15-102491 •
Plumbing
City of FederalyVay .{{,//,
Community 6 Econ.Dev.Services Permit #: 15-102491-00-PL
33325 8th Ave S
Federal way,Fax
Inspection Request Line:ssoo3 (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2609
Project Name: VOLT WORKFORCE SOLUTIONS
Project Address: 33301 9TH AVE S Unit 100 Parcel Number: 926501 0130
Project Description: Plumbing work for tenant improvements.
•
Owner Applicant Contractor
SHELBY COMPANY LLC S J S MECHANICAL SERVICES S J S MECHANICAL SERVICES
1201 PACIFIC AVE SUITE 1400 3317 3RD AVE S SUITE 100 SJSMEMS951KL(5/17/17)
TACOMA WA 98402 SEATTLE WA 98134 3317 3RD AVE S SUITE 100
SEATTLE WA 98134
Plumbing Fixtures
Other Plumbing Fixtures. 1 Sinks 1
PERMIT EXPIRES Wednesday, November 18, 2015
Permit Issued on Friday, May 22, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and theja.e will be in acc• •-nee with the laws, rules and regulations of the State of Washington
/ nd the City of Federal Way.
Owner or age Date:
ir 116)
IS‘
THIS CARD IS TO MAIN ON-SITE
CITY of Construction In ection Record
Federal Wayo ecti
INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-102491-00-PL Address: 33301 9TH AVE S Unit 100
Project: SHELBY COMPANY LLC 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 Plumbing Groundwork(4190) El Ro Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date B 4, ( Gj Date _ j Z, ((By Date
0 Final-Plumbing(4075)
Approved
By IMA Date -1 i 14-(1 C-
O
Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
Ile
C,TMof PERMI'1OAPPLICATION
--Federal Way MAY 2 2 2015 -/.5 -
3 3 6 i
CITY OF FEDERAL WAY
PERMIT NUMBER5 DS V 9-1 _ /3
�_ a / TARGET DATE
SITE ADDRESS SUITE/UNIT#
33301 9th Ave South,Floor 1
PROJECT VALUATIOI ZONING ASSESSOR'S TAX/PARCEL#
$ yC{303 9265010130
_7_,.- 'v
TYPE OF PERMIT 0 BUILDING X PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT VOLT WORKFORCE SOLUTIONS
Rough-in plumbing for and provide and install the fixtures listed
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER SHELBY COMPANY
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
SJS MECHANICAL 206-763-0334
MAILING ADDRESS E-MAIL
CONTRACTOR 3317 3RD AVE SOUTH#100 LAURAASJSMECH.COM
CITY STATE ZIP FAX
SEATTLE WA 98134 206-763-0442
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SJSMEMS951KL 05/ 17 /15 20-13-104103-00-BL
NAME PRIMARY PHONE
LAURA DINUCCI
APPLICANT MAILING ADDRESS E-MAIL
EVERYTHING SAME AS ABOVE
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT LAURA DINUCCI
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence EVERYTHING SAME AS ABOVE
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING O OWNER-FINANCED
Required value of$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 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 clai • arises out o reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t .ty as a papplication.
SIGNATURE t. / i DATE 5/7/15
PRINT NAME: L - 0 INUCCI
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
s • • VALUE OF MECHANICAL WORK
` MECHANICAL 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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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.
BATHTUBS(or Tub/Shower Combo) LAVS(HandSinxs) TOILETS WATER PIPING
. #^ RAINWATER SYSTEMS URINALS I / OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS Ice Maker
DRINKING FOUNTAINS 1 SINKS()Lt. (electric)
HOSE BIBBS SUMPS WASHING MACHINES4 F TOTALFIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOTSIZE(Ia 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
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GARAGE ❑ CARPORT ❑
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IOUSTING PROPOOZD TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in 't uare Feet • .e Stories
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COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application