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14-104172} 0 Mechanical City & Federal Way Permit #: 14-104172-00-M E Community Econ. Dev. Services 33325 8th Ave S 'now IK— Federal Way, WA 98003 Inspection Request Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 p Q Project Name: SIGNATURE HOME HEALTH Project Address: 909 S 336TH ST Unit 202 Parcel Number: 926480 0150 Project Description: Relocate ductwork, grills and diffusers for tenant improvements. Owner Aq lip cant Contractor OMNI PROPERTIES INC MACDONALD MILLER FAC SOL INC MACDONALD MILLER FAC SOL INC 909 S 336TH ST SUITE 103 (GENERAL) (GENERAL) FEDERAL WAY WA 98003 7717 DETROIT AVE SW MACDOFS980RU (1/3/15) SEATTLE WA 98106 7717 DETROIT AVE SW SEATTLE WA 98106 Is this an Online or O.T.C. application?.................Yes Mechanical Fixtures Ducting........................................... 1 PERMIT EXPIRES Wednesday, February 11, 2015 Permit Issued on Friday, August 15, 2014 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use 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: THIS CARD IS TO MAIN ON-SITE CITYof Construction In ection Record Federal Way INSPECTION REQU TS: (253) 835-3050 PERMIT #: 14 -104172 -00 -ME Address: 909 S 336TH ST Unit 202 Project: OMNI PROPERTIES INC 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 Approved Piping (4125) Approved to release test Final Electrical Final - Mechanical (4065) Approved By n Date % 1 By Date By Dat NXr Rough Electrical Approved 1:1Approved Final Electrical Right of Way Approved By Date By Date By Date CITY OF Federal Way *'vED PERMII%PPLICATION AUG 15 Zpiq CITY OF FEDERAL WAY PERMIT NUMBER _ 16— Y a PY, TARGET DATE SITE ADDRESS SUITE/UNIT # 909 S 336TH STREET STE# 202 FEDERAL WAY, WA 98003 STE# 202 PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL# $ 3,817.00 Plat Lot 15 9 2 6 4 8 0- 0 1 5 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT OMNI OFFICE BLDG - SIGNATURE HOME HEALTH OFFICES RELOCATE UP TO 8 SUPPLY DIFFUSERS AND 6 TRANSFER PROJECT DESCRIPTION GRILLES. MISC DUCT WORK MODIFICATIONS. Detailed description of work to be included on this permit only NAME PRIMARY PHONE NA PROPERTY OWNER OMNI PROPERTIES INC MAILING ADDRESS 909 S 336TH STREET E-MAIL CITY FEDERAL WAY I `WA z>p 98003 NAME MACDONALD MILLER FAC SOL PHONE (206) 768-4278 MAILING ADDRESS 7717 DETROIT AVE SW &arla.doll@macmiller.co CONTRACTOR CITY STATE ZIP FAX SEATTLE WA 98106 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY I3USMM LICENSE If MACDOMF972BF 01/03 15 20 -03 -10072 -00 -BL NAME DARLA DOLL PRnffARY PHONE (206) 768-4278 APPLICANT M'II�'GADD REss7717 DETROIT AVE SW MAIL dar a.doll@macmiller.co CITY SEATTLE STATE WA ZIP 98106 FAR (206) 768-4279 NAME TIM FELTON PRIbL06) 396-9641 PROJECT CONTACT NAILINGADDRE��PdAIL 17 DETROIT AVE SW t m elton@macmiller.co (The individual to receive and respond to all correspondence CITY SEATTLE STATE ZIP FAX concerning this application) WA 98106 PROJECT FINANCING FAME OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(fy that to the best of my knowledge, the Wormation submitted in support of this permit application is true and correct. I cert(N 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 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the Wormation supplied to the city as apart qf7wuation. 8/14/2014 SIGNATURE: DATE DARLA DOLL PRINT NAME: Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application 60 GENERAL INFORMATION CRITICAL AREAS OR PROPERTY? New VALUE OF MECHANICAL WORK MECHANICAL PERMIT PROPOSED TOTAL FOR OFFICE USE .............................................................................................................................................................................................. m. $ 3,817.00 Indicate how many of each type offixture to be installed or relocated as part of this project Do not include existing ixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS T2V OTHER (Descrip ) to be installed or relocated as part of this project Do not include existing ixtures to remain. Diffuser/gr(IYes AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial) DISHWASHERS BOILERS FURNACES HOT WATER TANKS (G.) DRAINS COMPRESSORS GAS LOG SETS REFRIGERATION SYST DRINKING FOUNTAINS DUCTING GAS PIPING WOODSTOVES HOSE BIBBS GENERAL INFORMATION CRITICAL AREAS OR PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT PROPOSED TOTAL FOR OFFICE USE .............................................................................................................................................................................................. m. TUC EXISMG/PREVIOUS USE LOT SIZE (In Square Feet) EXISMG FIRE SPRINKLER SYSTEM? $ �y� EAPIPU Indicate how many of each type offixture to be installed or relocated as part of this project Do not include existing ixtures to remain. BATHTUBS (or Tub/Shower Combo) LAVS (trend sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS ............................................. DRINKING FOUNTAINS SINKS (Kitchen/Utility) WATER HEATERS (Electric) ... ....................................... ................................. _....................... .............................................. _..........._.......... ............... ._.... HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS OR PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS PROPOSED TOTAL FOR OFFICE USE .............................................................................................................................................................................................. m. TUC EXISMG/PREVIOUS USE LOT SIZE (In Square Feet) EXISMG FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? �y� EAPIPU ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION Area Occupancy Group(s) AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE .............................................................................................................................................................................................. m. TUC Stories t` «_ wj.. i F1'bt' �y� EAPIPU > �, N +,t wiau41................................................................................................................... ............................................................................................................................................................................._............... FIRST FLOOR (or Mobile Home) 6pa i�hN U. ? " COMMERCIAL — REMODEL/TENANT IMPROVEMENTS Ar68 Construction # of ............................................. COVERED ENTRY Occupancy Groupls) ... ....................................... ................................. _....................... .............................................. _..........._.......... ............... ._.... ";� " 6i' .4 `� %NPi�� 'gxa � 1 (I ,nr ,.. a Stories III' rr'g- Mr £ z g�a ' r "p .'- p�. jjr Y GARAGE ❑ CARPORT ❑ — - ............................................................................................................................................................................................_. �_ 00 im _•. L 011 ..............................--._........................................................................................................................... Eusrnru PROPOSE TOTAL Area Totals Naw d� ilG' �1.r INi,i. ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet TUC Stories t` «_ wj.. i F1'bt' �y� EAPIPU a'.4y'�k"£ Fr (i'kr. "£<' ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS Ar68 Construction # of AREA DESCRIPTION Occupancy Groupls) Additional Information in Square Feet a Stories III' rr'g- Mr £ z g�a ' r "p .'- p�. jjr Y y iii — - TENANT AREA ONLY L 011 11- _ _._� t-�' iP,& ;AW Bulletin #100 — January 1, 2013 Page 2 of 3 k:\I-iandouts\Permit Application