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12-104098 4 Meihan cal City of Federal Way ` 1 ?� Community&Econ.Dev.Services Permit #: 12-104098-00-ME 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: BANK OF AMERICA Project Address: 32011 PACIFIC HWY S Parcel Number: 1500500130 Project Description: Demolish existing 20 ton split system and relief fan.Install(2)VAV boxes,(2)7.5 ton split systems,(1)5-ton split system,(6)exhaust fans,(1)relief fan on roof,(3)electric wall heaters and new relief in lobby. Owner Applicant Contractor BANK OF AMERICA BANK OF AMERICA MACDONALD MILLER FAC SOL INC 100 N TYRON ST 100 N TYRON ST (GENERAL) CHARLO1 lb NC 28255 CHARLOI lb NC 28255 MACDOFS980RU(12/31/12) 7717 DETROIT AVE SW SEATTLE WA 98106 Additional Permit Information Mechanical Valuation 84900.00 Is this an Online or O.T.C.application? No Mechanical Fixtures Air Handling Units. 6 Fans 7 PERMIT EXPIRES Sunday, March 17, 2013 Permit Issued on Tuesday, September 18, 2012 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 the City of Federal Way. Owner or agent: r Date: / Vi/L ° DATE INSPECTOR' AREA AND TYPE C INSPECTION h 2 (13 k VwtaPM( I �o u7clex _ Ou- 4 0 Cove., C6, ) e4.1. 4 'fid ;� 6disCwA4-1- THIS CARD IS TO MAIN ON-SITE an F CITY OF' • Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-104098-00-ME Address: 32011 PACIFIC HWY S Project: BANK OF AMERICA FEDERAL WAY, WA 98003-6001 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. ❑ Mechanical Rough-in(4165) El Gas Piping(4125) 0 Final-Mechanical(4065) Approved A proved to release test Approved By 0_,A -`. Date a_.a)_/Lf , DateZ-1Z— t ,By L' ldn, DateQ _2,L) 1. El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date i • FAC MacILITDonald- SOLUTIOMNSiller Y kg BR NEBB CERTIFIED TEST, ADJUST & BALANCE REPORT FOR BANK OF AMERICA WA5-113 7225160 32011 PACIFIC HWY S FEDERAL WAY, WA 98003 ENGINEER: K ANWAY HVAC CONTRACTOR: MACDONALD MILLER THE DATA PRESENTED IN THIS REPORT IS A RECORD OF SYSTEM MEASUREMENTS AND FINAL ADJUSTMENTSTHAT HAVE BEEN OBTAINED IN ACCORDANCE WITH THE CURRENT EDITION OF THE NEBB PROCEDURAL STANDARDS FOR TESTING, ADJUSTING, AND BALANCING OF ENVIRONMENTAL SYSTEMS. ANY VARIANCES FROM DESIGN QUANTITIES, WHICH EXCEED NEBB TOLERANCES, ARE NOTED IN THE TEST-ADJUST- BALANCE REPORT PROJECT SUMMARY. SUBMITTED &CERTIFIED BY: MR BRIAN WHEELER, NEBB SUPERVISOR REPORT DATE: 02-20-14 Certification Expiration Date: March 31, 2014 FIELD FOREMAN: STEVE BAKER FIELD TECHNICIAN: ERIC GILBERT MACDONALD-MILLER FACILITY SOLUTIONS MECHANICAL SERVICES #2661 7717 DETROIT AVENUE SW SEATTLE,WASHINGTON 98106 PHONE: (206)763-9400 FAX: (206)767-6773 . • MacDonald-Miller ` g an FACILITY SOLUTIONS ABBREVIATIONS C11) AC AIR CONDITIONING UNIT HP HORSEPOWER BDD BACK DRAFT DAMPER HP HEATPUMP AIR CONDITIONING UNIT BHP BRAKE HORSEPOWER HWR HEATING WATER RETURN B.S. BIRD SCREEN HWS HEATING WATER SUPPLY CEG CEILING EXHUAST GRILLE INACINACCESSIBLE CRG CEILING RETURN GRILLE LAT (DB) LEAVING AIR TEMP.(DRY BULB) CFM CUBIC FEET PER MINUTE LAT(WB) LEAVING AIR TEMP.