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08-100493 • City of Federal Way Mechanical Permits 08-100493-00-ME 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: GOFF INSURANCE AGENCY Project Address: 33434 8TH AVE S Suite 102 Parcel N mber: 609430 0020 Project Description: Provide ductwork for existing VAV unit �� Owner Applicant Co _• 8TH&9TH LLC AIR SYSTEMS ENGINEERING INC SYSTEMS . ERING INC 600 UNIVERSITY ST UNIT 1515 3602 S PINE ST A *229K 2-1-10) SEATTLE WA 98101-4155 TACOMA,WA 984 3602 T TAC 809 r Additional it Infarma Mechanical Valuation 5 e Coun P , 1 ` Yes M ures Allie Ducts XPIRES Sunday, anuary 31, 2010 Per sued on Thursday, January 31, 2008 y certif the abo information is correct and that the construction on the above described property and iil occupancy e use will be in accordance with the laws, rules and regulations of the State of Washington a eroragent: l/ec/, i T r!�yejcindthe City of Federal Way. Date: /-3/ -Os' • Alk THIS CARD IS TO REMAIN ON-SITE _ , CITY OF ' od, Community DevelopRent Inspection Record Federal IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08-100493-00-ME Owner: 8TH & 9TH LLC Address: 33434 8TH AVE S Suite 102 FEDERAL WAY, WA 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) X Final -Mechanical (4065) Approved Approved to release test Approved J 133 .--5Date Z_(t�-O ' By Date By t + Date Z/z7 ��e, • For inspector reference only _. —L ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date 1111 . �� RECEIVVD • _ etrr sF �,a`\"� c_-)` , - O O , 3 Feder i way JAN 31 2008 PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF CO ME 'EL PL DE EN FP 33324744.. FEDERAAVENUE So } ur FEDEq��,. ICATION "�� ( FEDERAL WAY W �j 1 T� 253-835-2607.FAX 53-835-2609 CDS / V �.. / t-tUl„. xl Fttt %'Y!R The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS_ ,j 3 Y 5'-/ 81-4 A VCS SUITE/UNIT # 1O ASSESSOR'S TAX/PARCEL# 6 0 y Y 3 0 - 0 (, O (> LOT SIZE (sJ) ?OO 3-F LEGAL DESCRIPTION (e.g.Acme Estates,Lot I)_ (Attach separate page for Lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING E ''1►IECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onhl) fid vitt r elr4GIW.rlc {or 0X6'ii1 v4 v uK,'�- PROJECT NAME(Name of Business or Owner Last Name) G O-F4' 1. r • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER i 0 1.In T(y 42,. (.2s3) 30 7 -/96'.1 MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS /2D DOA 3,/Jets Lulzec..coel CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE ,14-•`/ S>r/c...i c,,/hGeii„.s /Ce v, TGlGw�is�. ( As3) 57.1 - '‘/�4/ MAILING A RESS / CITY,STATE,ZIP CELL PHONE 36 O . J w /�ic .f f, 7 eOI4.A !JF) 7fVO3 (20) 777 -.2.56'8 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER )EXPIRATION DATE FAX NUMBER (4, ly 73- ca©oa6-� DQ _ !� L i� -5( 0 (As - 6?57 1 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS �i/z sYG- .2 y k� dr` ,t//o/.loo? leedh;-% t(y)urei: t✓s APPLICANT COMPANY NA��ME// r APPLICANT NAME OFFICE PHONE MAILING ADDREss S G✓<f 1~cer-/;J lee-Lir i ZIP of Kc-le f CA ( ) CITY, CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER o Architect ❑Tenant E Agent ❑ Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? o YES ri NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES H NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC) . Alt 41/ PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT FIRST 700 -0 SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE 0 CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fvc ure to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS 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 REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toilet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS 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 withall 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: -e(„//0"1 /a/ � e fti DATE /-3/- Prop€rty Owner and/or Authorized Agent FOR OFFICE OW1 ) 4 H NEW ❑ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES ❑NO ZONING DESIGNATIONCHANGE OF USE? ❑YES ❑NO T _ NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application