved Approved ❑
Approved
By Date By Date
By Date
et, d - _./ O V FE 5
CITY Of A..
RECEIVED PERMIT SF MF CO PL DE EN '
Federal Way FF
.,><„�i,1'>~ntaraov+rl>nrssxtOCT 2 4 2011PPLICATION
253-835-2507•FAX 253-835-2609
uwCtttofl,icralw(2 OF FEDERAL WAY
CDS
SITE ADDRESS
SUITElUNIT#
33915-1st Way South 201
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$ 9,960.00 9 2 6 5 0 4 - 0 1 5 0
TYPE OF PERMIT C; BUILDING C.CI PLUMBING MECHANICAL
L; DEMOLITION ❑ ENGINEERING C: FIRE PREVENTION
NAME OF PROJECT Dr.Patricia Kho
ITenant Name/Homeowner Last Name)i
I
Relocate and/or add ductwork,diffusers and returns to accommodate new
- I
PROJECT DESCRIPTION
Detailed description of work to floor plans. Install and vent seven exhaustfans.
be included on this permit only Allunits,zone valves,controls and main trunk ductwork is existing to be reused.
•
NAME PRIMARY PHONE
PROPERTY OWNER 1 CUNA MUTUAL LNVESTMENT CORP129999 •
MAILING ADDRESS E-MAIL
5910 MINERAL POINT RD
CITY STATE ZIP
MADISON WI 53701
NAME Heattransfer Co. PHONE
425-885-3247
MAILING ADDRESS E-MAIL
CONTRACTOR P.O.Box 1268 heattransferl(rilaol.com
CITY STATE ZIP FAX
Carnation WA 98014-1268 421-333-6545
WA STATE CONTRACTORS LICENSE f EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
HEATT**206Q0/HEATTC*009DA 98-105637-00-BL
NAME PHONE
Heattransfer Co. 425-885-3247
APPLICANT MAILING ADDRESS E-MAIL
P.O.Box 1268 heattransfer.l@aol.com
CITY STATE ZIP FAX
Carnation WA 98014-1268 425-333-6545 •
PROJECT CONTACT NAME PHONE
Tom McCloskey 425-885-3247
(The individual to receive anti
respond to all correspondence MAILING ADDRESS E-MAIL
concerning tilts application) % ' P.O.Box 1268 heattransferl@aol.com
CITY STATE ZIP FAX
Carnation WA 98014-1268 425-333-6545
ALTERNATE CONTACT NAME: PHONE E-MAIL
Richard Sinnema 425-885-3247heattransferl@aol.com
PROJECT FINANCING NAMEID OWNER-FINANCED
Regnired value of$5.000 or more
IRCW 19.27.095) MAILING ADDRESS,CITY,STATE.ZIP 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
ail 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 t ity as a part of this application.
SIGNATURE: r / DATE /P
PRINT NAME:_____4 ;71400) _5 / 0 vi J 14, A
Bulletin#100—,January I.2011 Page 1 of 3 k:\Handouts`,Permit Application
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• ••••••••'••'••••'''
9,960.00
VAr.,tiE OF MECH.ANICAL WORK (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existtrtg:fixtures to remain.
AIR HANDLING UNITS 7 FANS GAS PIPE OUTLETS ()TIIER 1Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS lEoliiirterciall
BOILERS FURNACES HOT WATER TANKS(Gas)
COM PRESSORS GAS LOG SETS REFRIGERATION SYST
1 DI.I(:TING GAS PIPING woorisrovF,s
Indicate how many of each type tg:lbcture to be installed or relocated as part(?)F this pro(ect, Do not include exist(ng:fixtures to remain,
BATITFUBS(or Combo) LAYS Haim smksi TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kachen/Utility) WATER HEATERS(Electric)
HOSE HIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
• - ••••••'•'•,•••••,71.: . •:•••• •••"::-±••••: '•••••••••:,.• • - , •
. ••• • ....,„,•••••
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWERPURVEYOR
, VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
Yes No Yes 2. No
•
•
r• •
EW,OR,ADDITION
AREA DESCRIPTION(in square feet) EXISTING I PROPOSED TOTAL FOR OFFICE USE
BASEMENT
• ••-• ••!.•.•:„.••••.•
:••••:::•: ••• - •-•••••••••1
FIRST FLOOR(or Mobile Home)
,.
. .
SECOND ELOOR • : .
COVERED ENTRY
DECK
GARAGE
• :
GARAGE D CARPORT D
OTHER(describe) • •
EXISTING PROPOSED Tour.
Area Totals
**NEW HOMES OMY
•
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL ---N-'"'""-"'"'"-• • -----
#of
AREA DESCRIPTION in Feet -Occupancy Group(s) Construction Stories Additional Information
Square
---- •••••••• 4--••••••••
. . • ,
NEWBTtnLMNG ..•:.•'•:::1:•:::••••• . • • . ••••••
• • •:•••.::•.••••:.„ .••••••:...:• ...: • • •••
ADDITION •
•
•••
,•11:•:••• 5.Mp•
• Area Construction #of
AREA DESCRIPTION SqFeet Occupancy Group(s) Additional Information
in uare ! 'type Stories
r— •... . .: ; • . • ... . .
__:•-1;;;; . . - •" : . .; .:;••••;::• ""..• ;. • •••• - • . ; ; . •
TOTAL BUILDING • : • .,:-----.-•::-•.:!:•••:.••••• :!•••• • • -
: . . ••• :.
• ••••••-• • -- ••••:•••:•,:•••:•• •-••••• - ••'1•••••:::•• •:'••• • - • - • •••::•••• • -
TENANT AREA ONLY
• . . . • :.•••,•:••:::••• ....:••
• •:•••::::::PRO4ECTARExoNLY. • - • . :::•:••••:••••
• ••••:•••:•:•••'•••:::••••:-- • - •••••::•,:•:•::•••• . •• ••• ••••: : ••••:••1•••::•:•• ••••
Bulletin-#100-January 1.2011 Page 2 a)'3 k: lialid(nits\Permit Application