12-105678Mescha$ical
City of FedeEcon. ev. S Permit #: 12 -105678 -00 -ME
Community 8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
6
Project Name: QUAD PROFESSIONAL BUILDING
Project Address: 118 SW 330TH ST Parcel Number: 182104 9045
Project Description: Replace boiler with Modcon high efficiency 94% AFUE condensing boiler. Install controls
for new boiler and VFD's and install new steel or copper piping.
Owner
A121211cant
Contractor
QUAD PROFESSIONAL BUILDING
PUGET SOUND REFRIGERATION HVAC &
PUGET SOUND REFRIGERATION HVAC &
PO BOX 53290
MECHANICAL SERVICES (GENERAL)
MECHANICAL SERVICES (GENERAL)
BELLEVUE WA 98015-3290
PO BOX 27073
PSRHVMS924JT (4/30/14)
SEATTLE WA 98125-1473
PO BOX 27073
SEATTLE WA 98125-1473
Additional Permit Information
Mechanical Valuation............................................111218.00 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures'
Boilers............................................ 1 Fans................................................ 2
PERMIT EXPIRES Wednesday, June 19, 2013
Permit Issued on Friday, December 21, 2012
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
oe and the City of Federal Way.
Owner or agent: Date: l Z Z I % _
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -105678 -00 -ME Address: 118 SW 330TH ST
Project: QUAD PROFESSIONAL BUILDING FEDERAL WAY, WA 98023-6185
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.
CAO
-e V V _
Mechanical Rough -in (4165)
0 Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
Approved to release test
1By
Approved
By
Date
Date,,4__ ' 2 _ (3
Date
CAO
-e V V _
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
f Federal WRECEIVED PERMIT SF MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT.� ICES21 2012 APPLICATION
253-835-2607• FAX 253835- �f L
CITY OF FEDERAL WAY
SITE ADDRESS
SUITE/UNIT#
118 SW 330th Street Federal Way WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ $111,218
1 8 2 1 0 4 _ 9 0 4 5
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
Quad Professional Building
PROJECT DESCRIPTION
Detailed description of work to
Replace boiler with Modcon high efficiency 94% AFUE condensing boiler. Replace both condenser
loop motors with VFD rated premium efficiency motors and install 2 VFD's and a pressure transducer.
Install controls for new boiler and VFD's. Replace all 2" and smaller PVC condenser loop piping
be included on this permit only
with new steel or copper piping. Repair broken or improperly installed duct work.
PROPERTY OWNER
NAME
Dr. Terry Wallen
PRIMARY PHONE
(253) 838-0765
MAILING ADDRESS 118 SW 330th Street
E-MAIL
CITY
Federal Way
sT
WA
2
98023
NAME PSR Mechanical
PHONE (206) 367 2500
MAILING ADDRESS 3132 NE 133rd Street
E-MAIL
CONTRACTOR
CITY Seattle
STATE
WA
ZIP
98125
FAX
(206) 368 6856
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
PSRHVMS924JT
04 20 14
20-04-101543-OOBL
NAME Jason Jensen
PHONE (206) 255 3809
APPLICANT
MAILING ADDRESS
3132 NE 133rd Street
E-MAIL
jason.jensen@psrmechanical.com
CITY Seattle
sWAE
ZIP 98125
FAx (206) 368 6856
PROJECT CONTACT
(The individual to receive and
NAME
Jason Jensen
PHONE
(206) 255 3809
MAILING ADDRESS
3132 NE 133rd Street
E-MAIL
jason.jensen@psrmechanical.com
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
Seattle I
WA
98125
(206) 368 6856
ALTERNATE CONTACT NAME:
Paul Goto
PHONE
(206) 331 1399
E-MAIL
paul.goto@psrmechanical.com
PROJECT FINANCING
Required value of $5.000 or more
NAME
Dr. Terry Wallen
Q OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 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
information supplied to the city as a part of this application.
SIGNATURE: DATE 12/21/2012
PRINT NAME:
BLIIIC611#100—.lanutin 1.2011 Pugc I ol'3 k:AI Iandout,,APermit A pplirati<m
i
GENER.-11, INFORMATION
PLUNIBING FIXTURES
VALUE OF MECHANICAL WORK $
$111,218 (a copy of bid or estimate must be prouided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do riot include existing fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS 2 OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS Conm,e iap Motors and VFD's
1 BOILERS
FURNACES HOT WATER TANKS (Gs)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
GENER.-11, INFORMATION
PLUNIBING FIXTURES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS iorTnb/Sbowercon,bo
LAVS (Hand Sinks( TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility) WATER HEATERS (E(eeine
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL FIXTURES
GENER.-11, INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
NA
Local Water District
Public
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Medical/Dental Office
44050
❑ Yes X No
❑ Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
.._........... ... ......... .... ... ... ... ... .... ....
COVERED ENTRY
DECK
.. . ......... ._ _ . .. . .... ............... ... ..... . ... ... ... ... .,._... . .. ..... ... .......
GARAGE ❑ CARPORT ❑
................................................
OTHER (describe)
.........
Area Totals =!WrMG PROPOS® TOTAL
..............
"NEW HOMES ONLY—
ESTIMATED SELLING PRICE $ I # OF BEDROOMS
(�ON(N11•:R( 1:1,I.—�1:11�>l,it}I)I'II(?'�
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NEW BUILDING
ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
13ullclin #1OO- hllLl n I. ?UI 1 Palgc 2 of 3 k:AH�(ndouLti\Pcrmil Applir.uinn