10-102218 • Mechailic-a1
City of Federal Way
Community Development Services Permit #: 0-102218-00-M E
P.O.Box 9718 L Federal Way,WA 98063-9718 7.:
Ph:(253)835-2607 Fax (253)835-2609romasInspection Request Line: (253) 835-3050
Project Name: KIEWIT PACIFIC CO
Project Address: 33455 6TH AVE S Parcel Number: 926500 0340
Project Description: Installing 1 split system,33 VAV boxes,4 exhaust fans,and associated duct and grilles.
Includes refrigeration line for split system.
Owner Applicant Contractor
FEDERAL WAY PROFESSIONAL LLC MICHAEL ATWOOD MERIT MECHANICAL INC(GENERAL)
3400 CARILLON PT 9630 153RD AVE NE MERITMII63CM (6/1/11)
KIRKLAND WA 98033-7317 REDMOND WA 98052 PO BOX 2109
REDMOND WA 98073-2109
4 4, dditional l hermit Information
Mechanical Valuation 247500 Is this an Online or O.T.C.application?.................No
..; Mechan fixtures "4.
Air Handling Units 1 Compressors/Heat Pumps 1 Fans..................... ........ 4
PERMIT EXPIRES Monday, December 6, 2010
Permit Issued on Wednesday, June 9, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will e in accordance with the laws, rules and regulations of the State of Washington
/ 1 and the City of Federal Way.
Owner or agent: Date: 7—/
DATE INSPECTOR AREA AND TYPE OF INSPECTION
• THIS CARD IS TO FAIN ON-SITE
CITY OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10-102218-00-ME Address: 33455 6TH AVE S
Owner: FEDERAL WAY PROFESSIONAL L FEDERAL WAY, WA 98003-6335
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
Date L, _�Gj'-(d B" � Date` By Date _g`1_1•
Rough Electrical 111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Alik
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CITY OF i
• Federal Way VI 1 IT sr MF coGP PL EN FP
coMM.783, EVEL0PMENT SERVICES A 1 I N
6 /4 lo
253-835-2607•FAX 2538352609 a i i i
www.cituaftederalwau.com ��� 4 �i 2, ',0
SITE ADDRESS �� ��DEKA .. ' "` SUIT UNIT#
33 L sS �-rw 4-vk-_cl CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
iIO 1 oa o q ? (2 c- 0 C) - O 3 Y u
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING !itf MECHANICAL
❑ DEMOLITION LI ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT _ 1 f //
(Tenant Name/Homeowner Last Narae) LE,1� - Il - — `�`r- /---__i e uj i T 1 ,�c 1 - 1 C (c
Tisicr t `1 SVLIT SySTi�vh , 33 V4U gb,��s , ' CXl ftks F ISS 4lv� ,l :.,,,T
PROJECT DESCRIPTION i
Detailed description of work to OM.tt 4-6,14c4s, (1►44F14yi,44,77 H. Li Iv&FOK- '9t.'rSysrrr+)
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER FEiaSi L Wy.v Pf F ssicii -L LL(
MAILING ADDRESS / E-MAIL
3VC° 64rtlu.,w f bi u'r
CI STATE ZI
�-► WI/ tity 3 5
N EHON
Mari Eci4-44V�cr� livt. ('L5) -s3- 1z2�i
MAILING ADDRESS E-MAIL
CONTRACTOR �� � I4fr5 t
CITY STATE ZIP FAX
PT0,4yWA- TP5-7._
` EZ
1ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERALWAY BUSINESS
LICENSE#
► 1irrw1 ,3
dot 06/4 izii
N E EA7n3-q22.5/
?ct+-A-EL. 47 tiv x/�sAPPLICANT MAILING ADDRESS
S14 4"!Z_
Agibizatidilialikilueoi,s1
CITY STATE ZIP
c'Z ) Iv—OWL
PROJECT CONTACT NAMEHON
(The individual to receive and V4AI 6i4 ON&U - Eitki A=,L, (giS)?83122..Lix !Z!9
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) Sk k'l VDUo,'J( ®MFEITNirCifititile44.t_•arm
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
��`G1�Z
PROJECT FINANCING NAME
CI OWNER-FINANCED
Required value of$5,000 or moreit (CL__
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 c as a part of his applic ion.
SIGNATURE: — r DATE 51.16(71D It)
PRINT NAME: M,(,t+- 0,- ktifiliV
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
. .
MECHANICAL FIXTURES
ti9
VALUE OF MECHANICAL WORK 1 V l
$ ��,)U�.' (a copy of bid or estimate must be provided)
Indicate how many of each type of fMire to be installed or relocated as part of this project. Do not include existing fixtures to remain.
( AIR HANDLING UNITS (1tet) FANS GAS PIPE OUTLETS 7,3 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) �4V '?6'X h-5
BOILERS FURNACES HOT WATER TANKS(Cas)
( COMPRESSORS(FFGI¢r /44WA GAS LOG SETS . REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) _
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 ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY"*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL®NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Pertnit Application