15-105997 0 • Mechunizol
City of Federal Community&Econ.Dev.Services Permit #: 15-105997-00-ME
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: SAGEMAX
Project Address: 34210 9TH AVE S Unit 118 Parcel Number: 926480 0090
Project Description: Install Dust collector abd associated ducting to customer owned equipment.
Owner Applicant Contractor
LARRY DANG,PRESIDENT DAVE HANSEN CARPORT STRUCTURES INC
SAGEMAX BIOCERAMICS,INC 4403 RUSSELL RD SUITE 103 HENDEE*900LQ(6/14/18)
34210 9TH AVE S SUITE 118 FEDERAL WAY WA 4403 RUSSELL RD SUITE 103
FEDERAL WAY WA 98003 MUKILTEO WA 98275
Additional Permit Information
Mechanical Work Valuation? 25675 Is this an Online or O.T.C.application? No
Mechanical Fixtures
Ducting I
PERMIT EXPIRES Wednesday, December 28, 2016
Permit Issued on Friday, July 1, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- 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: 7////,,a
Iiiso1/4 -C.C\
THIS CARD IS TO ON-SITE r
.
`
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-105997-00-ME Address: 34210 9TH AVE S Unit 118
Project: LARRY DANG, PRESIDENT 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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By itbj Date Q I17„1)(e
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
•
4. Ilir�����ED
CITY NOV 25 2015 PERMIT APPLICATION
Feder a
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rry OF ED R/4iCDs - WAY
ri
PERMIT NUMBER 1 1 7
iii I '
—1-5 / 0 c-_,. .,-.,
TARGET DATE /14//
SITE ADDRESS SUITE/UNLIT#
V le").4-- i 1 le
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
r _ C CT
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHANICAL 0 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT c_ �%/3}-/�/YI/'JtO / `'1"-)e-.--70~/C,...5.yew, _1y�W j/J5'
PROJECT DESCRIPTION Z� //%�✓/)7i�C���N ✓(.1-7/-5-
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Detailed description of work to �� /1"0 `✓`
be included on this permit only
NAME PRIMARY
PROPERTY OWNER ./7.. ----` /�/� ��C(� �Z7 .�2a PR PEq//;723
/ 3
f c7 r _24-Z � aiit d a� E-MAIL
Frig
NAME y ✓ic��� PHONE
l ____ ...__ i •fir--file.-......
/� h� e� t:e�7GLJ lri �./
DRESS
CONTRACTOR .J !'`Gl‘.5.59_1...)(0#0ja. E MAn
NA(1WA STAT�/�C�.�/ \ !�s(f L� al /?/ 7 TE FEDERAL WAY SUSI 6 LICENSE#
ME
��.�'AAi iL.CtA�^" "`rrr PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME/'•, _ PRIMARY PHONE
PROJECT CONTACT ^'-'tet��/T1� -� —
(The individual to receive andL,//MAI G,�A7DDRES6 � E-MAD ��y�
respond to all correspondence 7�/TSG'-� ```�..++ryG- L.E..- � j � � ivC 7J�L` '�i�/�'`�i�/. ,B/Z-
concerning this application) /4�U/1/ yL� �(���i�r FAx
NAME 1leT
PROJECT FINANCING ❑ OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
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 • • m arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplier a city as a part of this applicatiogn.
SIGNATURE: .( < <</, Ariilierri` DATE / :7(I
PRINT NAME: 4" / s AO'efr.
Bulletin#100-October 26,2015 Page 1 of 3 k:\Handouts\Pennit Application
' . 0
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ -375 (
6)9
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(commerc.11
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
XDUCTING 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(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitohenn/util tv) WATER HEATERS(Eiee,ao
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?
C Yes No G Yes - No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BAS NT .5 .
FIRST FLOOR(or Mobile Home)
SECOND FSR
COVERED ENTRY
DECD 1 �: — --
GARAGE E CARPORT ❑
(T1i1 l2(descrii r'`,'
EXISTING ...
Area Totals PROPOSED TOTAL __-
NWHOMES NLYrr
ESTIMATED SELLING PRICE$ __ #OF BEDROOMS
COMMERCIAL—VIEW/ADDITION
AREA DESCRIPTION Area m Occupancy Groups) Construction #of Additional Information
Square Feet Type Stories
NEW oma—
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL DING
TENANT AREA ONLY
TSR
P1R # ARCA ONLY
Bulletin#100-October 26,2015 Page 2 of 3 k:\Handouts\Pennit Application