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04-104578 1411 t> .1 ., - Feder la Way40.1 .,'. 1116. RECEIVED PERMIT .,SF MF CO E EL PL BE EN F• COMMUNITY DEVELOPMENT SERVICES 33325 FEDE8TM AVENUEWAY, SOWA 98UTH.PO BOX063-9718 �lJ 971�t o V 0 9 2A4P P L I CATION RAL 253-835-2607•FAX 253-835-2609ell /If , `_ wunv atuaffederalwaq-com • mg CITY OF FEDERAL WAY The following is requi:,,1 IL •,1L_'�Iv, an incomplete ap.lication will not be acce.ted. Please .ri -gibly(in ink)or ty. . - n PROPERTY INFORMATION SITE ADDRESS 3 3 7-6( 9 7,-,,--c... .SC /?tSUITE/UNIT it --,P,L.- . I ASSESSOR'S TAX/PARCEL# ( 2- V a Q - L 0 C - LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) d (Attach separate page for lengthy legal desenptioa) . ® PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide eddetailed description of work included on this permit only) 4e-e- �---�e-�-� � 3%Z , ,, , /�41d p aamu .0. - .o, 'y -_1 i� :A) c, v� cd .�/.c i - ,C e / 1e cr � �.f -. sf �.. d.� his®, PROJECT NAME(Name of Business or Owner Last Name) ( /"1j" /� iCdlS j - PEOPLE INFORMATION PROPERTY NAME ©t �" PRIMARY PHONE OWNER e5 S l- PS)- 12-e't-' 1 _ft S�--V ( 9j J‘' ‘.3 -g ) MAILING ADDRESS CITY,STATE,ZIP /few ut,__ &J,- CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE �- /;m 41 cC/oSk�e j ( , 02-5-32-14,4 MAILING ADDRESS f CITY,STATE,ZIP CELL ›)e. /2‘ 2?"- i® 4.Q-- ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - -B L / / (V -1" 33 --‘5"-$15---- CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE APPLICANT COMPANY NVE. /� APPLICANT NAME / OFFICE PHONE / � •Y94".-01-AISf - `- id'CA5� ( ,STgr-. 5-3.Z-K-7-- MAILING //y��/A`DDRESS � CITY,STATE,ZIP I�� CELL PHONE PHONE _ RELATIONSHIP TO PROJECT CeAltaN� fs}� FAX NUMBER 0 Architect 0 Tenant 0 Agent ❑ Other(Describe)-- .5,141/7e--.A.---_ ,12-31-53 NAME PRIMARY PHONE E-MAIL ADDRESS 74 c"/.5-� f (251 g-z. --3 2-c‘ LENDER C09 W 19 27 5'tLender information is, NAME 4. required ifprroject value exceeds$5,000 MAILING ADDRESS CITY,STAlE,ZIP - '`• e ` - " - `` a DETAILED BUII.DING INFORMATION • EXISTING USE 6 r G e,..- (Mala U d e PROPOSED USE _C`r ct..., - CU0traA-6(,/.c . EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ �,7 SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO i WATER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER Cl LAKEHAVEN a UIGHLINE ❑ PRIVATE(SEPTIC) PROJECT FLOOR AREAS - AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL !,. BASEMENT .1:;- _.F1 4141151,. . VSIM- - SEC a * dt k THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL EXISTING TOTAL PROPOSED TOTAL LST0 DIG/5PROPOSED HOW MANY FLOORS? A **NEW HOMES ONLY** NUMBER OF BEDROOMS / ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type of fixture to be installed or rlelocated as part of this project. Do not include existing fixtures to remain. • MECHANICAL .--�� Value of Mechanical Work $ i• fg I / AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) WOODSTOVES ' BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or rub/show<rCombo) SHOWERS WATER CLOSETS croaet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Si)s) VACUUM BREAKERS ELECTRIC WATER HEATERS p '_ DISCLAIMER/SIGNATUREBLOCK 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 filed against the City of Federal Way,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. / � /'/ /� NAME/TITLE � a i�e-'5 �f 7' 4 DATE /j `�� (Signature) `/� (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent "Contractor ❑ Architect 0 Other FOR OFFICE USE ONLY a NEW a ADDITION a ALTERATION a REPAIR 6 TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES 0 NO F Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Rcvised\Permit Application i ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n LI Single Family Square Feet (First 1300 1t2-$87.00;Each add'n 500 ft2-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00 (Inspected separately) $58.00 0 601-800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) 0 801 - 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 ❑ Up to 200 amp $ 94.50 $ 28.00 ❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00 ❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50 ❑ 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177.00 ❑ #of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) ❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee ❑ Mast or meter repair $43.50 ❑ Service over 200 amps ❑ Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES ❑ Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK 0 0- 100 $58.00 $51.00 ❑ #of service or feeders 0 101 -200 74.00 51.00 (First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ l #of Thermostats ❑ 41 of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) ❑ Low Voltage / ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) .2 b 0-0 (Includes additional circuit,if required) O Fire Alarm System ❑ Yard Pole meter loops $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling El (Per System(s) 1•,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 29646-910(5)(b)(i e,ii) Bulletin 0100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application b M w 7 City of Federal1 , Mechanical Permit #: 04 - 104578 - 00 ME Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 ca0A Inspection request line: (253) 835-305C Ph:(253)835-7000 Fax:(253)835-2609 Project Name: CENTER POINT SURVEYING Project Address: 337019TH S Parcel Number: 926480 0190 Project Description: Replacing an existing 8.5 ton rooftop unit with a 7.5 ton heat pump. Installing new duct work and distribution as shown on plans. Owner Applicant Contractor CAMPUS BUSINESS PARKS LLC*CAMPUS HEATTRANSFER CO HEATTRANSFER CO 14100 SE 36TH ST#200 P.O.BOX 1268 P.O.BOX 1268 BELLEVUE WA 98006-1657 \CARNATION WA 98014 (425)885-3247 Mechanical Valuation 9970 Over the Counter Permit No Mechanical Fixtures ( Description Quantity'( Description Puantityl Description "Quantity' Air Handling Units II 1 PERMIT EXPIRES June 13,2005. Permit issued on December 15,2004 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 be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: 15 O Ccs V.- 111 i - ,.i THIS CARD IS TO MAIN ON-SITE CITY OF ommunity Developm nt Inspection'Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-104578-00-ME Owner: CAMPUS BUSINESS PARKS LLC Address: 33701 9TH AVE S 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) 0 Gas Piping(4125) ® Final-Mechanical(4065) Approved Approved to release test Approved �/ A By4,4) Date/2' % • c7, ,By Date By .,t'' Date t,Z.. z, l,4