12-103764 r-
N
Mechanical
City of Federal Way .rte
Community&Econ.Dev.Services .... Permit #: 12-103764-00-ME
33325 8th Ave S
Federal Way,WA 96003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: DIGESTIVE HEALTH SPECIALISTS
Project Address: 33915 1ST WAY S Unit 200 Parcel Number: 926504 0150
Project Description: Relocate/add ductwork,diffusers and vent fans for new tenant.
Owner Applicant Contractor
DIGESTIVE HEALTH SERVICES HEATTRANSFER CO HEA 11RANSFER CO
34503 9TH AVE UNIT 130 PO BOX 1268 HEATT**206Q0(9/11/13)
FEDERAL WAY WA 98003 CARNATION WA 98014 PO BOX 1268
CARNATION WA 98014
Additional Permit information
Mechanical Valuation 12960 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Ducting 1 Fans 2
PERMIT EXPIRES Monday, February 11, 2013
Permit Issued on Wednesday, August 15, 2012
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: /S—1 Z
INALL6?› i 0 /I 12/I Z.
•
(0\''
0
THIS CARD IS TO AIN ON-SITE
CITY OF Construction In ction Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-103764-00-ME Address: 33915 1ST WAY S Unit 200
Project: DIGESTIVE HEALTH SERVICES 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) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By /✓`Q v .vDate 0,p 2, By Date By f---1„,f--- Date 0-421—/Z
•
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• — J 0_74 cI
CITY Federal R PERMIT SF MF COFederal Way FC�j � PL DE EN FF'
e,�t,tt;Nal: r.t(iP,2534 5tat-,rt AU 'LICATION
253,!t3,3-zho7FAX 253465 visa<, �`
:unc�iirloite<ier:ztrc.tu.eonz
0F-F
SITE ADDRESS CDS L wqY [ SUITE/UNIT q
33915-1st Way South 200
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ 12,960.00 9 2 6 5 0 4 _ 0 1 5 0
•
TYPE OF PERMIT IT BUILDING L] PLUMBING MECHANICAL
i L DEMOLITION ENGINEERING Li FIRE PREVENTION
NAME OF PROJECT Di estive Health Specialists
(T0000(Name,/1lomenu�ner Lost,Vaine=r g P
Relocate and/or add ductwork,diffusers and returns to accommodate new
PROJECT DESCRIPTION
Derntled cle.scrtptton Of work to floor plans. Install and vent two exhaust fans. All units,zone valves,
be Included on this pe_rnitt onitl controls and main trunk ductwork is existing to be reused.
NAME PRIMARY PHONE
PROPERTY OWNER 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
1�
P.O.Box 1268 heattransferl a
CONTRACTOR :aoLconl
CITY STATE ZIP FAX
Carnation WA 98014-1268 425-333-6545
LHEWA STATE CONTRACTOR'S LICENSE g EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k
ATT**206Q0/HEATTC*009DA / / 98-105637-00-BL
---- ---------- -
NAME PHONE --- --- -
Heattransfer Co. 425-885-3247
APPLICANT MAILING ADDRESS E-MAIL
P.O.Box 1268 heattransferlaaol.com
CITY STATE ZIP FAX
Carnation WA 98014-1268 425-333-6545
PROJECT CONTACT i NAME PHONE
Tom.McCloskey 425-885-3247
mu'tndlrrtduat to receive and
respond ro u11 corr f'sponclence, i MAILING ADDRESS E-MAIL
cetwerntng this uppltcottotU 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 425-885-3247 heattransferllaaol coin
PROJECT FINANCING NAMEEl OWNER-FINANCED
Regrtired collo'a($i3O(0 or more
iRCIV I0-27,OOO5j 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
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. )
SIGNATURE: 4illir DATE + •4'/ 5 /�
PRINT NAME Ai cif 41:4 5 hhd
Bulletin#11)0—,;tnimry I.2011 Page I of:i k:\Handout \Permit Application
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- ------------------------------------------------------------------- ,--.--:----------- --- .-------,----------...-------------„.„----...„----..--.„ „.. . ..........„.............„.„„„„„„...„... .. . . .FIXTURES....... _...,,,......-...„.„„......„.........,:„.„.„.„.„.„.„.........„....:.„„.,„.„..„,,,,,,,,,,,,,,,,,,,„„,„„,,-„,...„:„:„..........
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VALVE OF MECHANICAL WORK $12,960.00 (a copy of bid or estimate must be provided)_
----7------- __________
----
Indicate how many Qf each type of ItYttire to be Installed or relocated as part ef tills prgfect. Do not include extsttrtgitxttires to remain.
AIR IIANDLINi:i UNITS 7, FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(comin,,r4
BOILERS FURNACES HOT WAITIR TANKS(Gas.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1
.._....... .
DIJCTING GAS PIPING WOODSTOVBS
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indicate how many of each type ol:11,rture to be installed or relocated as part(?f this prgfect, Do not Include existtrzg fixtures to remain.
. _
BATHTtiBS.,orTubfshowt,combo LAVS ahe(ii slots( TOILETS WATER PIPING
DISHWASHERS RAiNWATER SYSTEMS URINALS OTHER it)escribel
DRAINS SHOWERS VACUUM BREAKERS _
DRINKING FOUNTAINS SINKS Kitchen/Utility: WATER HEATERS(Electric) _
IIOSE.BIBBS SI.TMPS WASHING MACHINES . _ TOTAL FIXTURES
---
-------- - • •-• GENERAL -
'::-:-:i::.,--:-.... :._..•.,•„:"•,••• .:INFORMATION'....:::1',.'.:::..::::::1:
-• . -- --- ---------- ,----. --. -• •---- - • -'' •
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR ! SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENT'S
, $
.............
EXISTING/PREVIOUS USE LOT SIZE(In square Feet) r EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
1
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AREA DESCRIPTION(in square feet) EXISTING I PROPOSED TOTAL i FOR OFFICE USE
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SECONDFLOOR :•::,:.:;:,:::;,:;:_i.i,"•::::,..::::::,::::;,,:,_::::::: :-...--...,..--,:-.....:,..-........- ::.:::::::::„::. ::::,:,,,,;,,,,,,,,...., : .. .. „:.. .:.. . ,,,,,,,,............„.„... „ ..:. i
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COVERED ENTRY
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GARAGE D CARPORT
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ICISTINfl , PROPOSED TOTAL ,
Area Totals
- -**NEW HOMES ONLY -. ..•..--• .•..r.„ ------.:.-i:::::,-:!i-E--,--::-::.: • :......... I
ESTIMATED SELLING PRICE S 1 #OF BEDROOMS
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Area Construction
' AREA DESCRIPTION ' Occupancy Group(s) #°f 1 Additional Information
i in Square Feet 1 TXP._e Stories 1
+: .:..
...: . .......: ......... : : .____
•• •---- •• - -•••
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ADDITION
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COMMERCIAL:.:L: ;REN-100E...:-..,..:':,.„...:::...,_-...::.-.........rIMPROVEMENTS.:::..::.,.,
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Area
• AREA DESCRIPTION i in Square Feet i Occupancy Group(s) #°f 1 Additional Information
Stories ;
Construction TYPe .
TOTAL BUILDING: .: . ...... . ....
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TENANT AREA ONLY
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Bulletin 4t10(.1--January I.2011 Page 2(>1'3 k:\I'landouts\Permit Application