06-104083City of Federal Way Mechanical Permit #• 06 -104083 -00 -ME
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: CINGULAR @ SACAJAWEA PARK
Project Address: 1600 SW DASH POINT RD Parcel Number: 052104 9016
Project Description: Install HVAC systems in a cingular cellular site to support new telecommunications
equipment upgrade. Exterior mounted.
Owner
Applicant
Contractor
FEDERAL WAY CITY OF
SIEMENS BUILDING TECHNOLOGIES, INC.
SIEMENS BUILDING TECHNOLOGIES, INC.
CITY OF FEDERAL WAY
22010 SE 51ST ST
SIEMABT01 IDJ 10/17/2007
33325 8TH AVE S
ISSAQUAH WA 98029
22010 SE 51ST ST
FEDERAL WAY WA 98003
ISSAQUAH WA 98029
Additional Permit Information
Mechanical Valuation............................................22032.33 Over the Counter Permit?...................................... No
Mechanical fixtures
Air tla din Units ......................... 2
THIS CARD IS TO REMAIN ON-SITE r
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104083 -00 -ME
Owner: CITY OF FEDERAL WAY
Address: 1600 SW DASH POINT RD
FEDERAL WAY, WA 98023-4530
This card is part of your required inspection documents. 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
Approved
By
Date
By
Date
By
C_ kA�., Date C1 —,L 4 — 93_ ,
of '�.. • RECEIVED v ro — (�?
Federal Way PERMIT
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SF MF CO/ EL PL DE 'EN FP
COMMUNITY DEVELOPMPSERVICE
33325 AVENUE SOUOBOX97SUG V2XPPLICATION
FEDERAL 6WAY,W,9803-97]8
07 X 125wah•
dewWYOF FEDERAL WAY0t(eaa
BUILDING DEPT.
The following is required information -an incoMp fete application will not be accepted. Please rint le ibly (in ink) or e.
PROPERTY•- •
SITE ADDRESS 1600 SW Dash Point Road, Federal Way, WA SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 0 5 2 1 0 4 - 9 0 1 6 LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ALMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlU)
Install HVAC systems in a Cingular Cellular site to support new telecommunications
equipment upgrades.
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APP.ICANT
CONTACT
EXISTING USE
PEOPLE INFORMATION
NAME PRIMARY PHONE
C L A -e w ( ) -
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Siemens Building Technologies
Ronald F. Diana
(425 ) 507 - 4364
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
22010 SE 51st Street
Issaquah, WA 98029
(206) 718 - 1389
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
2 0- 0 2- 1 0 0 8 2 2-
12/31/06
(425) 507 - 4350
B L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
S I E M A B T 0 1 1 D
J
10/17/07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Siemens Building Technologies
Ronald F. Diana
(425 ) 507 - 4364
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
22010 SE 51s' Street
Issaquah, WA 98029
(206) 718 - 1389
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect 11-
Tenant ❑ Agent ❑ Other (Describe)
( )
�
NAME PRIMARY PHONE E-MAIL ADDRESS
Ronald F. Diana 425 507 - 4364 RON.DIANAt7aSIEMENS.COM
Per RCW 19.27.095:Lender information is
NAME
required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
( )
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE fSEPTICI
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SO. FT. I SO. FT. I SO. FT.
Indicate number of each type of fixture to be installed or relocated as part
MECHAMCAL Z .J
Value of Mechanical Work $ z 3 Z • 3 ��{�F '-�` gip
Z AIR HANDLING UNITS♦! EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (or Tub/Shower combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS fi3mhmomsink.i
VACUUM BREAKERS
of this project. Do not include existing fixtures to remain
_ GAS LOGS REFRIG. SYSTEMS
HOODS (commercial) WOODSTOVES
RANGES _ 2 MISC (Describe)
GAS WATER HEATERS Air ":4;0 i
WATER CLOSETS (Toilet) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
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 a part of
this application.
NAME/TITLE V DATE <
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
❑ NEW ❑ ADDITION
Ca ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ❑ NO
BASIC PLAN? o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? o YES
❑ NO
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP/SEPA/SU? o YES
o NO
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED? o YES
❑ NO
Bulletin 4 100 - January 1, 2006 Page 2 of 4 k\Handouts\Permit Application