18-1012064L
City of Federal Wry
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 835-2609
Mechanical
Permit #:18 -101206 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: SOUND MEDICAL CENTER
Project Address: 31830 PACIFIC HWY S Parcel Number: 092104 9221
Project Description: Relocating HVAC ductwork for associated tenant improvement
Owner
Applicant
Contractor
SEA -TAC CENTER ASSOCIATES
S & M RELIABLE LLC
S & M RELIABLE LLC
2101 4TH AVE UNIT 310
34402 38TH AVE S
SMRELRLS47NC (8/3/18)
SEATTLE WA 98121-2317
AUBURN WA 98001
34402 38TH AVE S
AUBURN WA 98001
Additional Permit Information
Mechanical Work Valuation? .................................. 6000 Is this an Online or O.T.C. application?.................. Yes
Ducting
1
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Saturday, 15 September, 2018
Permit Issued on Monday, March 19, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the u 11 be in accordance a laws, rules and regulations of the State of
Wa ngton and the Federal Way.
Owner or agent: Date: -7
FINALED
THIS CARD IS TO REMAIN ON-SITE
Crr.OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18101206 00 Address: 31830 PACIFIC HWY S Unit D
Project: SEA -TAC CENTER ASSOCIATES 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.
E
Mechanical Rough -in
(4165)
E]
Gas Piping (4125)
0 Final - Mechanical (4065)
Right of Way
Approved
Approved
Approved to release test
Approved
By
Date
,J
7
By
Date
Date S
Date
9
Rough Electrical
0
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
41k
CITY OF
Federal Way
PERMIT NUMBER `
PERMIT APPLICA'T'ION
PERMIT CENTER + 33325 81h Avenue South +
rms c e idff03-6325
253-835-2607 + FAX 253-835-2609 + peWay."rn
-- 10 1 zoo- MC -7
MAR 19 2018
TARGET DATE CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
SITE ADDRESS
SUITE/UNIT #
PRO) CT v�yALU TION
ZO ING
ASSESSOR'S TAX/PARCEL #
$ 'o
- p
q
� L —/
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING AmECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECTSo
An
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME j
PHONE
MAILING ADDRESS
' ' y
E-MAIL
CONTRACTOR
CITY -
bi -
STATE
I llt')4
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # �§
�' G
E IRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAMEPRIMARY
..�
Ig �
PHONE
MAILING ADD S
Y" y0; - S
E-MAIL
APPLICANT-
CITY
STATE
ZIP
�n
FAX
"
NAME -
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $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 laim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises ut reliance of the ,including its officers and employees, upon the accuracy of the
information supplied to the ci qcp o this application.
SIGNATURE: DATE /
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application