(WET BULB CHWR CHILLED WATER RETURN LD LINEAR DIFFUS CHWS CHILLED WATER SUPPLY LWT LEAVING WATERTEMPERATURE CSD CEILING SUPPLY DIFFUSER MAX MAXIMUM CWR CONDENSER WATER RETURN MIN MINIMUM CWS CONDENSER WATER SUPPLY 0 WIDE OPEN DAMPER/AIR PATH DD DIRECT DRIVE OBD OPPOSED BLADE DAMPER DP DIFFERENTIAL PRESSURE ODOUTSIDE DIAMETER DIFF DIFFUSER OSAOUTSIDE AIR DMPR DAMPER RA RETURN AIR DNA DATA NOT AVAILABLE REQ'DREQUIRED DNL DATA NOT LISTED RH RELATIVE HUMIDITY DNT DATA NOT TAKEN RTU ROOFTOP UNIT DWDI DOUBLE WIDTH DOUBLE INLET SA SUPPLY AIR EAT(DB) ENTERING AIR TEMP.(DRY BULB) SPSTATIC PRESSURE EAT (WB) ENTERING AIR TEMP.(WET BULB) SWG SIDE WALL GRILLE EC EGGCRATE RETURN SWR SIDE WALL REGISTER EF EXHAUST FAN SWSI SINGLE WIDTH SINGLE INLET EG EXHAUST GRILLE T OUTLET NEAREST THERMOSTAT ESP EXTERNAL STATIC PRESSURE TSP TOTAL STATIC PRESSURE EWT ENTERING WATER TEMPERATURE T.P. THERMALLY PROTEC l ED FPM FEET PER MINUTE T-STAT THERMOSTAT OR SENSOR FH FUME HooD TYP TYPICAL GPM GALLONS PER MINUTE 0 VOLTAGE PHASE/DUCT DIAMETER HF HEPA FILTER V.D. VOLUME DAMPER . • • , CZ> MFACIacDoLITYSOLUnaldTIONS-Miller JL_ -iL- - MacDonald Miller Facility Solutions Calibration Certification 2014 Calibration Calibration Calibration Instrument Tool# Model# Serial# By Date Due Rotating Measurement 1003510 461995 Q342831 Davis Inotek 6/10/2013 6/10/2014 Temperature Measurement Air 1009459 ADM-860C M13055 Shortridge 1/30/2014 1/30/2015 Temperature NSN Measurement H2O 80PK-5A Mac 63690 7458111 Davis Inotek 6/11/2013 6/11/2014 Electrical Measurement 1003918 Fluke 902 94710185 Davis Inotek 6/10/2013 6/10/2014 Temperature Measurement Air 1009459 ADM-860C M13055 Shortridge 1/30/2014 1/30/2015 Air Velocity Measurement 1009459 ADM-860C M13055 Shortridge 1/30/2014 1/30/2015 Temperature Measurement Air 1009459 ADM-880C M13055 Shortridge 1/30/2014 1/30/2015 Humidity 9555P0841032 Measurement 1005875 TSI 9555-P P08410045 TSI 8/27/2013 8/27/2014 Hydronic Pressure Measurement 1001731 HDM250 W05167 Shortridge 10/8/2013 10/8/2014 Hydronic Differential Pressure Measurement 1001731 HDM250 W05167 Shortridge 10/8/2013 10/8/2014 • Bank Of America CZ) MacDonald-Miller Test and Balance Summary FACILITY SOLUTIONS WA5-113 Bank Of America Air Balancing Summary WAS-113 Job # 7225160 General Notes: A. The balancing procedures,techniques, and instrumentation were those set forth by the National Environmental Balancing Bureau. B. Additional requirements described in the Mechanical Specifications. Testing,Adjusting, and Balancing were incorporated into the balancing procedures. Any deviations were noted and approved by the consulting engineer. C. Prior to TAB work being perform on a system,the following was completed&/or verified by TAB personnel: 1. Start-up 2. Vibrations springs working and shipping restraints removed 3. DDC controls operational and controlling(verify proper sequence of operations) 4. Ductwork complete II. Air Systems A. Fan Unit AHU-01,AHU-02,and AHU-03 1. Observed conditions met in section I. General Notes have been met for this system 2. Supply Fan a) Read unit for total flow by filter traverse b) Adjusted fan speed for proper flow c) Verify functionality of installed electric heat coil d) Set minimum outside air e) Recorded operational data f) Units were balanced as an open area with no outlet design numbers • Bank Of America CZ) MacDonald-Miller Test and Balance Summary FACILITY SOLUTIONS WA5-113 B. Terminal Unit 1. Observed conditions met in section I. General Notes have been met for this system 2. Variable