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