14-100279 P
•
• • Plumbing
City of Federal Way
Community&EconDevServices Permit #: 14-100279-CIO-PL.
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: EVERGREEN CORPORATE CENTER
Project Address: 33405 8TH AVE S SUITE 200 Parcel Number: 926500 0060
Project Description: Install plumbing fixtures for associated tenant improvement
Owner Applicant Contractor
LBA REALTY FUND II-CO I LLC MERIT MECHANICAL INC(GENERAL) MERIT MECHANICAL INC(GENERAL)
PO BOX 847 9630 153RD AVE NE MERITMI163CM(6/1/15)
CARLSBAD CA 92018 REDMOND WA 98052 9630 153RD AVE NE
REDMOND WA 98052
Plumbing Fixtures
Drains 4 Drinking Fountains. 1 Laundry Washer Outlets 14
Showers. 8 Urinals 3 Water Closets 14
PERMIT EXPIRES Wednesday, July 16, 2014
Permit Issued on Friday, January 17, 2014
I hereby certify that the above information is cor -ct and that the construction on the above described property and
the occupancy and the will be in ac•: dance h the laws, rules and regulations of the State of Washington
a the C ' of Federal Way.
Owner or agent: Date: \ 1 \-2,014
FINALED
THIS CARD IS TO MAIN ON-SITE
*,_
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100279-00-PL Address: 33405 8TH AVE S SUITE 200
Project: LBA REALTY FUND II-CO I LLC FEDERAL WAY, WA 98003-6305
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
Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By ` Date 1 cP—ii,-i lf By Date By Date
E Final-Plumbing(4075)
Approved
Bt::: . Date 3— „... j
❑ Rough Electrical ❑ Final Electrical Right of Way
Approved Approved ❑ Approved
By Date By Date By Date
QTY OF PERMIT APPLI N
Federal Way
//� JAN 17 2014
PERMIT NUMBER 4 _ 1 v t/ Z ( _ L- CITY OF FEDERAL WAY
— — - _ TARGET DATE CDS
SITE ADDRESS SUITE/UNIT#
3-S9oS ,TP- ik5
PROJECT VALUATION ZONING ASSESSOR'S( TAX/PARCEL# f ('
iq � 2I3�" 1 z ( c u0 - U0 ( `.'
6 TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT VE,e ,_ .) 6.019.9041y.._ 6: CO.Arsri'iv. r1q) 1 "IAkrw►t15 , ,'14)L-A-VS , S ul. 5m u.s -
PROJECT DESCRIPTION r l
Detailed description of work to (2 l Al1dr2L,)C& Sfl4(.L5 0 Du.-+fit, I £UEL DLikut-l4Vl2 Pm-KJ-141'u
be included on this permit only 1) l/1 & D /hiS
NAME '1/ RobPRIMARY PHONE
p
PROPERTY OWNER ( * (2- 4U7'
AILING ADDRESS E-MAIL
Loeb 1v1 .51-r/ Sw 13O-Z
C � STA ZIPc to
Nr_
2lT P1E kN► 14A-, INe. P jNZ5) 3,`7 6.-Zq
Ml NG ADDRESS E-MAIL
CONTRACTOR -fJ(J 1 S Av ' A)E
C Y STATE ZIP FAX
MAMA IAA- oV
STATEpi CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#� iy
p `
NRE61414-a- 471->C1)
APPLICANT MAILING ADDRESS E-MAIL
563o t S3= Avr jk)c. Y1?61-Tiva)01 01 E4trwi scot 'k-
Ctr STATE ZIP ICOSZ FAX 'e-Orr
NAME n '" �- PRIMARY PHONE
PROJECT CONTACT SIAtIn4t KS Af klak113
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$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 t reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to e city as a part of t application.
SIGNATURE: \\., N. s DATE
PRINT NAME: 1'Jufect ATuipo
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Pennit Application
\• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT M1'NN
Indicate how many of each type of fixtare to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS -FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixtre to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) q LAVS(Hand Sinks) (y TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS 3 URINALS OTHER(Describe)
DRAINS U SHOWERS VACUUM BREAKERS
( DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) L,�[J
HOSE BIBBS SUMPS WASHING MACHINES /7 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
-Pi Uij� Y lit"a" M_ " €l, c s I� �' F W q ...... .... .. ......... .. ... .... ... ... .. .. .. .. .. .. .. ... .. ... ...
BAS ��{ ;1 `�'rl" � t r� ��
if
I � ,namom
FIRST FLOOR(or Mobile Home)
cSECON p (h i ,p i i iN W I I P) Ill m _j N Nt
COVERED ENTRY
iii
Ex wl"7�I�ilii�jPI0Ilih. ..., _ iM 4 k 0 ... L r ee I I M,h IY s i ...... ..... .. .. .. .
GARAGE ❑ CARPORT ❑
(G ,I ,0p
mg .. : . a �_ � n' x , h. t
EXISTING PROPOSED TOTAL
Area Totals ut p 74r
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
`" .�
ItW ,„,,„, -. ,i �,"� = ",, ^ate . .a
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
in Square Feet Typer, Stories
1'I.�I�(11 1 .."-rr3�, :y f / = � � �: r I�< h1 �� 4�ii1i - yl6 r'r” " �`'�i gotta
3i�
�t a
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a IE r), iii T==°74 �.,a��eii�.9,�, ",. rI[ ibiiriut ,N I _= i.,�i!. ; f n�Crylil Pil„ lea; ' ; . :. '01•M " bis „ ' -)!i a, au
TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application