Air Volume Unit a) Calibrated VAV boxes by (1) Reading outlets with flow hood. b) Proportioned outlets c) Calibrated minimum set point d) Verified functionality of installed heater C. Exhaust Fans 1. Observed conditions met in section I. General Notes have been met for this system 2. Exhaust Fans a) Read fan inlet for total flow D. Relief Fan 1. Observed conditions met in section I. General Notes have been met for this system 2. Relief Fan a) Read discharge of fan for total flow (1) Fan set to maintain building static pressure 4Z2). NlacDo�d-Miller w FACILITY SOLUTIONS Air Handling Unit PROJECT: Bank Of America WA5-113 DATE:2/20/2014 LOCATION:Federal Way,WA CONTACT:Eric Gilbert PROJECT#:7225160 SYSTEM/UNIT:AHU-01 Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Unit ManufacturerYork AHU-01/Suppiv Fan Unit Model Number NC09000OC6AAA2A Motor Manufacturer A.O.Smith Unit Serial Number Ni G2031290 Motor Frame 56HZ Unit Discharge Upblast Motor HP 2 HP AHU-01 1 SF Filter Bank Motor RPM 1725 RPM Filter Type Pleated Motor Rated Volts 208 Volts Filter Quantity-Size 1 4 Motor Phase 3 Filter Dimensions-Size 1 16x25x2 Motor Hertz 60 Hz Motor FL Amps 6.6 Amps Test Data Motor Service Factor 1.15 Total Design Airflow 3000 CFM Sheave Data Total Actual Airflow 2935 CFM Outside Air Design 500 CFM AHU-01/SupDly Fan Outside Air Actual 510 CFMMotor Sheave MFG Browning AHU-01/Supply Fan M tor Sheave Model VP Motor Volts T1-T2210 Volts Motor Sheave Dia m. 4 in. Motor Volts T2-T3 211 Volts Motor Sheave Bore 5/8 in. Motor Volts T1-T3 209 Volts FanSheave MFG Browning Motor Amps TI 6.60 Amps Fan Sheave Model AK55 Motor Amps T2 6.70 Amps Fan Sheave Diam. 5 1/2 in. Motor Amps T3 6.60 Amps Fan Sheave Bore 1 in. Number of Belts 1 Belt Size A44 Sheave Center Line 16 1/4 in. * Notes MacDonald-Miller NEBB Certified TAB Contractor 422Z) MacDoilid-Miller IP FACILITY SOLUTIONS Air Handling Unit PROJECT:Bank Of America WA5-113 DATE:2/20/2014 LOCATION: Federal Way,WA CONTACT: Eric Gilbert PROJECT#:7225160 SYSTEM/UNIT:AHU-02 Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Unit Manufacturer York AHU-02/Supply Fan Unit Model Number NC090C00C6AAA2A Motor Manufacturer A.O.Smith Unit Serial Number N1 G2031287 Motor Frame 56HZ Unit Discharge Upblast Motor HP 2 HP AHU-02/SF Filter Bank Motor RPM 1725 RPM Filter Type Pleated Motor Rated Volts 208 Volts Filter Quantity-Size 1 4 Motor Phase 3 Filter Dimensions-Size 1 16x25x2 Motor Hertz 60 Hz Motor FL Amps 6.6 Amps Test Data Motor Service Factor 1.15 Total Design Airflow 3000 CFM Sheave Data Total Actual Airflow 3045 CFM Outside Air Design 500 CFM AHU-02/Supply Fan Outside Air Actual 485 CFM Motor Sheave MFG Browning AHU-02/Supply Fan Motor Sheave Model VP Motor Volts T1-T2 210 Volts Motor Sheave Diam. 4 in. Motor Volts T2-T3 211 Volts Motor Sheave Bore 5/8 in. Motor Volts T1-T3 209 Volts Fan Sheave MFG Browning Motor Amps T1 6.60 Amps Fan Sheave Model AK55 Motor Amps T2 6.70 Amps Fan Sheave Diam. 5 1/2 in. Motor Amps T3 6.60 Amps Fan Sheave Bore 1 in. Number of Belts 1 Belt Size A44 Sheave Center Line 16 1/4 in. *Notes MacDonald-Miller NEBB Certified TAB Contractor Miller , . , 41) Man CIII> FACILITYcDoSOLUTIONS-d Air Handling Unit PROJECT: Bank Of America WA5-113 DATE:2/20/2014 LOCATION: Federal Way,WA CONTACT: Eric