09-100024City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Pluinfiing
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Permit #. 09 -100024 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: FARMERS INSURANCE GROUP
Project Address: 32129 WEYERHAEUSER WAY S Suite 100
Project Description: Installation of hot water tank for break room.
Parcel Number: 215465 0070
Owner
Ammlicant
Contractor
PANATTONI DEVELOPMENT COMPANY
SAGER MECHANICAL INC
SAGER MECHANICAL INC
16400 SOUTHCENTER PKWY
8425 219TH ST SE
SAGERMI088NK (8/10/09)
SEATTLE WA 98188
WOODINVILLE WA 98072
8425 219TH ST SE
WOODINVILLE WA 98072
Water Heaters ................................. 1
PERMIT EXPIRES Saturday, July 4, 2009
Permit Issued on Monday, January 5, 2009
1 hereby certify tha a above i formation is correct and that he construction on the
the occupancy d the use wi be in acc rdance with the ws, rules and regulation
and th i "` Federal Way.
Owner or agent: D
F
above described property and
s of the State of Washington
Dat .�
I
THIS CARD IS T EMAIN ON-SITE
CITY of 16Communit Develop entInspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -100024 -00 -PL
Owner: PANATTONI DEVELOPMENT COMPANY
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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Z, � By Date
By 6, DateILI I kl B Date
❑ Final - Plumbing (4075)
Approved
By Date A' 415
❑ Rough Electrical
Approved
By I Date
For inspector reference only
O FINAL - Electrical
Approved
By Date
:I*D
.rry., A R E C E
Federal way PERMIT
coMMUMTY DEVELOPMENT SERVICESJAN 0 5 2009
33325 8'T' AVENUE SOUTH • PO BOX 9718, CATION
FEDERAL WAY, WA 98063-9718
253-835-2607• FA OO F FED E
wiew.cituo((ede i.co
The following is required d> *Qstion - an incomplete application will not be
SITE ADDRESS -S 2) 2 /
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Atbach separate pagefor Lengthy legal descripttord
I -q - /- L "4A -Y
SF MF CO ME If PL E EN FP
uted. Please print legibly (in ink) or .
SUITE/UMT # -- ,.-
LOT SIZE (Sp
TYPE OF PERMIT ❑ BUILDING jLPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlu/
PROJECT NAME (Name of Business or Owner Last Name) oi42-16eS
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAMEAi Al
t1 ,
f)(.
T`
PRIMARY PHONE -
( )
MAILING ADDRESS
CELL PHONE
( f'tr') 2,-,-6
--S
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
6/q-1-7 6Z Ac C4 L-
AN
PLICT NAME
AJ
OFFICE NE
PHO
( y s ydz
- 15? -s a
MAILING ADDRESS
Z y 2 5- Vq a s
CnY. STATE, ZIP
9X4,72-
CELL PHONE
( f'tr') 2,-,-6
--S
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
Zo ,pg lvvDs 'c�orgL
(f'?f v02
- 6?01
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
M / D ? ,,-) 4—
• /o -d
Iry colG�1
f��.E A
COMPANY NAME
5,4-1 & .45 Abd✓�
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other
'iC41—
C-0-1
E PRIMARY PHONE I E-MAIL ADDRESS
%ON wy C q(i- 3 7w Goll S C fR/ill CH �•� !�L -COV
NAME
Per Ruw 19.27.095:
Lender iq or/nation is required (f project value exceeds $5,000
MAILING ADDRESS
CnY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHIdNE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
rrturosry
�
�zw;rmcsr
�� �sr
VITAL
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offu Lure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $.
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOM
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
BATHTUBS (oi-Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks) URINALS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
SHOWERS WATER CLOSETS (Toilet)
SINKS WASHING MACHINES
SUMPS
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best of my
knowledge, the information submitted in support 4f this permit application is true and correct. I cert{fy that 1 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 4f 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 def of such claim),which be made by any person, including the undersigned, and filed against the city, but only
where such claim out of the reliance of tty, including its officers and employees, upon the accuracy of the information supplied to
the city as a part o t is application.
)
SIGNATURE: " " al DATE
Owner and/or Authorized
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Permit Application