11-101857 Mechanical
City of Federal Way
Community ,;� � Permit #: 11-101857-00Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (2
53)(253)835-2607 Fax (253)835-2609 p a 835-3050
Project Name: CAMPUS POINTE BUILDING C
Project Address: 33507 9TH AVE S Bldg C Parcel Number: 132185 0030
Project Description: Install(1)gas furnace,(1)A/C,(1)exhaust fan and associated ductwork& grilles
Owner Applicant Contractor
SHANNONS LLC UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
650 S 336TH ST#C (GENERAL) (GENERAL)
FEDERAL WAY WA PO BOX 614 UNIVERI159RF(4/1/12)
98003-6355 AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
Mechanical Valuation 9960.00 Is this an Online or O.T.C.application? No
rr
Air Conditioners-Stand Alone Un 1 Ducting 1 Fans 1
Furnaces 1
PERMIT EXPIRES Sunday, November`20, 2011
Permit Issued on Tuesday, May 24, 2011
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
this City of Federal Way.
Owner or agent: -�`—�. Date: 5.--/M/1
DATE INSPECTOR AREA AND TYPE OF sPECTION -,..
/0% / C v-f' SQL ."1" P .
THIS CARD IS TO REMAIN ON-SITE
CITY°F rill Construction Lection Record
Federal WayINSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-101857-00-ME Address: 33507 9TH AVE S Bldg C
Project: 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) fl Gas Piping(4125) 0 Final-Mechanical (4065)
Approved Approved to release test Approved
By F-bi ' Date 4427,4 'By �y Date 6/6/, By f/p Date ‘,/(3 ,A,
® Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
l ( - 1 0 I E. 5 Z----
9
•�m*: PERMIT • MFCOQPLDEENFP
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cOM> o7 AX253- 1ps5 �A gpLICATION Ca ((
253-835-2607•FAX 253 9 , 1 C
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SITE ADD _ 3 3 Q / 0 SUITE/UNIT#
♦ S, 536 : - u( ( , :-► (, . SU Aes 1,2i
PROJECT VALUATION ZONING ASSESSOR--TAX/PARCEL#
$ A J qw cl-e:, 1 Z i 1 5 - 6 d
TYPE OF PERMIT CIBUILDING 0 PLUMBING MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 64.01[171) '''' t)(Tenant Name/Homeowner Last Name) tr.I v, tt mg- 4. a mite our '-I.A 0 6yv 5t . ut.
PROJECT DESCRIPTION L..^�a � { ii ) �AA�� �` �) 1
DetnilPd description of work to ,,,,,Act i-m GLS�j$tt i.GU�.o ( ( l/>j`Li 'wtc - "-1
3
be included on this permit only �J
NAME PRIMARY PHONE
PROPERTY OWNER l pVV'4 6 P[�L,A,ij I 1_c,
MAILING ADDIS' liC, (/il E-MAIL
CITY ST UU ZIp Q`�_-States Ii i
NAME . y PHONE
0X1,1V1Jr .�.1 'te iI,kjrA,1 C frt.. -QI1 -57 6I
MAILING ADDRESS , ( E-MAII,
CONTRACTOR 416t. to Tic NF t rytov�.
Ui11ufhil'!? l mti
CITY STATE ZIP FAX v
bU rVI WA q"015 i ' 5-7317--'7,LM,
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Oki I Fe 1 i 1 F 64 /0I it. tq-441-1 7147-&o -TA—
NAME
(1/Wtel' l .t PHONE.1 . --q% -ci
APPLICANT CMAIIIIHGAD�RESS* T1, NW
ITY STAIX ZIP dF.3I�kb I '�1 til'ef41 ,tc
A iJ f m USA 1M3 Ii -7,7i--31-13 Z-
PROJECTCONTACT '" PHONE
�/ ,.n
(The individual to receive and N „ ri A') (-t ` 4 -s- -,6 i
respond to all correspondence MAILING A)D'REDS '\t E MAII
concerning this application) Lunt t ' t, VV RA/Al Ui?t�C�1 4i .04
CITY ) (1 So TATE �`tre01 FAX
2 V
ALTERNATE CONTACT NAME: PHONE E-MAIL
P1.'4,1'654'1
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more
(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 city as a part of' u application.
SIGNATURE. - A DATE ✓- 1y i l
PRINT NAME: C 1 k i ei JU V
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
•
I
MCA�TICAL FI RFs
VALUE OF MECHANICAL WORK $ /a(Q ) ,C (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
AIR HANDLING UNITS 1 FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS I FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 DUCTING GAS PIPING WOODSTOVES
ftlili111111416 FIXTURES
Indicate how many of each type of fixture to be ins nlled or relocated as part of this project Do not include existing es to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS ATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/ututty) WATER HEATERS(El •c)
HOSE BIBBS SUMPS WASHING MACH S TOTAL FIXTURES
GENERAL INFORMATIO
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTIN 'IRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
NEW OR A
AREA DESCRIPTION(in square feet) EXISTIN' PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
RE/STING PROPOSED TOTAL
Area Totals
*NE'IF HOMES ONLY**
ESTIMATED SELLIN 'RICE$ #OF BEDROOMS
COMMERCIAL-'NEw/Al Dr ON
AREA DESC' i• ION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
y'BUILDING
ADDITION
COMMERCIAL—REMODELITENANT IMPROVEMENTS
'TS
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-January 1,2011 Page 2 of 3 k:\Handouts\Pernut Application