10-101455 .4, • Mechanical
City of Federal Way
Community Development Services Permit #: 1 0-1 01455-00-ME
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: CHASE
Project Address: 32000 PACIFIC HWY S Parcel Number: 162104 9041
Project Description: Replace gas piping.
•
Owner Applicant Contractor
J P MORGAN CHASE BANK N.A. MACDONALD MILLER FAC SOL INC MACDONALD MILLER FAC SOL INC
1111 POLARIS PKWY (GENERAL) (GENERAL)
COLUMBUS OH 43240 7717 DETROIT AVE SW MACDOFS980RU(12/31/10)
SEATTLE WA 98106 7717 DETROIT AVE SW
SEATTLE WA 98106
, d .T .. J
Mechanical Valuation 5000 Is this an Online or O.T.C.applications Yes
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Gas Piping 1
PERMIT EXPIRES Saturday, October 9, 2010
Permit Issued on Monday,April 12, 2010
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 •ty of Federal Way.
Owner or agent: )`•�/" " Date: � _ / -I c�
FIN1,1,0 4 /121/0
THIS CARD IS TO AIN ON-SITE
CITY OF Construction Ins ction Record - '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-101455-00-ME Address: 32000 PACIFIC HWY S
Owner: J P MORGAN CHASE BANK N.A. FEDERAL WAY, WA 98003-6002
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) CI Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
❑ Rough Electrical ElFinal Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
C � V Pip •
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Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES APR 12 2010 SF MF C 1‘, —EL PL DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718 C AT I O N
FEDERAL WAY,WA 98063-9718 TDwww.
253-835-2607.FAX 253-835-2609 Ty O F F E
www.cituoflederdtfDtt�.
The following is
is required it�r on-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3200 PACIFIC HWY SOUTH FEDERAL WAY,WA 98003 SUITE/UNIT# OUTSIDE
ASSESSOR'S TAX/PARCEL# 1 6 2 1 0 4 — i ® 4 1 LOT SIZE(sfl 28,339
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) SEE ATTACHED
(Attach separate page for lengthy legal description!
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING X 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work incbtdPd on this permit only)
EMERGENCY REPAIR-REPLACE APPROX 18"OF GAS PIPING-RECONNECT TO METER.
PROJECT NAME(Name of Business or Owner Last Name) CHASE BANK-FEDERAL WAY
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER WASHINGTON MUTUAL BANK (253 ) 839-0680
MAILING ADDRESS CITY,STATE.ZIP E-MAIL ADDRESS
PO BOX 4900 DEPT 304 SCOTTSDALE,AZ 85261
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MACDONALD MILLER DARLA DOLL ( 206 ) 768 - 4278
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
7717 DETROIT AVE SW SEATTLE,WA 98106 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-03-100372-00-BL 12-31-10 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
MACDOFS980RU 12-31-2010
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MACDONALD MILLER ROBERT ANTONUCCI (206 ) 255 - 4689
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
7717 DETROIT AVE SW SEATTLE,WA 98106 ( ) _
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect 0 Tenant a Agent ❑ Other CONTRACTOR ( ) -
PROJECT NAME ROBERT ANTONUCCI PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( 206 ) 255 -4689
LENDER NAME NSA Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL 5,000.00
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION
AIR HANDLING UNITS EVAPORATIVE COOLERS 1 GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower Combo) LAVS Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toilet)
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 ' , ding its officers and employees, upon the accuracy of the information supplied to
the city as a par(of this application.
SIGNATURE: ~�—_. DATE 4-12-2010
Property Owner and/or Authorized Agent ,`
0p LSA Vt . vE n
Q
o NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATIONCHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? _ a YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application