04-101455Cit of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 -101455 - 00 - ME
SUBJECT TO FIELD INSPECTION.
Project Name: ADVANCED PHARMACEUTICAL RESEARCH
Project Address: 1112 S 344TH4Stuite308
Project Description: Installing new�7chemical vent hood
Inspection request line: 253.835.3050
Parcel Number: 202104 9174
Owner
Applicant
Contractor
GRADER WAREHOUSES LLC
Anil Kumar
SCIENTIFIC AIR & TECHNO INC
1111 S 344TH ST
13701 113TH ST CT E
4610 65TH AVE W
FEDERAL WAY WA
PUYALLUP WA 98374
TACOMA WA 98466
98003-6796
(253)223-8324
Mechanical Valuation..........................................2870 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Hoods 1
PERMIT EXPIRES October 17, 2004.
Permit issued on April 20, 2004
I 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. n _
Owner or agent: / Date:
�.� EC E I V E D COMMUNITY DEVELOPMENT SERVICES
trry OF �- J 33530 FIRST WAY SOUTH • PO BOX 9718
Federal wPERMIT APPLICATION FEDERAL WAY, WA 980631-418
253b6141I5• FAX: 253-66!4129
A2 0 2004 ifu�lrr ler�l m n
Foy oma« ux r0F F C$ W"i S1 _ - I U L
mer:
BUILDI -
The following is required information -an incomplete apilication will not be accepted. Please print legibly (in ink) or tune_
SITE ADDRESS: 11/ S 'T�'`9ZE L'T � — 'j SUITE/APT # <
ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _ _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only!:
N":,, i �4 I % 4c1/I,.� H' - � ,;J'1
PROJECT NAME (Name of Business/Owner Last Name):
PROPERTY
OWNER--
CONTRACTOR.
WNER:
CONTRACTOR:
LENDER:
(If Proposed Value > $5,000(
APPLICANT:
CP -
Y G% U9 /rigjVlq
n {p� ^� �� r - til'
PRIMARY PHONE:
MAILING ADDRESS (STREET ADDJESS;(:
1 J� '0' 3 f e'� dao n �u�
CITY STATE, IP
�s ,� (� �i�,_ iti �'rc1 J �
f?i L'1 i "1' C.'L
� f -S
NAME obe.jr COMPANY
Sc i cr) (, 1 1 ,`r +Te t1,�e1 o K� S t.
OFFICE PHONE:
(�.� �) Z2-. - 9, 3 2 I
MAILING ADDRESS ($'ADDRESS;(: CITY, STATE, ZIP
4L10 &.'5' i Caµt w 3.1t%V-n
CELL PHONE:
CITY OF FEDERAL WAY BUSINESLICENSE NUMBER: EXPIRATION DATE:
_ �Z"%°� l l
FAX NUMBER:
(7-53) 5 (. -x{93 4
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application( S C r L A Q 3 L K 7 2/ 13 / ()
FAX NUMBER:
) - 6 U f/ Li
NAME:
DAYTIME PHONE:
( )
MAILING ADDRESS (STREET ADDRESS;:
CITY, STATE, ZIP
NAME: 1
'°+ 1 9 M 1 (,
t^ � %Ii>a
COMPANY n /
�44G�1 �
�pFFICE PHONE:
�(_�..j J )
!ADDRESS
f?i L'1 i "1' C.'L
� f -S
MAILING (STREET ADp&J.�SS(:.
TY, STATE, ZIP/
EVENING PHONE:
.4
RELATIONSHIP TO PROJECT:
❑ Architect Ev'fenant ❑ Other (Describe].(Z,,2
FAX NUMBER:
) - 6 U f/ Li
/
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner ❑ Contractor 04pplicant E-MAIL ADDRESS:
0 L(A Ynf., ;r 1 2_. 60 c.'c �1� • J,1
17)
EXISTING
EXISTING USE: ° 1? t4 S I V.\-"-; PROPOSED USE: �'y? � � C-' J C S �
EXISTING ASSESSEDJAPPRAISED VALUE $ VALUE OF PROPOSED WORK: $ 2 R`7 0 t'�
SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/
❑YES ANO
WATER SERVICE PROVIDER CALAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ,
SEWER SERVICE PROVIDER: CLZAAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING S!2. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
r
BASIC PLAN? ❑ YES
❑ NO
FIRST
CHANGE OF USE? ❑ YES
o NO
SECOND
❑ YES ❑ NO
UP/SEPA/SU? o YES
❑ NO
THIRD
❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
o NO
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed
MECHANICAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
_COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (oc n.b/Sb— combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS pauuo sink
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
as part of this project. Do not include existing fixtures to remain.
GAS LOGS REFRIG. SYSTEMS
HOODS (comma cw) WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (Tbikt) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge, and further, that I am authorized by. the owner of the above premises to perform the work 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 person, including the
undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city,
including its officers and employees, upon the accuracy of the information supplied to the city as apart of this application.
�Ni
NAME/TITLE: �Y � DATE:
�-� � -""""'�
(Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
o NEW ❑ ADDITION
o ALTERATION
o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION:
CHANGE OF USE? ❑ YES
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU? o YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
o NO
F3ulici I I r i i1i a i Page 2
REGISTER ASpPROI PROVIDED BY LAW AS.
CONST LTY
REGIST. # - EXP. DATE
CCBTEX 13/2004
EFFECTIVEIDATE031K7 05/27/1997
SCIENTIFIC AIR & TECHNO INC
2405 322ND PL SW
FEDERAL WAY WA 98023
Si�naturc
I,suCd by DEPARTMENT OF LABOR .AND INDUSTRIES