07-100617 P .►,.
City°f Federal Way
Community Development Services Mechanical Permit #: 07-100617-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request 835-3060
Project Name: SUSHEEN TIMBER INC
Project Address: 33434 8TH AVE S Suite 204 Parcel Num. 926 0120
Project Description: Install ductwork,grilles& diffusers for tenant space.
Owner Applicant Co •r
PAO-ROSA LLC DEAN SAFFLE C•, •N/
31811 PACIFIC HWY S SAFFL OMPANY *0► :42 /08
FEDERAL WAY WA 98003 7350 DR .i C Ir.6_ DR
TACOMA 8457 TA k• WA 98457
4516
* - Permit I
Mechanical Valuation 2 Over e Cto rm Yes
14146
r nical Fixtures
Ducts., x,,,7 ,„ .. 1
n
E IT E PIRES fl nday, February 2, 2009
�v
Permit Issued on Friday,February 2, 2007 -
ereby , ify that thm •oveinformation correct and att e construction n the above descriedproperty and
the • •an and the j - will be in a 00 •ance wit the taws, -,las arutt.regolatiOns of the State of Washing. ton
—Nirl4/ a th- City ;.F. Way.
or agent: / _4_, _,. _ ✓� Date:
_. 4Clk THIS CARD IS TO REMAIN ON-SITE
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100617-00-ME
Owner: PAO - ROSA LLC
Address: 33434 8TH AVE S Suite 204
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
2/5/®7 Fzic — Hie/44-70,e4--c. /2.4.,_„ —/A,,,, /..2.. s��pty, at.2647.
e9A/Ly 4,
CITY OF.. - _ r \ 't _.,.
Federal Way
-
Y PERMIT ' MF COQ ME .EL PL DE EN FP
COMMUNITY DEVELOPMENT SE
33325 IF"AVENUE SOUTH•PO B X •,
APPLICATION
FEDERAL WAY,WA 98063.9718 TD /
253.835-2607•FAX 253-835.260 /"'V
www.dttiaffederolwntt•cam f
The followingis required / L
4 € > viAym incomplete application will not be accepted. P ase print legibly(in ink)or type.
ill •Fr
IIIPROPERTY INFORMATION
/6
SITE ADDRESS ,3 3 Y3 V Si- 1/g 3. SUITE/UNIT# 420
9 / .
ASSESSOR'S TAX/PARCEL# I ' O . - O 1 01 a LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O PLUMBING El ECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Kaye D r ofF 457 m,' ,& /fart/
PROJECT NAME(Name of Business or Owner Last Name) SOS hist/3 f J/L{467 -Nc
• • PEOPLE INFORMATION
PROPERTY NAME �f PRIMARY PHONE
OWNER /24/�D - A 5, - '
MAILING ADDRESS
• / CITY,STATE,ZIP E-MAIL ADDRESS
_Sjg,/ fi C V Y v5F:�1Z
cog)/
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Lt' eo (25-3,5-b - /Y4./
MA IIL NG S COSTATE,ZIP �EL PHONEr
735- c��ec v� o� itze", ,
CITY OF FEDERAL WAY BUSINESS (CENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
COPY o[evd required
with eke CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
application b /6/07//0 g
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
UeZt�U Cis 772 J cr Lt �S��)c itto 2-3 se/ - 15'93-
MAILING A RES CITY,STATE,ZIP CELL PHONE
9/1 8'1'� At cam' c.) (411/✓#-S /7 Aget (zr3)a9l .g`?`}I-
RELATIONSHIP TO PROJECT FAX NUMBER
tf O
o Architect 0 Tenant ❑Agent ther i�l/4 5 .C 7 ( ) _
PROJECT NAME P MARY PHOONN}E�f / I E-MAIL ADDRESS
CONTACT I" S0rPL� Co I ( ) $ - l//�C I
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIPHONE
I (P )
IN DETAILED BUILDING INFORMATION
EXISTING USE CJS fes)c E. rte
PROPOSED USE 0 .-- -/C
EXISTING ASSESSED/APPRAISED//VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? AA:YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER li LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER YLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PR•� . . • • • �•�
AREA DESC` ON EXISTI PROPOSEDTOTAL
• SQ.FT. S• S• FT.
BASEMENT
FIRST
i
SECOND `�` V /S9/1) PO GT 5 t) -5p
THIRD ( •
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTBIO PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED ST TOTAL Sl
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type offxture to be installed or relocated aspart of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ao 0 (A COPY OF BID•OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
I
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOIOL,S(commerdal)
COMPRESSORS FURNACES RANGES
DUCTS;. ; GAS LOG SETS •REFRIG.SYSTEMS
PLUMBING '
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinlca) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS gone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
• I certify 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,and flied against the City of Federal Way,but only where such claim
arises out of the reliance o the city,including its officers and : ployees,upon the accuracy of the information supplied to the city as a part of
this application. / / / / 1//
• /, 7/ ��ii //' � ATE
NAME/TITLE J 1 "W
-�^^ ,�Q�
(SignaturE (Title)e • //fit /Z6 t/Z/Or
RELATIONSHIP TO PROJECT 0 Owner 0 Agent o Contractor ❑ Architect Other
, -,r,,, G/ i .E '� ,, r,, .`.-
a NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES o 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? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
•
Bulletin#100—January 1,2007 Page 2 of 4 kU-landouts\Permit Application