08-103821 •
City of Federal Way Mechanical Perrmit 08-103821 -00-M E
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ALASKA USA FEDERAL CREDIT UNION
Project Address: 33530 1ST WAY S SUITE 201 L ,Pcel Number: 926500 0360
Project Description: Alt-Install new supply and return air grills and relocate`some'ducflhg.
Owner Applicant Contractor
ACROBAT FINANCIAL SERVICES FIVE STAR MECHANICAL FIVE STAR MECHANICAL
31620 23RD AVE S SUITE 218 4210"B"ST NW SUITE F FIVESM*010JT(4/30/10)
FEDERAL WAY WA 98003 AUBURN WA 98001 4210"B"ST NW SUITE F
AUBURN WA 98001
Additional permit Information
Mechanical Valuation 1883.37 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Ducts 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Sunday, February 8, 2009
Permit Issued on Tuesday, August 12, 2008
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
nd z:,..::://the ity of Federal Way.
Owner or agen . �, z .�— _ Date: ,..... —. —
Ai\ ,� THIS CARD IS TO MAIN ON-SITE
CITY OF � `-� 'tommunit Develo m t Inspection Record
Y p P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103821-00-ME
Owner: ACROBAT FINANCIAL SERVICES
Address: 33530 1ST WAY S SUITE 201
FEDERAL WAY, WA 98003
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date , By G W Date 8-2.7.08,
For inspector reference only
❑ Rough Electrical 0 FINAL -Electrical
Approved Approved
By Date By Date
i
cm or RECET*) ® � - L o - O
FeII
deral WayAUG 12 2008 PERMIT
COMMUNITY DEVELOPMENT SERVICE SF MF CO EL PL DE EN FP ,
Q �T
333258THAVENUE FEDERAL
9800971 FE®E„/� I Cl 1•TI Ol\ / /_--.
FEDERAL WAY,WA 98063-9718 {'j2/,�`, Jl//
253-835-2607*e o oOF
wwwos
www.cituoffu �
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS__ 73 O 6ifiT c>u%� 2o/ SUITE/UNIT#_ 2 6/
ASSESSOR'S TAX/PARCEL# , S 9 L D Z2 D `` LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
El PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DES B1ION(Provide detailed d scription of wor inc on this permit only)
i n C iUfW /ia /' .( /gy p
/�' SC S /��' «7 ' -Gt"I
PROJECT NAME(Name of Business or Owner Last Name) A. /'f`C IAS 6 104..,,__,011
earwig" -
• PEOPLE INFORMATION
PRIMARY PHONE
OWNERPROPERTY NAME k F tt✓)a '� d� M (2,-N6---kr -(f d-ei ar
OWNER vo � r,�.��
Myt&G 7 3'� , S 911e, CITY,fTATE,ZIP 1 r ego 3 E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APP ANT NAME OFFICE PHONE
E't:'C.(S('�-c� f g"--c�-�itai ,ire ___ta�NT 0€,A.. (253) 8 S z- 82,g
�1
(ifi-4- toe, UDl C,�a l V+N+• cig l 1 (,.�ZfIP�w� W nc l ( 2O )N /. - (I �l�
FEDERAL WAY BUSINESS LICENSE NUMBER V EXMI�TION DATE �� FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
FVESy�j ) TMtrz, (3AIL ADDRESS
APPLICANT COMPANY NAME nJ `,� APPLICANT NAME OFFICE PHONE
rd&
ivIAIL$YG ADDP `��� CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME (te1� PRIMARY PHONE E-MAIL ADDRESS
CONTACT `
l( )
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE Q Q `�
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ ii CJ(J r J 7
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
41) 1111/
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(D COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
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 of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL e (Cr
Value of Mechanical Work$ (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 H 3r 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 moue)
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 , ade by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, eluding its officers and employees, upon the accuracy of the information supplied to
the city as a part o�I i'� tion.
SIGNA , DATE g..e Owner and/or Authorized Agent
d x.
o 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? ❑YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application