16-102153 • •
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City of Fede
Community&Econ.Dev.Services Permit #: 16-102153-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DSAS DISABILITY DETERMINATION SERVICES(DDS)
Project Address: 33810 WEYERHAEUSER WAY S Unit 200 Parcel Number: 215466 0030
Project Description: Re-work ductwork&grilles to reflect new T.I. floor plan.Install(4)exhaust fans with
venting.Install(1)ductless heat-pump.
• `
Owner Applicant Contractor
MD VENTURES TALON LLC HEATH HAMBLEN UNIVERSAL REFRIGERATION INC
6725 116TH AVE NE SUITE 100 UNIVERSAL REFRIGERATION (GENERAL)
KIRKLAND WA 98033 4102 B PL NW UNIVERI159RF(4/1/18)
AUBURN WA 98001 PO BOX 614
AUBURN WA 98071-0614
Additional Permit Information
Mechanical Work Valuation? 27780 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Air Conditioners-Stand Alone Un 1 Ducting 1 Fans 4
CONDITIONS:
Balance report required on site.
PERMIT EXPIRES Tuesday, November 1, 2016
Permit Issued on Thursday, May 5, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t - iI •= '• accordance with the laws, rules and regulations of the State of Washington
man•the ,f Federal Way.
Owner or agent I ,, i/ Date:
THIS CARD IS TO IN ON-SITE - 4
"TMS"or
Construction Ins tion Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-102153-00-ME Address: 33810 WEYERHAEUSER WAY S Unit
Project: MD VENTURES TALON LLC FEDERAL WAY, WA 98001
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) El Gas Piping(4125) -❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By igw Date 5 1 2c))l 6 By Date CS Date (j—(C�--(C,
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
R
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1.0
4 • MAY 0 5 2016 pERMIPAPP�iTtil�TT®N
CITY OF 1.1116114
Federal Way CIN OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
CDS 253-835-2607+FAX 253-835-2609+permitcenter(axitvoffederalway.com
PERMIT NUMBER ( _ I 01 , 5 3 ' M 5/ 5I/ s"
1_ ___ _ _ _ ____ TARGET DATE
SITE ADDRESS SUITE/UNIT#
',8/O erO e -f5ev M 1`'0 (f 5/6 c--zild f rvur
PROJECT VALUATION ZONING ASSESSOR'S+AR/PARCEL S
TYPE OF PERMIT ❑BUILDING 0 PLUMBINGM NIECHANICAL 0 DEMOLITION
TION ❑ENGINEERING 0 FIRE PREVENTION N
NAME OF PROJECT / Cc � T � ; e/ci G
k-e_i-vrsrc�vl
� r-7-(./Q' C71/7
I tom( i vi'
PROJECT DESCRIPTION . /` � � I !/i /_ /�i �, yi��
Detailed description of work to It e� ' � � yT°f
be included on this permit only t.
C/� '(, ) /p� fie-s SII %f/ 4_ . —
/tel
PRAIARY mom
,GPRONAME A-17) i/e-1 ft / �/a •h Z.4,63-
PROPERTY
PERTY OWNER MAILING ADDRESSE-MAIL
6577 //6-f7 4v /OO
CITY A.--/p_k e44„telf STATE ZIP
NAME unit/rraf j J/j�r zr a1/oma Z7r �3`7 lea
MAILING ADDRESS `� i EMAIL
y���- is. mow ,p� A to w
CONTRACTOR /"'�
`�"`Aukxr et WA ZIP
F 3'775 PIAZ-
WA STATE CONTRACTOR'S LICENSE/ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
UN/VES!/`3'A oY i d/ i 7.63 /9-99-470,7-w-51-
NAME
LNAME C-f vt i(/.e-5'q'
( e ,
ay.__ 7-15Y
j ?39-550/
APPLICANT MAILING ADDRESS
AY/0 Z PL- MA/ ,dte,,►`{-40 4 PIf1A2vs'4//{'/1• Cer447
(4��,►.gi
ZIP
W4 72500( FAXi 735--3'02_
PROJECT CONTACT xeME �ee /4 h/ 737^ -'i $f
(The individual to receive and MAILING ADDRESS x &;$1'Y°
_/ / 4 e�„�/��un/NLS/ ✓�l .CG
respond to all correspondence !fJ �( !/ 9 N1
concerning this application) CITY sTA zIP FAX ` J
�WO1411 c, 98o7i x53-735-5Y3
NAME j
PROJECT FINANCING LS7 OWNER-FINANCED
When value is$5,000 or more MAILINGADDRESS,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 city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. (
SIGNATURE: — -- -L���/ / r DATE 051,C),47//20(
/ PRINT NAME: �� / /f �n C9f^/46/(-4 ` ` 'l^'" l
Bulletin#100-January 29,2016 Page 1 of 2 k:\Flandouts\Permit Application
• • 4y
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offix re to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS 7 FANS GAS PIPE OUTLETS OTHER(Describe)
r AIR CONDITIONER FIREPLACE INSERTS HOODS(commetcieli
BOILERS FURNACES HOT WATER TANKS lo..)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
$
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(Bend sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utiiryi WATER HEATERS(Eieo..)
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 0 CARPORT 0 -- v- --�
OTHER(describe)
---------------_._---- ----•------_..—
Area Totals =STOW PROPOSED TOTAL
- ------------------- -----
-NEW HOMES of r*
'ESTIMATED SELLING PRICE$ I #OF BEDROOMS
`COMMERCIAL-NEW/ADDITION 0
AREA DESCRIPTION Area in Construction #of
Square Feet Occupancy Group(s) Additional Information
Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Feet P Pl l Additional Information
Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\I-Iandouts\Permit Application