06-101889r
City of Federal Way a Mechanical Permit #• 06-101889-00-1%E
E
munity Development Services •P.O. Box 9718
eral Way, WA 98063-9718 IL ) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: MEDCHEM SOURCE LLP
Project Address: 1112 S 344TH ST Suite 308 Parcel Number:_ 202104 9174
Project Description: Installing new chemical vent hood
Owner
Applicant
Contractor
CAMPUS PARK OFFICE WAREHOUSE
ANIL KUMAR
SCIENTIFIC LAB TECHNOLOGY INC
34310 9TH AVE S
13701 113TH CT E
SCIENLT952DS (3/10/07)
FEDERAL WAY WA 98003
PUYALLUP WA 98374
4610 65TH AVE W
TACOMA WA 98466
Additional Permit Information
Mechanical Valuation............................................5200 Over the Counter Permit?...................................... No
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THIS CARD IS TO REMAIN ON-SITE _
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101889 -00 -ME
Owner: CAMPUS PARK OFFICE WAREHOUSE
Address: 1112 S 344TH ST Suite 308
FEDERAL WAY, WA 98003
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 4j Date
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CITY OF
Federal way PERMIT
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3332S 8- AVENUE NP • PO BOX 9"31118___
258607 PAX 2b3-835.4609 pp �8069-9718. A P P LI C AT I O N
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fete application will not be
SITE ADDRESS 2-`� , Lf )T ) JC1.c' e
ASSESSOR'S TAX/PARCEL # —
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Q-6-1 -LU-51
SF MF CO ME L PL DE EN FP
ry / "2—S-10
rted. Please print legibly (in inkj or type.
✓� U SUITEMNIT # �d V
LOT SIZE (sfl
(ANuch+ r—te ~f- IoV ft legal d—j tfw4
PROJECT• • //
TYPE OF PERMIT ❑ BUILDING . 11 PLUMBING Q'MFCHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT
PROJECT NAME (Name of Business or Owner Last Name) + ' l�� 6\ e'YV1 S 0 UI,Y C-2 - PEOPLEL-
•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME CM^ PRIMARY PHONE
Y
MAILING ADDRESS CITY, STATE, iP n c�
3 1 b �� A �� S P¢C o,X L� W P 1 g Oa:
COMPANY NAME Air-
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APPLICANT NAME
Robes-�
OFFICE PHONE
(253 '�(� �- U., C,
MAILING ADDREr
CITY, STATE, ZIP
CELL PHONE
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co,c WIN
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(Z-5 3 )-2-'L3 � t,
CITY Qp FE
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SINESS LICENSE NUMBER
— --B
EXPIRATION DATE
L l l
FAX NUMBER
(Lss )5_6(- `f+930
CONTRACTOR'S REGI
S G 2' E
TION NUMBER (copy of card required with "ch llcatioa)
L T y S Z ))S
EXPIRATION DATE
/ I /0-7
COMPANY NAME APPLICA NAME OFFICE PH(
ih � D c PN _ yl Sd V_R Cr- 1 r� IA N r L k _.c nr.,A e (aT 3)
MAILI111N2- DRS 34 i 3��' � 4cz��1 c,)a " (2X-)41),CITY, STATE, ZIP _ N
RELATIONSHIP TO PROJECT FAX NUMBS
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
EXISTING USE \
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑-YES'1Q
WATER SERVICE PROVIDER ❑ LAKE/HAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PRIMARY PHONE
, STATE, ZIP
PHONE
1E �
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i' \eA C -h w6cc-k
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VALUE OF PROPOSED WORK
FIRE SUPPRE SYSTEM PROPOSED/REQUIRED? ❑ YES
❑ HIGHLINE ❑ TACO PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED TOTAL
S . FT. SQ. FT.
BASEMENT
BBQS
FANS
FIRST
WOODSTOVES
_ BOILERS
SECOND
RANGES
MISC (Describe)
THIRD
FURNACES
GAS WATER HEATERS
FOURTH
.DUCTS
GAS PIPE OUTLETS
ADDITIONAL FLOORS (DESCRIBE)
DING
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
susmu norasso Toru.
NUMBER OF FLOORS
SHOWERS
**NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to -remain.
MECUAMCAL
Value of Mechanical Work $ .Z
_ AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS 1comm..14
WOODSTOVES
_ BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
_ COMPRESSORS
FURNACES
GAS WATER HEATERS
.DUCTS
GAS PIPE OUTLETS
DING
BATHTUBS (or Tub/shoe combo)
SHOWERS
WATER CLOSETS (roneq
MISC (Describe)
_ DISHWASHERS
SINKS
DRINKING FOUNTAINS
_ GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
_ WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (e.&. sb*4
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(& 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 authorised 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 dny 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 Wormation supplied to the city as a part of
this application. ^'
NAME/TITLE , �t L C� 1'Yl DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT weer D Agent ❑ Contractor ❑ Architect 0 Other
MAI J11 AA... T—. -Z—wr D....e 9 . f A