07-105309 1
City of Federal Way , Mechanical Perrr'�it #: 07-105309-00-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: PEARLE VISION
Project Address: 2108 S COMMONS IP- Parcel Number: 762240 0010
Project Description: Replace RTU like for like.
Owner L.. • • Contractor I
STEADFAST COMMONS LLC AC • GI D SY " S ACCO ENGINEERED SYSTEMS
1928 S COMMONS 835 N C Tf . i ACCOESI971DU 10/13/07
FEDERAL WAY WA 98003-6013 ''0 ' 835 N CENTRAL
KENT WA 98032
dit • al Permit Information
Mechanical Valuation 7370 Over the Counter Permit? Yes
Mechanical Fixtures
Air Handling Units 1
CONDITIONS:
Subject to field inspection without plans.
i
PERMIT EXPIRES Thursday, September 24, 2009
Permit Issued on Monday, September 24, 2007
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
7" ----
and the City of Federal Way.
Owner or agent: d� Date: ,— ---
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THIS CARD IS TOAIN ON-SITE
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CITY OF ' Ammuni Develo Inspection Record
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Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-105309-00-ME
Owner: STEADFAST COMMONS LLC
Address: 2108 S COMMONS
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) ❑ Gas Piping(4125) 0 Final -Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY or
• R�CEi� . �y (� - I .C) S,3 p a .
Federal Way.
2 4 2PERMIT SF MF CO .)---,'EL PL DE EN FP
, COMMUNITY DEVELOPMENT SERVICES 0 (
33325FEDERAL WAY,,WA980 970189718 •
APPLICATION TD
253-835.2607•FAX 253-835.2609 '---/-
/
uwiw.dtvofederahvay.coe 1 f'Y OF FEDERAL WA,
BUILDING DEPT,
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• ■ PROPERTY INFORMATION
SITE ADDRESSi C k -C-• 0 L''.�1 ,yt Q/e"1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# /(0 2 T ® - (:)(3 ( LOT SIZE(sf) •
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION •
•
TYPE OF PERMIT ❑BUILDING 0 PLUMBING El MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/l C'' z._t c--6j u h ' "Ce61 y 6 /-4, is C t;..s<.o . r i i�,r i s."o C.../j�
•
•
PROJECT.NAME(Name of Business or Owner Last Name) ,1_i-,,t '-( 6/''''-S'/J
MI PEOPLE INFORMATION
PROPERTY NAME _ PRIMARY PHONE
:)'OWNER . / CN /--.74'7J % ( ' ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
.:ONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1
C. L v C.a_¢ia 00S,ti4,.,,d (2:2- 3 ) >`i _ s-ii" e-/
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE •
- ? 7 , , e4,-r.L ie L'(' -'e.',i- ,e'3 (' ' ) , ?..i - i'/4 i
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER )EXPIRATION DATE E-MAIL ADDRESS
. '4 0 c_ c' ' ( l97 f/9(' �, e j /el,-
APPLICANT COMP ' NAME APPLICANT NAME OFFICE PHONE
C,�j;c„¢ ,C-, ( ) _
MAILING ADDRESS CITY,STATE,ZIP . CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT u .7;4.•i c- Tea`( ( ) -
s
LENDER NA,-E Per RCW 19.27.095:
Lender information is requir if project value exceeds f ,000
M ILl 0 -DRESS CITY,STATE,ZIP �� PHONE
■ DEMLED BUILDING INFORMATION ,..
• EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ ,AL OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
� ■ PROJECT FLOOR AREAS
EXISTING
AREA DESC• ♦N PROPOSED TOTAL `
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) -
GARAGE❑ CARPORT 0
NUMBER OF FLOORS =WINO r fOOSD TOTAL TOTAL MISTING la TOTAL PROPOSED SP TOTAL SF
.
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U FIXTURES •
Indicate number of each type o_ _.ON _ o be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical W rk$ 7, 3 7 0 (A ••PY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS)commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS IZEFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS NWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS' SHOWERS N. WATER CLOSETS Roney
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS l
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 application.
ySIGNATURE: / -..!--.-1"-/...-4;; DATE 7- L/` ( /
o Property Owner and/or Authorized Agent
o NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-August 16,2007 Page 2 of 4 . k\Handouts\Permit Application