Gilbert PROJECT#:7225160 SYSTEM/UNIT:AHU-02/VAV-02 Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Term Box Test Data Manufacturer Price Max Design CFM 450 CFM Model Number SDV50808 Max Actual CFM 460 CFM VAV Address 02 Max Setpoint 450 Box Inlet Size 8" Min Design CFM 150 CFM Min Actual CFM 145 CFM Min Setpoint 150 Electric Heat Rated KW 5 KW Measured DT 25 Deg F Design CFM 150 CFM Measured CFM 145 CFM Stages SCR AHU-02/VAV-02 Supply Outlet Summary System t Unit Area Served T/0 Type of Outlet Size Design Prelim % Pre Final %Final Reading Type Reading Reading Reading Outlet-01 Merchant 0 Flowhood CD 10" 250 220 88 255 102 Teller Outlet-02 Merchant T Flowhood CD 8" 200 225 113 205 103 Teller Totals: 460 445 99% 460 102% * Notes MacDonald-Miller NEBB Certified TAB Contractor MacDon d-Niiiler 410 411a> FACILITY SOLUTIONS Air Handling Unit PROJECT: Bank Of America WA5-113 DATE:2/20/2014 LOCATION: Federal Way,WA CONTACT: Eric Gilbert PROJECT#:7225160 SYSTEM/UNIT:AHU-03 Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Unit Manufacturer York AHU-03/Supply Fan Unit Model Number AVG60D3XH21CA Motor Frame 56 Unit Serial Number W1E1020582 Motor HP 3/4 HP Unit Discharge Upblast Motor RPM 1725 RPM AHU-03/SF Filter Bank Motor Rated Volts 208 Volts Filter Type Pleated Motor Phase 1 Filter Quantity-Size 1 1 Motor Hertz 60 Hz Filter Dimensions-Size 1 20x22x1 Motor FL Amps 7.0 Amps Test Data Total Design Airflow 1765 CFM Total Actual Airflow 1830 CFM Outside Air Design 150 CFM Outside Air Actual 165 CFM AHU-03 I Supply Fan Motor Volts T1-T2 209 Volts Motor Amps T1 4.30 Amps *Notes MacDonald-Miller NEBB Certified TAB Contractor CZ) McDai d-Miller i ' ' FACILUTYa SOLUTIONS Air Handling Unit PROJECT: Bank Of America WA5-113 DATE:2/20/2014 LOCATION:Federal Way,WA CONTACT:Eric Gilbert PROJECT#:7225160 SYSTEM/UNIT:AHU-03/VAV-01 Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Term Box Test Data Manufacturer Price Max Design CFM 500 CFM Model Number SDV50808 Max Actual CFM 505 CFM VAV Address 01 Max Setpoint 500 Box Inlet Size 8" Min Design CFM 200 CFM Min Actual CFM 190 CFM Min Setpoint 200 Electric Heat Rated KW 5 KW Measured DT 23 Deg F Design CFM 200 CFM Measured CFM 190 CFM Stages SCR AHU-03/VAV-01 Supply Outlet Summary System FUnit Area Served T/O Type of Outlet Size Design Prelim %Pre Final %Final Reading Type Reading Reading Reading Outlet-01 Managers T Flowhood CD 10" 250 210 84 245 98 Office Outlet-02 Managers 0 Flowhood CD 10" 250 225 90 260 104 Office Totals: 600 436 87% 606: 101% * Notes MacDonald-Miller NEBB Certified TAB Contractor ' I .CZ) d d-Miller III ' Mac o FACILITY SOLUTIONS Fan Unit PROJECT: Bank Of America WA5-113 DATE:2/20/2014 LOCATION: Federal Way,WA CONTACT: Eric Gilbert PROJECT#:7225160 SYSTEM/UNIT:EF-01-Janitors Closet Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Fan Manufacturer Broan Rated Airflow Capacity 80 CFM Fan Model Number L100 Motor Manufacturer Broan-Nuetone Motor HP 87 Watt Test Data Motor RPM 640 RPM Motor Rated Volts 120 Volts Total Airflow Design 80 CFM Motor Phase 1 Total Airflow Actual 75 CFM Motor Hertz 60 Hz Motor FL Amps 1.10 Amps *Notes SYSTEM/UNIT:EF-01-Mens Restroom Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Fan Manufacturer Broan Rated Airflow Capacity 80 CFM Fan Model Number