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08-105213 �. .. �� Mechanical City of Federal Way QQ Community Development Services Permit #: 08-105213-00-MEP.O.Box 9718 Federal Way,WA 98063-9718 Ins ection Re uest Line: 253 835-3050 Ph4111 :(253)835-2607 Fax (253)835-2609 p q ) 4111 e Project Name: EVERGREEN BANK Project Address: 31433 PACIFIC HWY S Parcel Number: 082104 9013 Project Description: Install(1) new rooftop A/C unit with screening included.Install(1)ductless split system A/C unit for server room.Re-use an existing rooftop A/C unit installing new ductwork and • grilles and(3)exhaust fans. Owner Applicant Contractor PAVILION CENTER ASSOCIATES C F M HEATING AND COOLING INC C F M HEATING AND COOLING INC 120 W DAYTON SUITE D9 (GENERAL) (GENERAL) EDMONDS WA 98020 17425 68TH AVE NE SUITE 201 CFMHEHC969CD(2/4/10) KENMORE WA 98028 17425 68TH AVE NE SUITE 201 KENMORE WA 98028 1."'`Mechanical Valuation 21830 Is this an Online or O.T.C.application? No "��' s' :.��"'r%� e F$ 4� yy°�e :""�\ w.a .M„ . :?"�, >n.:sC;e> ..,«,....,a#^.°:v. �'`,�//,/G%aA.aha l�,Ja'A_`?,A/J ^.a �, '�%,s.., z ...f�. 3, .,,.,�• Air Handling Units 2 Fans 3 Gas Pipe Outlets....:.. .. .... .........., 1 CONDITIONS: Per FWCC,Sec.22-960,Mechanical vents,penthouses or equipment that extends above the roofline must be surrounded by a solid sight-obscuring screen that meets the following criteria: a)The screen must be integrated into the architecture of the building. b)The screen must obscure the view of the appurtenances from adjacent streets and properties. PERMIT EXPIRES Wednesday, July 8, 2009 Permit Issued on Friday, January 9, 2009 I hereby certify that the above information is correct and that the construction on the abov aescribed property and the occupancy and the use will be in accordance with the laws, rules and regulations o e State of Washington and the City of Federal Way. Owner or agent: r'ez. i6 (T) �� `--� ' =te: a • • t DATE INSPECTOR AREA AND TYPE OF IioPECTION I — IZ -09 G u.1 IJ u f rii. 5e ct.( ,�.. sc,t f,1)��- f- 144: THIS CARD IS TOMEMAIN ON-SITE` CITY OF Community Develop ent Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-105213-00-ME Owner: EVERGREEN BANK Address: 31433 PACIFIC HWY S FEDERAL WAY, WA 98003-5405 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) Ei Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By ® �/ Dateifj 9 For inspector reference only _ 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date • CRY OF.:tiNZECEINit © s I 0 z 1 Feaerai way PERMIT — — l COMMUNITYDEVEWPMErpOEBI l S/ U 3 2008 Sr MF C�,�1 �L PL DE EN FP 33325 D AVENUE SOUTH 0 PO 97 718 LI CATI O N FEDERAL WAY,WA 98063-9718 / / O� 253-835-260 • �1.3:3 ier www, :egIIAail FEf7ERAi_ A The following is requirr rmation-an incomplete application will not be accepted. Please print legibly an ink)or type. �!,z • PROPERTY INFORMATION ai rxi44,,R F'. SITE ADDRESS 3((lf✓3 PatRM 1 5 - SUITE/UNIT# ASSESSOR'S TAX/PARCEL# V b Z t 0 ti - 1 I t (e7 LOT SIZE(sf 5 , bK LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) • PROJECT INFORMATION A.,1,,-,iv . TYPE OF PERMIT ❑BUILDING ❑ PLUMBING )(MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlll) ItJaII I new roc-r+C? AC M�-1- kilt" &r an'5 included in0-4l) ) c f(ef,s i, - 5ybt-tm A(-t. L ' Se -ueif room l -e � ose an "5trnc! FO@-}qun () Ac to ' F-alltn� new cel-tvot k culei g r;i,lts l cc vtc‘ 5 e 1.h tti,;A�- Y �J PROJECT NAME(Name of Business or Owner Last Name) E v3`(ee i/1 6af1k MI PEOPLE INFORMATION -_,,,-,..,-7:i,` t',,: PROPERTYNAME PRIMARY PHONE OWNER ��en O RQA (\ corp. (SIG) 6(:,") qo) - /0> MAILING ADDRESS ""''��`` � CITY,STATE,ZIP E-MAIL ADDRESS 3333 New 141t � New wick 13041l H. timi CONTRACTOR CO ANY NAME APPLICANT NAME OFFICE PHONE 'p�M Ree,lrtn� w ci (io roc. ��//'yy.e .sea ler (41,5 ) Ltf) - 3ctl t MAti•. 'v fi\'Qn� Yy•I' 1�O` (tc PH)NE �:� ?5_(9-10: X lilt E.�(e' Sid - ®�/J COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER �oc�(o t�32a`i IZ/51 /08 (`i )L93 - R(o'! l CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS CF KAcc(D c cc) 62./04 l 0 1"eccenl e - w c4 etlin APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE CFM tAtt 4'tn('�) cock.Cc i.c/�3 3 Mot-1w (�l ) gel - 3ct-/ I MAILING DRESS �J �,J CITY,STATE. IP CELL PHONE a, x. '23ba KerinTE.m. i Ute. ' 6Ot (zoe) st© - 6101 5 RELATIONSHIP TO PROJECT �r - FAX NUMBER ❑ Architect 0 Tenant ❑Agent Other Cn AI-actor C (1--(21) q -�� l PROJECT NAME ,, `` PRIMARY PHONE E-MAIL ADD CONTACT � 2iMy M � ( Z'5') 15I - 3� i I �2Ct C�i�"�VkCf,tEb�M LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE.ZIP PHONE IMPa • DETAILED BUILDING INFORMATION EXISTING USS PROPOSED USE`` `,�,iktA EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ Z©,000•CO SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) i` . • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL BASEMENT SQ.FT. SQ.FT. SQ.FT. FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT ❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ •��• • FIXTURES o" Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. I 16 ,sr CAL ��`/ • I/' ••• f, •ZoI ooC'. (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) k�� DLING UNITS s� EVAPORATIVE COOLERS 1 GAS PIPE OUTLETS WOODSTOVES �� BBQS 3 FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(commerriaq COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Comte( LAYS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSI IS crones ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS `;'�:, k`�. SIGNATURE I cert(fy 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 apart of this application. �Ip� � + (� SIGNATURE: ()2U44. � IIA DATE 11—03-03 Property Owner and/or Authorized Agent b t p cT im:it Ot13.Y o NEW ❑ADDITION ❑ALTERATION ❑REPAIR NANT IMPROVEMENT BUILDING SHELL ONLY? n YES NNO BASIC o YES 0 ZONING DESIGNATION G CHANGE OF USE? o YES NO NEW ADDRESS REQUIRED? u YES NO UP/SEPA/SU? o YESNO PLATTED LOT? ( YES DEMO PERMIT REQUIRED? ❑YES NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application