16-100367 Ink
City of Federal Way • • Mechanical
Permit #: 16-100367-00-ME
Community&Eco�Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 F ILE
Project N me: BRIDGESTONE FIRESTONE
Project Addr ss: 32529 PACIFIC HWY S Parcel Number: 038090 0030
Project Description: Repla existing stock room reznor unit heater using existing gas line.
•
Owner Applicant Contractor
BRIDGESTONE AMERICAS HOLDIN TOM PATTERSON TOTAL SYSTEM SERVICES
535 MARRIOTT DR 9TH FL TOTAL SYSTEM SERVICES TOTALSS922L6(6/26/16)
NASHVILLE TN PO BOX 2091 2615 W CASINO RD UNIT 4-1
37214 BOISE ID 83701 EVERETT WA 98204
Additional Permit Information
Mechanical Work Valuation? 5000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Air Handling Units 1
PERMIT EXPIRES Saturday, July 23, 2016
Permit Issued on Monday, January 25, 2016
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
Owner or agent: Date: I'" C t
ttl
THIS CARD IS TO MAIN ON-SITE
"TM OF • Construction In -ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-100367-00-ME Address: 32529 PACIFIC HWY S
Project: BRIDGESTONE AMERICAS HOLDI FEDERAL WAY, WA 98003-6401
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.
El Mechanical Rough-in (4165) ElGas Piping(4125) ElFinal-Mechanical(4065)
Approved Approved to release test
Approved
By Date By Date
Date
•
•
n Rough Electrical �❑ Final Electrical Right ofWay
Approved Approved ❑
Approved
By Date By
Date 13Y Date
REC ;TVED
UTY OF ` JAN 2 5 2016 PERMITIPPLICATION
Federal Way
CITY OF FEDERAL WAY
0
CC
s
PERMIT NUMBER — 0 le _ II )/2„5
TARGET DATE /
SITE ADDRESS SUITE/UNIT#
l5?? PGGfIC - y s
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$
5-c-rptip O'er v 3 4-4 OTOOO
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING No MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT a2 1 60 t w \- CA'ac W Y)
PROJECT DESCRIPTION
Detailed description of work to 'R e C',kc e L/ \;c corvi
be included on this permit only t (ri -c a/ � ��W r2'r C —
VoEtfreoc L.l�
NAME PRIMARY PHONE
PROPERTY OWNER �S a�3
MAILING �iS rct 1 ^i 1 , ,5
E-MAIL
CITY e +,T- �T�T aVN' ZIP `\J
NAME 1 „
-
1 s l � Sv V►Cis PHNE ci? 1
3ei3
MAILING ADDRESE-MAIL � �r
CONTRACTOR � Oc\ t �' • ' CAI"‘'
CITY ;Se SW
ZIP FAX
WA STATE CONTRACTOR'S LICENSE# 1(�\! EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME Tpl � �tces PRIMARY PHONE
MAILING ADDRESS C`J E-MAIL
APPLICANT
CITY STATE ZIP FAX
NAME � PRIMARY PHONE
PROJECT CONTACT (,�st.eQAblaliAj) aptg-�
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY sTATL ZIP FAX
NAME JpT.
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 cit 'ner its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application
SIGNATURE: DATE 1- a
PRINT NAME: �d1'h.
Bulletin#100—January 4,2016 Page 1 of 3 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not includeV e Ing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OT_}�ER(Described
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) K �'
BOILERS FURNACES HOT WATER TANKS(Gas) (vMt,&i `r
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
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(Mand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(E1rctr)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
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 ❑ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR Or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 4,2016 Page 2 of 3 k:\Handouts\Permit Application