09-101297 110 Mechanical
City of Federal Way W r �
Community Development Services 7Permit #: 09-101297-00-ME
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: ST PAUL TRAVELERS
Project Address: 33650 6TH AVE S Suite 200 Parcel Number: 926480 0210
Project Description: Adding(1)VAV-fan bowered box and modifying exisitng duct to create new zone
Owner Applicant Contractor
SUN LIFE ASSURANCE COMPANY OF COMFORT MECHANICAL INC(GENERAL) COMFORT MECHANICAL INC(GENERAL)
CANADA 6830 S 220TH ST COMFOMI015LA(6/1/10)
777 108TH AVE SUITE 103 KENT WA 98032 6830 S 220TH ST
BELLEVUE WA 98004 KENT WA 98032
;10;7 •�\ ' �i' x\`���/'::. � A �1d. It inforrnatiol -��., t , �\,1 �, ,'../ s
Mechanical Valuation 7830 Is this an Online or O.T.C.application? Yes
v ${�' 1%IXtl1'� � �•^ ii /. ff
Air Handling Units 1 Ducting 4
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Sunday, October 4, 2009
Permit Issued on Tuesday, April 7, 2009
I hereby certify that th- above information is correct and that the construction on the above described property and
the occupancy and the se ill •e i accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. /D9
Owner or agent: ,�; Date: ! O3-
THIS CARD IS TO MAIN ON-SITE
CITY OF ' Community Dev iopm nt Inspecti
on Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101297-00-ME
Owner: SUN LIFE ASSURANCE COMPANY OF CANADA
Address: 33650 6TH AVE S Suite 200
FEDERAL WAY, WA 98003-6754
This card is part of your required inspection documents. 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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By j Date Lk —
.
•
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
T . R •
CITY OiA. �► - i 1 Zo2 2
Federal Way APR p
�] 7 ?009 PERMIT SF MF CO EL PL DE EN FP
COMMUNITY DEVELO!'111
3332E RWAY,WA 98063-9718 TPLI CATI O N TD
FEDERAL WAY,FAX
53063 260 ly A / /
253-835-2607•FAX 253-835-2609 J'��Pl 7*,
www.cittuoffederatwau.com C S 'l I
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
( �(� r ,, • PROPERTY INFORMATION I`O\N /��y
SITE ADDRESS — V! , ' , ( t S.00,+ I SUITE/UNIT#_ eZO
ASSESSOR'S TAX/PARCEL# 1 a (0 9 s o - CPQ 1_10 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for length/legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR• D CRIPTION(Pro a detailed description of wprk included on this permit only)
�1 c� I V‘1,0JV—N0a.. Po4J c bL)t
p
nimam ......—:_-_-_-_,---'t ,E, -
I
1/6Z k PI (Zx. -)i &AA- -- c ketk.) oist.
PROJECT NAME(Name of Business
iness or Owner Last Name) S�r 4tct_ ,ILKS
• PEOPLE INFORMATION
PROPERev, _..fir _OWNER TY NAME � `,A-&viAo^� ,►,►t. ` PRIMARY P ONE �t
MAILING ADDRESS) t7 V ,ST-TE.Z -„.l _••; SS kilt
< t ---... __-. -
CONTRACTORC�RzMP NAME � ` � LI N OFFICE PHONE
SQ.L.L.:\t".
�M ADpRES I s4. C&TATE.ZIP 9B,43. C pH)NFA _ `�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER IRA ON DATE FAX NUMBER JZ
—00Tto1,4Sy-00‘-al- 1al3l o9 (4.2s)CSJ -99: /
CONTRACTOR'S REGISTRATION NUMBER E TION DATE E- DRESS
�ow��w�a o s• LA oe% e o(0 J�@ e� -f, ..,, ,
APPLICANT COMPAME 1(\ 1 APPLICANT NAME OFFICE PHONE
yv1/�al ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant 0 Agent ❑ Other ( )
PROJECT NAPRIMARY PHONE E-MAILDRESS
CONTACT ( ) -
ME II.
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
I DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
I . . •
• PROJECTI FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS E DIO STPROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture r be installed r relo ed part of this project. Do not in ude exis ' g f res to remain.
MECO 1,/x;LH" A ` i) Y t t�
Value of Mechanical Work$q) ..� (A COPY OF BID OR ESTIl1�9TE MUST BE INCLUDED . APP CA ON
1 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerelall
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Ibb/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS moue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 claimes 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 his ap lication
3/1 SIGNATURE: ` DATE (�O/cq
([1 Property
Owner and/or Authorized Agent
FOR OFFICE,USE O1 Y 5,
❑NEW o ADDITION ❑ALTERATION o REPAIR of TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application