L100 Motor Manufacturer Broan-Nuetone Motor HP 87 Watt Test Data Motor RPM 640 RPM Motor Rated Volts 120 Volts Total Airflow Design 80 CFM Motor Phase 1 Total Airflow Actual 85 CFM Motor Hertz 60 Hz Motor FL Amps 1.10 Amps *Notes SYSTEM/UNIT:EF-01-Restroom Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Fan Manufacturer Broan Rated Airflow Capacity 80 CFM Fan Model Number L100 Motor Manufacturer Broan-Nuetone Motor HP 87 Watt Test Data Motor RPM 640 RPM Motor Rated Volts 120 Volts Total Airflow Design 80 CFM Motor Phase 1 Total Airflow Actual 80 CFM Motor Hertz 60 Hz Motor FL Amps 1.10 Amps * Notes MacDonald-Miller NEBB Certified TAB Contractor CZ) MacDvld-Miller . FACILITY SOLUTIONS Fan Unit PROJECT: Bank Of America WA5-113 DATE:2/20/2014 LOCATION:Federal Way,WA CONTACT:Eric Gilbert PROJECT#:7225160 SYSTEM/UNIT:EF-01-Women's Restroom Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Fan Manufacturer Broan Rated Airflow Capacity 80 CFM Fan Model Number L100 Motor Manufacturer Broan-Nuetone Motor HP 87 Watt Test Data Motor RPM 640 RPM Motor Rated Volts 120 Volts Total Airflow Design 80 CFM Motor Phase 1 Total Airflow Actual 75 CFM Motor Hertz 60 Hz Motor FL Amps 1.10 Amps * Notes SYSTEM/UNIT:EF-01-Women's Restroom Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Fan Manufacturer Broan Rated Airflow Capacity 80 CFM Fan Model Number L100 Motor Manufacturer Broan-Nuetone Motor HP 87 Watt Test Data Motor RPM 640 RPM Motor Rated Volts 120 Volts Total Airflow Design 80 CFM Motor Phase 1 Total Airflow Actual 80 CFM Motor Hertz 60 Hz Motor FL Amps 1.10 Amps * Notes SYSTEM/UNIT:EF-01-Women's Restroom Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Fan Manufacturer Broan Rated Airflow Capacity 80 CFM Fan Model Number L100 Motor Manufacturer Broan-Nuetone Motor HP 87 Watt Test Data Motor RPM 640 RPM Motor Rated Volts 120 Volts Total Airflow Design 80 CFM Motor Phase 1 Total Airflow Actual 85 CFM Motor Hertz 60 Hz Motor FL Amps 1.10 Amps * Notes MacDonald-Miller NEBB Certified TAB Contractor . CitZ) MacDod-Miller III FACILITY SOLUTIONS Fan Unit PROJECT:Bank Of America WA5-113 DATE:2/20/2014 LOCATION: Federal Way,WA CONTACT:Eric Gilbert PROJECT#:7225160 SYSTEM/UNIT:EF-02-Breakroom Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Fan Manufacturer Broan Rated Airflow Capacity 235 CFM Fan Model Number L250 Motor Manufacturer Broan-Nuetone Motor HP 166 Watt Test Data Motor RPM 830 RPM Motor Rated Volts 120 Volts Total Airflow Design 235 CFM Motor Phase 1 Total Airflow Actual 225 CFM Motor Hertz 60 Hz Motor FL Amps 2.10 Amps *Notes SYSTEM/UNIT:RF-01 Tested By: Eric Gilbert AREA: Test Date: February 20, 2014 Unit Data Motor Data Fan Manufacturer Central Rated Airflow Capacity 8000 CFM Fan Model Number 27 BI Motor Frame 145T Fan Serial Number 61992 Motor HP 2 HP Motor RPM 1740 RPM Test Data Motor Rated Volts 208 Volts Motor Phase 3 Total Airflow Design 8000 CFM Motor Hertz 60 Hz Total Airflow Actual 7865 CFM Motor FL Amps 6.30 Amps Motor Volts T1-T2 210 Volts Motor Volts T2-T3 211 Volts Sheave Data Motor Volts T1-T3 210 Volts Motor Amps T1 5.00 Amps Motor Sheave Diam. 5 in. Motor Amps T2 4.20 Amps Fan Sheave Diam. 11 in. Motor Amps T3 3.90 Amps Number of Belts 1 Belt Size A70 Sheave Center Line 23 1/2 in. *Notes MacDonald-Miller NEBB Certified TAB Contractor • - -- 104 °98 Fed 'k RECEIVE Federal Way PERMIT SF MF Ca PL DE EN FP COMMUNITY DEVELOPMEN 3! o9Ps °6 2012APPLI CATI O N 11).: l 0/4/(? 