09-100933 -� - Mechanical
City of Federal Way Q
Community Development Services Permit #: 09-100933-00-M E
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: PUBLIC STORAGE
Project Address: 34701 PACIFIC HWY S Parcel Number: 202104 9025
Project Description: Replace 3/4 ton split system heat pump (ductless) for office
Owner Applicant Contractor
PUBLIC STORAGE INC AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC
701 WESTERN AVE (GENERAL) (GENERAL)
GLENDALE CA 91201 3602 S PINE ST AIRSYE*229KN(2/1/10)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Mechanical Valuation 2700 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Air Handling Units 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, September 7, 2009
Permit Issued on Wednesday, March 11, 2009
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
Ai.and the City of Federal Way.
Owner or agent: c __Aki.,,......6) . :>•• Date: -1`-� �,c,`N
SALE
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• THIS CARD IS TO EMAIN ON-SITE
CITY OF Community DevelopnTnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100933-00-ME
Owner: PUBLIC STORAGE INC
Address: 34701 PACIFIC HWY S .
FEDERAL WAY, WA 98003-6820
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) ❑ Gas Piping (4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date _g_09
For
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�n
�� 0 ? /5, l 3BAR 11 ,iF eraWay . 200PERMIT
.
SF MF CO V EL PL DE EN FP
COMMUNITY DEVELOPMENT SF,RVICES
•3332F D RAL WAY, UTH•639bXr971� DE APPLICATION FEDEAAEWAY,WA 9806O BOX' +c.•.•✓✓jj�.�° 1L
253-835-2607•FAX 253-835-2609 Cr%r -_
1.pu;w_citgptj'ed ligh,gg,cgm til -y
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
(� �",
• PROPERTY INFORMATION
/
SITE ADDRESS g`I 16 i ill' " � I 1H tL/ S ` SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# O d' 1 v L - q 0 5 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page Jar lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIO (Provide detailed descrption of work included on this permit lout
pi.krilio ( (.....
PROJECT NAME(Name of Business or Owner Last Name) puttaCtdi - .)
lc:. ,5-4-6 I aJ 6
• PEOPLE INFORMATION
PROPERTY NAMEi 1�/� - -'/ PRIMARY PHONE
0 OWNER PV to t i�C✓�J i I)( u ( ) -
G D 1alit-G7ADD'.
l/ _/� _�y/_t S n ) g I ler.ADDRESS
CONTRACTOR OMP NAME APPLICANT NAME OFFIC HONE
tr c,sNG �$� i'�s �t reefing I � �y/��L�j• {��f c� )51a—(4�q-
y2ICJ i/' �L� Y�SW a W( 1 f `�J'1 (ELL PHONE -
i ITY1 .-F FEDE$I —(306<)619 —
(Y BU LICENSE
NUMBER— V e V i a ✓ DATE( q t FAXS/�E�2%J. -V VJ 7
COONNTRACTCT9R'''S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
1125q-6•Y C9 1 ( i6
APPLICANT C MPAN J'IAM APPLIC 4NT AME OFFI HON
4.611,26
i
�LING AD �, C Y.,STATE,ZIP W ^ //, ,vy CELL PHONE -
�G � - 1(-4-111C, C/l /�C>J,Ir NYI�/'19,) f'�[Jl ��J[[,�[(-fl/�1..1/ l!
RELATIONSHIP TO PROJECT FAX
FAX NU BE
0 Architect ❑//T��enant ogent `Other ) �g —(4.2g-1
PROJECTNTi - , ,i5 10 - /,11 (R�iv)r—)�- q 1 11 E-MAIL ADDRESS
CONTACT �,� -EJ
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
)
p
• DETAILED BUILDING INFORMATION
��f
EXISTING USE ��Y���C�IJ� PROPOSED USE f �j
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ R-7(.)6
• SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
i i
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT y JFIRST _ !: f7 .S 1.9 1.9
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ 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
Indicate number of each type offbct ure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ �v V (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS \/ WOODSTOVES
BBQS FANS GAS WATER HEATERS 7� MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerctao S '('{- S'l 6-1-� )
COMPRESSORS FURNACES RANGES vJ C 1v-�Q�� .Q
DUCTS GAS LOG SETS REFRIG.SYSTEMS d AALi+fess / /ad
PLUMBING v •
BATHTUBS(or Tub/Shower Combo) LAYS(BathroomSnks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Two)
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 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 applica 'on.
SIGNATURE: .. _�s�. .►. i„• k DATE 'S— \ L r''
Prope Owner and/or Authorized Agent
ONLY
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑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? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application