06-106483 City of Federal Way Mechanical Permit #: 06-106483-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection -- - Line: (253)835-3050
Project Name: SEIU#775 (SERVICE EMPLOYEES INTL UNION)
Project Address: 33615 1ST WAY S ar umbe :26504 0190
Project Description: NEW-Installation of 4 new VAV boxes and related comp` •nt I TI to
include 1 new exhaust fan for copy room 'a
Owner • .licant Contractor
SERVICE EMPLOYEES INTERNATIONAL S MATHEWS T.I.NORTHWEST CORP.
UNION(SEIU)LOCAL 775 T.I.N• EST CORP. TIN *77JK(8/1/07)
151 S LANDER ST SUITE A 121 I ST SE 2$D ST SE
SEATTLE WA 98134 PUYALL WA 9837 LUP WA 98372
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:`='MIT EXPIRES Friday, January 23, 2009
' Permit issued on Tuesday,January 23,2007
eby certify that the above;information i �
orr and that the construction on theabove d scribed property and
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occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
�}y� an. the City of Federal Way. 1/23/07
Owner r agent: j'..-01164-1 �' ! ���'� Date:
6
97' 5 ti' 5Y
THIS CARD IS TO REMAIN ON-SITE
CITY OF r,,.ry Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106483-00-ME
Owner: SERVICE EMPLOYEES INTERNATIONAL UNION (SEIU) LOCAL 775
Address: 33615 1ST WAY S
FEDERAL WAY, WA 98003-6263
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By G L.3 Date z_z7.07 By Date By Date 3,2.7 ®«7
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tirrOF ,SEL 2 8 20 QLa - i�( `7 ga
Federal way APERMIT
COMMUNI7YDEVELOPMENTSERVICES CF t✓EDBN15PLICATI
SF MF IE EL PL DE EN FP
33325 8'M AVENUE SDUTH•PO 9718 1�1 ,NG O N CO(��
FEDERAL WAY FAX
98063-9718 gV��-D I
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253-835-2607•FAX 253-835-2609
www.cittoffederalwau.com
The ollowin• is r 'uired i ormation-an inco •tete • ••lication will not be acce•ted. Please •rint le!••1 (in ink)or - .
• PROPERTY INFORMATION
SITE ADDRESS 33615 1st Way South SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9 2 6 5 0 4 - 0 1 9 0 LOT SIZE(Sf1 43557
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 18-19 West campus office park div 5 lot 19 TGW E3247 Ft of lot 18 per KC LLA#1183059
(Attach separate pagef lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Install 4 new VAV boxes and related ductwork to compliment new remodeled floor plan per drawings and specifications.
1 new exhaust fan is provided for the copy room area.
PROJECT NAME(Name of Business or Owner Last N. -) SEIU 77enant Improvement to Existing Office Building
IIS PEOPLE INFORMATION
PROPERTY NAME SEIU 775 PRIMARY PHONE
OWNER (206 ) 838 - 3201
MAILING ADDRESS CITY,STATE,ZIP
151 South Lander Street Suite A Seattle, WA 98134
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
T. I. Northwest Hayley Mathews (253 ) 445 - 4104
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
121 23rd Street SE Puyallup,WA 98372 ( 253 ) 405 6634
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 0- 2 0 -1 0 2 0 3 6 -B L 12 / 31 /2007 (253 ) 445 - 6684
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
T I N ORC * 0 4 4 J K 08/ 01 /2007
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
T. I. Northwest Hayley Mathews (253 ) 445 - 4104
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
121 23rd Street SE Puyallup, WA 98372 ( 253 ) 405 - 6634
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent 0 Other(Describe)Contractor (253 ) 445 - 6684
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Hayley Mathews (253 ) 445 - 4104 hayley@tinorthwest.com
LENDER Per ROW 1927. 9 5: Lender rmsttiart i _ NAME
reelttirea tfproject value exceeds$5 000 Columbia Bank
MAILING ADDRESS CITY,STATE,ZIP PHONE
1501 54th Ave E. Fife, WA 98424 (253 ) 922 7870
• DETAILED BUILDING INFORMATION
EXISTING USE Office Building PROPOSED USE Office Building
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? Q YES DNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
o410
• 4
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT 4843 0 4843
FIRST
6234 0 6234
SECOND 5300 753 6053
THIRD 5490 0 5490
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑ =STINGqr
NUMBER OF FLOORS �o�os� Tor� 21867 iii, s 753 226ZU
"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
Willie of Mechanical Work $ 29,000.00
4 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS 1 FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orThb/Shower Combo) SHOWERS WATER CLOSP.IS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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,andfled against the City of Federal Way,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. ��++ aa /
(ll Ii i/1/ , ° *• 'Cf Vx N!' DATE (j /5) W,
NAME/TITLE �.,,.,
if (Signature) • (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑Agent II Contractor ❑ Architect ❑ Other
FOROFFICE CI ritL'
0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR o TENANT IMPROM NT
BUILDING SHELL ONLY'? 0 YES 0 NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? c YES 0 NO
NEW ADDRESS REQUIRED? ;0 YES '0 NO UP/SEPA/SU? 0 YES 0 NO
PLATTED'LOT? ❑TEN. o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application