253-835-2607•FAX 253-835-2609 / u,w,..,atuo]edr,almrni.oo>n / CITY OF FEDERAL WAY CDS SITE ADDRESS SUITE/UNIT#W 32011 PACIFIC HY S FEDERAL WAY,WA 98003 FL 1 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 84,900.00 SEE DWGS 1 5 0 0 5 0 _ 0 1 3 0 TYPE OF PERMIT ❑ BUILDING 0 PLUMBING cil MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (TenantName/Homeowner Last Name) BANK OF AMERICA-FEDERAL WAY DEMO 20 TON SPLIT SYSTEM&RELIEF FAN. INSTALL(2)VAV BOXES. INSTALL(2)7.5 TON PROJECT DESCRIPTION Detailed description of work to SPLIT SYSTEMS. INSTALL(1)5-TON SPLIT SYSTEM. INSTALL(6)EXHAUST FANS. INSTALL be included on this permit only (1)RELIEF FAN ON ROOF. INSTALL(3)ELECTRIC WALL HEATERS. INSTALL NEW RELIEF GRILLE IN LOBBY. NAME PRIMARY PHONE PROPERTY OWNER BANK OF AMERICA MAILING ADDRESS E-MAIL 100 N TRYON ST CITY CHARLOTTE STATE ZIP 28255 NAME PHONE MACDONALD MILLER (206)768-4278 MAILING ADDRESS E-MAIL CONTRACTOR 7717 DETROIT AVE SW darla.doll@macmiller.com CITY SEATTLE STATE ZIP FAX WA 98106 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# MACDOFS980RU 12 / 31 / 12 20-03-100372-00-BL NAME PHONE DARLA DOLL (206)768-4278 APPLICANT MAILING ADDRESS 7717 DETROIT AVE SW E-MAIL darla.doll@macmiller.com CITY SEATTLE STATE ZIP FAX WA 98106 PROJECT CONTACT NAME STEVE HARGROVE PHONE (The individual to receive and (206)768-4000 respond to all correspondence MAILING ADDRESS E-MAIL steve.hargrove 7717 DETROIT AVE SW concerning this application) @macmiller.com CITY SEATTLE STATE ZIP FAX WA 98106 ALTERNATE CONTACT NAME: PHONE E-MAIL DARLA DOLL (206)768-4278 darla.doll@macmiller.com PROJECT FINANCING NAME N/A 0 OWNER-FINANCED Required value of$5,000 or more (RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE 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 application. �— 09/06/2012 SIGNATURE: G—�,,.�-, �--- DATE PRINT NAME: DARLA DOLL Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application • . VALUE of MECIIANrcAL WORx $ 84,900.00 (a copy of bid or estimate must be provided) 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 7 FANS GAS PIPE OUTLN:lb 6 OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) 3-SPLIT SYSTEMS BOILERS FURNACES HOT WATER TANKS(Gas) 3-WALL HEATERS COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES 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(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES 1 fit. VORMATIQX 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 o No ❑Yes 0 No AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE E,# EMENT �' r FIRST FLOOR(or Mobile Home) ............................................. SECOND FLOOR COVERED ENTRY DECD GARAGE ❑ CARPORT 0 OTHER(describe) ; EXISTINGPROPOSED TOTAL '....................................................................... ............................................................... Area Totals ESTIMATED SELLING PRICE$ #OF BEDROOMS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square FeetType Stories STEW BUILDING ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY 2 PROJECT A�ONLY Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application