17-100220 y r i
Mechanical
City ofFederal Wayy Permit #:17-100220-00-ME
Community Development Dept. p .
333258th Ave SQj tt_Z-- ' '1
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: FARMERS INSURANCE
Project Address: 33650 6TH AVE S Parcel Number:926480 0210
Project Description: Install(1) VAV,relocate(13)existing diffusers and add(3)new diffusers.
Owner Applicant Contractor
CAMPUS BUSINESS PARK HOLADAY PARKS INC HOLADAY PARKS INC
PO BOX 1316 4600 S 134TH PL HOLADPI379NO(9/3/17)
TACOMA WA 98401 SEATTLE WA 98168
USA 4600 S 134TH PL
SEATTLE WA 98168
Additional Permit Information
Mechanical Work Valuation? 12000 Is this an Online or O.T.C.application9 Yes
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Wednesday, 12 July,2017
Permit Issued on Friday,January 13,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the oc ui pancy an. the use ' 'II be in a .rdance with the laws, rules and regulations of the State of
ashingt• anq the City of Federal Way.
d
Owner or agent: 10 4 ' 41'''' Date: l 13"—
44. THIS CARD IS TO REMAIN ON-SITE
CITYConstruction Inspection Record
Feideral Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100220 00 Address: 33650 6TH AVE S Unit 110
Project: CAMPUS BUSINESS PARK FEDERAL WAY WA 98003
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) E Final-Mechanical(4065)
Approved Approved to release test Approved
,By jz Date '-v./... ,;.By Date ,•By Pk' Date 2.1 yyl l7
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
,..
,A.
• IVEERMIPA
CITY OF PPLICATION
Federal Way JAN 1 3 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(c%cityoffederalway.com
CITY OF FEDERAL WAY
�'7 / /� CDS
1
PERMIT NUMBER 1 _ 0 �/ 2 Z.V - /Alt L TARGET DATE1 ) 13 / 7
SITE ADDRESS
ATE/UNIT#
33l,Sa i4oc S '(I u
PROJECT VV LAT UATION ZONING ASBESSQ�L'S T/�/PARCEL# ct ? 6 - 6 Z i 6
s -z.„TYPE OF PERMIT 0 BUILDING 0 PLUMBING te<CHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT m � TNS,`r Fli
Z � l) \ �) 1� lS�irl
PROJECT DE8CRIPTION ^^
Detailed description of work to 1 ` R �{ `, I. l„s"� `.
be included on this permit only S . A J„j, MOa` � t -
NAPRIMARY
PROPERTY OWNER MAILING ADD� LNIV 2S (-65.3a
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31/0 1� `�`� emnic1@61
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MO ADDRESS ` �p 20 6 Z.$13 w —36
CONTRACTOR to D D S i! L t 1 L '. (D
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Ca_ etgltoy FAX
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A, _CQ,T 37es � DA�N/'1 FEDERAL WAY BUSINESS LICENSE#
NAV. �LII�T�L\7`sJJ{� _//�1 PRIMARY PHONE
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:eiM ADDRESS
APPLICANT 6 OD s r (� ��I�e-A°44_
r A ;to. F `"'"7Pw',c�NAME
VI's- P7oP
PRIMARY PHONE
PROJECT CONTACT eLg
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING Cl 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 authorised 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 authorised 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 arty person,including the undersigned,and filed against the city,
but only where s.ch claim • - out • the reliance of the city, including its officers and employees, upon the accuracy of the
information sup IF I •• t as a p• L of thisWication.
SIGNATURE: 01 DATE L` I ( "7
PRINT NAME: ► INA •e. ‘AL(„[ (t A -
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
11111 •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 'Z V V 7
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
T
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) 1 AtalCsisors011
0
BOILERS FURNACES HOT WATER TANKS(Gas) 3
COMPRE ORS ` GAS LOG SETS REFRIGERATION SYST �y �
_� DUCTIN j M %A, 1 GAS PIPING WOODSTOVES C��4�`moi
JJJ 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.
THTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATF.S�iPF?FQ .+-
DISHWA T +... RAINWATER SYSTEMS ate—
_�`�... _teOTHER(Describe)
DRAINS —,�K VACUUM BREAKERS
DRINKING SINKS(Kitchen/utility) KTR4 D.—.,,. w
BIBBS SUMPS WASHING MACHINES friTn-rwi41
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 n 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
OTHER(describe)
Area Totals EXISTING PROPOSED
TOTAL
**NEW HOMES ONLY""
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Beet P cY Pl ) Additional Information
Type Stories
IBP BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area
in
Construction #of
AREA DESCRIPTION
Square
Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application