09-103403off "I
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
0 Mechamical
Permit #: 09 -103403 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: PUGET SOUND HEALTH PARTNERS
Project Address: 32129 WEYERHAEUSER WAY S Suite 201 Parcel Number: 215465 0070
Project Description: Install 1 ton A/C unit to server room
Owner
Applicant
Contractor
PANATTONI DEVELOPMENT CO
ALL STAR HEATING & A/C
ALL STAR HEATING & A/C
6840 FORT DENT WAY SUITE 350
PO BOX 70
ALLSTHA044JK (4/12/11)
SEATTLE WA 98188
FALL CITY WA 98024
PO BOX 70
FALL CITY WA 98024
R< < Additional Permit Info�`lafi
"15"E''',�,. ' � ., ..RE—
Mechanical�. �.
Valuation............................................5010
Is this an Online or O.T.C. application?.................Yes
6 4,s Met;tirical. Fixtures
Air Co c4tioners - Stand Alone Un 1.
PERMIT EXPIRES Monday, March 1, 2010
Permit Issued on Wednesday, September 2, 2009
I hereby certify that the above infor tion is correct and that the construction on the above described property and
the occupancy and the use will b In Icor e with the laws, rules and regulations of the State of Washington
an the City of Federal Way.
Owner or agent: Date: 3
F►NkLI.L-D q/tQ/vq
AIL
CITY OF
Federal Way
PERMIT #:
09 -103403 -00 -ME
THIS CARD IS TCLALFMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 32129 WEYERHAEUSER WAYS Suil
Owner: PANATTONI DEVELOPMENT CO 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.
❑ Mechanical Rough -in (4165)
❑ Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Ap roved
By�CS Dat�V
By Date
By ate '6z'el'o f ,
❑
Rough Electrical
Approved
El
Final Electrical
Approved❑
Right of Way
Approved
By
Date
By
Date
By
Date
NAME OF PROJECT 1 J
(Tenant or Homeowner Name) SQ U W� f �(e, 71
❑ BUILDING ❑ PLUMBING MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
17-oo A.C. sen)cn konrn
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PRDdARY PHONE
77
PROPERTY OWNER Q I v 1 ( _
NAILING ADDRESS, CITY, STATE, Z-NAH,
Gov 0 F R
OWNER IS ALSO: CONTRACTOR 0 APPLICANT ❑ PROJECT CONTACT
HAMS PRIMARY PHONE
CONTRACTOR G ADDRESS, CITY, STATE, ZIP FAX
06X -7
0
STATE IcTGR'S�CENSE N EXPIRATION i BUSINESS LICENSE .A,�/��FEDERALo
NAE
PRIMARY PHONES
APPLICANT
NAILING ADDRESS, CITY, STATE, ZIP FAX
PROJECT CONTACT L ,s PRDiARY PHONE %
(The individual to receive and ^ [i S/J y 26 6
respond to all correspondence MAXTG ADDRESS, CITY, STAOZIP %�/ FAX
concerning this application) A10 I ( C/ �E
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
Required for projects urith
❑ OWNER -FINANCED
value of $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PRffiARY PHONE
(RCW 19.27.095)
( 1 _
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 harmle t City i Way as to any claim (including costs, expenses, and attorneys' fees incurred
in the investigation and defense such , 1016ich may be made by any person, including the undersigned, and filed against the
city, but only when such ci arises of the Hance of the city, including its officers and employees, upon the accuracy of the
information supplied to the i as a p of lication.
SIGNATURE: v DATE
PRINT NAME: /Q T '-'P/ G lC
Bulletin #100 — 4/17/2009
Page 1 of 4
k:\Handouts\Pemut Application
Value o Mechanical Work $ SO 10 — A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include exdstingjixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commaosy
BOILERS FURNACES HOT WATER TANKS (cao
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (w Tub/Sh—mrCombq
LAVS (HanaSinka
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitten/ucaiv)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL 1r RE3
Bulletin # 100 — 4/17/2009 Page 2 of 4 k:\Handouts\Permit Application
d _ o33
CITY OF
Federal CE1VED PERMIT SF-------
COMAfUMYUEVELOPAMTSERVICES SF MF CO ME EL PL DE EN OP
333258T"AVENUE,OUIH•PO ,'G 2 7 2� `i APPLICATION F ��
7=2
EDERAL WAY, WA 98063-9 /
25335-2607• FAX 253-835- f
www.ciuof(edera[wau. wm
The foiiQn io qu [qpfpiAgAwgA ph iytcomplete application will not be accepted. Please print l yn half j gr1ty .,,
SITE
AnDREss 32129 Weyerhaeuser Way South SUZTE/UNIT # 201
ASSESSOR'S TAX/PARCEL # _ _ 2 � 5465 _ _ 0070 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate pcWefw Le WthJ kgal descrWtiaa1
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING /FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on thusprmit oniu)onk )
Install additions to fire alarm system for tenant improvement.
PROJECT NAME (Name of Business or Owner Last Namel Puget Sound Health Partners TI
PEOPLE•• •
PROPERTY
OWNER
NAME
PANATTONI DEVELOPMENT
PRIMARY PHONE
MAILING ADDRESS
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
CONTRACTOR
COPT of awd ngofred
with —h appoestim
PROJECT
CONTACT
LENDER
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
Paladin Protection, Inc.
Kris Conner
( 253 ) 875
- 3016
MAIIJNG ADDRESS
CITY, STATE, ZIP
CELL PHONE
17404 Meridian East, #F303
Puyallup, WA 98735
( 235 ) 223
- 9464
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
20-08-104613-MBL
12/31/2009
( 253 ) 875
- 3025
CONTRACTORS REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
PALADP1926ND
08/04/2010
kris@paladinprotection.com
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( )
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE E-MAILADDRESS
Kris Conner ( 253 ) 223 -9464 kris@paladinprotection.com
NAME
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $ 8,960.00
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RESUIItED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHIMM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 11 ffiGffi INE ❑ PRIVATE (SEPTIC)
PROJECT •••
AREA DESC ON
AREAS
EXISTING
FT.
PROPOSED
SQ.FT.
BBQS
TOTAL
SQ. FT.
BASEMENT
BOILERS
FIREPLACE INSERTS
HOODS (Commercial)
FIRST
FURNACES
RANGES
DUCTS
SECOND
REFRIG. SYSTEMS
CHANGE OF USE?
THIRD
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
❑ NO
PLATTED LOT?
DECK (❑ COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
v
mevu,
Mrwv;ZISTRIG5F
IMAL Psoroswsr
IWAL8F
"NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offactitre 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 ESTYMATE 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 TAG SE -IS
REFRIG. SYSTEMS
BATHTUBS (or 1bb/Shower Combo) IAVS (Bathroom sinks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSE -IS (Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I certify under penalty of perjury that the igformatum furnished by me is true and correct to the best of mg knowledge, and further, that I
am authorized by the owner of the above premises to perform the nark for which the permit application is made. 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 per, including the undersigned, and,f Ted against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its gUicess and employees, upon the accuracy of the information supplied to the city as a part of
this application.
r
NAME/TrrI,E i' �- /a2 s DATE 8/26/2009
c- (Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 9 Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT DdMOVEMENT
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, MR Page 2 of 4 k\Handouts\Permit Application