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13-103838 • `r • S Mechanical City of Federal ay Comm unity&Econ.Dev.Services Permit #: 13-103838-00-ME 33325 8th Ave S Federal way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2 53)835-3050 Project Name: C& C COMMUNICATION Project Address: 33650 6TH AVE S Unit 210 Parcel Number: 926480 0210 Project Description: Relocate supply and return air grilles for new floor plan. Owner Applicant Contractor SUN LIFE ASSURANCE COMPANY OF P S R-HVAC&MECHANICAL SERVICES P S R-HVAC&MECHANICAL SERVICES CANADA (GENERAL) (GENERAL) 777 108TH AVE SUITE 103 PO BOX 27073 PSRHVMS924JT(4/30/14) BELLEVUE WA 98004 SEATTLE WA 98125-1473 PO BOX 27073 SEATTLE WA 98125-1473 • Additional Permit Information Is this an Online or O.T.C.application Yes Mechanical Fixtures Ducting 1 PERMIT EXPIRES Wednesday, February 26, 2014 Permit Issued on Friday, August 30, 2013 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 ity of Federal Way. Owner or agent: Date: 9/5(9/3 ".:14) I. Y �r a%.‘,. . • THIS CARD IS TO ON-SITE CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-103838-00-ME Address: 33650 6TH AVE S Unit 210 Project: SUN LIFE ASSURANCE COMPANY 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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved 'By0—j Date ' _((—(3 'By Date I Date t,{9�Ln;,� ❑ Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date Ir iii REC VED III .,,� AUG 3 4 2013 PERMIT APPLICATION CITY OF - Federal Way CITY OF FEDERAL WAY CDS - PERMIT NUMBER / 3 _ ` 0 3 2 3 X _ P +'J TARGET DATE SITE ADDRESS SUITE/UNIT# 33650 6th Avenue South 2.20 al 0 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 4,357.00 OP -9- 2 _ - .Q _2 -Q_ TYPE OF PERMIT ❑BUILDING ❑ PLUMBING 5t MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT C 0 Comm PROJECT DESCRIPTION Relocate supply and return air grilles to accommodate the new floor plan Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Calista Real Estate LLC 206-587-1863 MAILING ADDRESS E-MAIL 600 University, Suite 50. CITY STATE ZIP SPattIP WA 98101 , NAME PHONE PSR Mechanical 206-367-2500 MAILING ADDRESS E-MAIL CONTRACTOR 3132 NF 133rd Street nick.singer@psrmechanical.com CITY STATE ZIP FAX Seattle WA 98125 206-368-6856 WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# PSRHVMS924JT I i J° /2 ;'' 20-04-101543-OOBL NAME PRIMARY PHONE PSR Mechanical 206-367-2500 APPLICANT MAILING ADDRESS E-MAIL 3132 NE 133rd Street nick.singer@psrmechanical.com CITY STATE ZIP FAX Seattle WA 98125 206-368-6856 NAME PRIMARY PHONE PROJECT CONTACT Nick Singer 206-367-2500 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence 3132 NE 133rd Street nick.singer@psrmechanical.com concerning this application) CITY STATE ZIP FAX Seattle WA 98125 NAME ry PROJECT FINANCING 5t 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 Iaws 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: IA, DATE 8/29/2013 PRINT NAM .--Tot'frh ®y150" Bulletin#100—January 1,2013 Page 1 of 3 k:AHandouts\Permit Application r - 0 • VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 4,537.00 Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercta0 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 fixture 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 Kitchen/utility( WATER HEATERS(Elretrio) HOSE BIBBS SUMPS 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) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes 0 No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER{describe) EXISTING PROPOSED rarnc Area Totals **law HOMES ONLY*. ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories NEV BUILDING ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories TOTAL BUILDING 31.852 TENANT AREA ONLY 1,683 G PROJECT AREA ONLY Bulletin#100-January 1,2013 Page 2 of 3 k:AHandouts\PennitApplication