09-100034Project Name: FARMERS INSURANCE GROUP
Project Address: 32129 WEYERHAEUSER WAY S Suite 100
Mechanicals
Perm#: 09 -100034 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 215465 0070
Project Description: Ductwork distribution for interior of space. Rooftop equipment is existing.
Owner
Applicant
City of Federal Way
HARSCH INVESTMENT PROPERTIES
Community Development Services
P.O. Box 9718
r
851 SW 6TH AVE SUITE 550
PO BOX 70
Federal Way, WA 98063-9718
PORTLAND OR 97204
Ph: (253) 835-2607 Fax: (253) 835-2609
J
Project Name: FARMERS INSURANCE GROUP
Project Address: 32129 WEYERHAEUSER WAY S Suite 100
Mechanicals
Perm#: 09 -100034 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 215465 0070
Project Description: Ductwork distribution for interior of space. Rooftop equipment is existing.
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERTIES
ALL STAR HEATING & A/C INC
ALL STAR HEATING & A/C INC
851 SW 6TH AVE SUITE 550
PO BOX 70
ALLSTSH933JB (4/2/09)
PORTLAND OR 97204
FALL CITY WA 98024
PO BOX 70
FALL CITY WA 98024
Mechanical Valuation............................................15570
.................................... 27
Is this an Online or O.T.C. application?.................Yes
PERMIT EXPIRES Sunday, July 5, 2009
Permit Issued on Tuesday, January 6, 2009
I hereby certify that the above infor i is correct and that the construction on the above described property and
the occupancy and the use will b Ina nce with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: �- a Date: �
FINqt FD
a
e*4000 Or
11005 If X
DATE '
O'
AREA
AND TYPE
-
a
THIS CARD IS TO MAIN ON-SITE r
CITY of *Community Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -100034 -00 -ME
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32129 WEYERHAEUSER WAY S Suite 100
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Pinal - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By S(- Date 3 g
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Federal VV C I &P E R M I T
COMM(1NITY DEVELOPMEh��
33325 8M AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718A�
253-835-2607• FAX 253-835-2609 JAN 0 6 20 �9 P P LI C A I N
wu atuoffederalwaa.com
4'_ /000131 -
SF MF C ME L PL DE EN FP
J TD
The foliowin"tpd iefinnurd pL eftffmpUte application will not be accepted Please print legibly (in ink) or type.
SITE ADDRESS _ _3 (q I C' q tj &
ASSESSOR'S TAX/PARCEL #
LAS&2 6 )m `, 50—t/4 [4 SUITE/UNIT # /00
LOT SIZE (s,)
a t s- Y 6 s
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
0 o 70
(Attach separate page for lengthy legal descripaoro
TYPE OF PERMIT ❑BUILDING ❑PLUMBING �l' MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Owner Last Name) ` A1z%19 ,?nj
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME /QN^lIDN) / r uicOP�e1- j t- '2 CO
M �a.e— tJ J J
/PRIMARY PHONE -
l
MAILING ADDRESS 2T bo'W) Gia
CITY SAo E, QIP& �,/�
EMAIL ADDRESS
CODPANY NAME
ST)q•\ C7
AN. AME
PP - N1Ck OwVOYSC'
APFC)CANT NAME
�a-,
el
AAJ01�io(W)
OFFICE PHONE
( ddd-7
NG A by 1< ��
0 7fl
CIS, $ ATE ,Ify
/LJ / C
kn `y
V d
CELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
03- o8- rows-oo-13k
FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER
s A 40 v v �K
y77
ON DATE
y
E-MAIL ADDRESS
COMPA
�O�L/7E}�T
T
AN. AME
PP - N1Ck OwVOYSC'
OFFICE PH
(/.?d )ONE��-�
MAILING ADDRESS
C, U Y, STATE, IP
9�0�
CELL PHONE
0 7fl
'o // c, �,,�
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant tdAgent ❑ Other
( -
NAME Z j PRIMARY PHONEE-MA[LADDRESS
�21c� �a�vc'r-sGo
NAME
Per RCW 19.17.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
D
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ FIIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SO. FT.
BASEMENT
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIRST
HOODS (commercial)
COMPRESSORS
FURNACES
SECOND
,DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
❑ YES
❑ NO
BATHTUBS (o Tub/showercombo)
ADDITIONAL FLOORS (DESCRIBE)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
DECK (❑ COVERED OR ❑ UNCOVERED?)
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (r.aet)
GARAGE ❑ CARPORT ❑
SINKS
WASHING MACHINES
HOSE BIBBS
NUMBER OF FLOORS
raasrnro
raoeos®
Tara.
TOTAL 11, rn sr
Toru rnorosan ar
Tornu BY
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAHICAL
Value of Mechanical Work $ S �� (A COPY OF BID OR ESTWATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commercial)
COMPRESSORS
FURNACES
RANGES
,DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLUMBING
❑ YES
❑ NO
BATHTUBS (o Tub/showercombo)
LAVS (Bathroom sin"
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (r.aet)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certgy 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 rk authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for pIt a with total, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the Ci of Fe at Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claimf, ich may a by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the rail a of the , irtclu ing its of and employees, upon the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE:
❑ NEW ❑ ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
PLATTED LOT?
Property
or Authorized
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
o YES ❑ NO
BASIC PLAN?
o YES
❑ NO
CHANGE OF USE?
❑ YES
❑ NO
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
❑ YES o NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 1, 2009 Page 2 of 4 k\Handouts\Permit Application