06-102027w
City of Federal Way
Community Development Services Mechanical Permit #: 06 -102027 -00 -ME
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: CROSSINGS - BUILDING A
Project Address: 35002 PACIFIC HWY S
Parcel Number: 185295 0050
Project Description: Shell Only - Install gas piping for (9) RTUs to be installed by others.
Owner
AARplicant
Contractor
OPUS NORTIIWES°rLLC
CURT GILBERT
OPUS NORTHWEST LLC
EVERGREEN STATE MECHANICAL
915 118TH AVE SE SUITE 300
5415 S 331 ST ST
BELLEVUE WA 98005
AUBURN WA 98001
Additional Permit information
Mechanical Valuation............................................9100 Over the Counter Permit?...................................... No
Mechanical Fixtures
Gas Pipe Outlets ............................. 9.00
PERMIT EXPIRES Tuesday, December 12, 2006
Permit Issued on Thursday,. June 15, 2006
I hereby certify that the above information is correct and that the construction on the aboveescribed property and
the occupancy and the use will be in accordance'lsrith the laws, rules and regulations of the State of Washington
an a *ty of Federal Way.
Owner or agent: Date:��'/��
.. THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102027 -00 -ME
Owner: OPUS NORTHWEST LLC
Address: 35002 PACIFIC HWY S
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 G j Date & - j & - DQv By G Gj Date & - / (o — vQ:p
• !r 1 CRY or 1 ECIEN E V
Federal W Q � �
• CONMUNl1YDEVELOPIfEM'SER
aR 2 4 2006 PERMIT SF MF C0E L PL DE EN FP
33325 M AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 980 1
FEDERAL WAY,07- WAAX 984KOF FEDERAL AP P LI CA I O N
253-83S� .dtvo/federtihrm--BUILDING DEPT.
The,Lolfoudnq is required information - an incom fete application will not be acce ted. Please rant le ibly in ink) or ty e.
PROPERTY•. •
SITE ADDRESS 3 �® ®� �fgti% i7G "' / SV SUITE/UNIT #
ASSESSOR'S TAX/PARCEL ii _ _ - LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach aeparata pope/ar lengthy IapW d--(od-4
PROJECT• •
TYPE OF PERMIT ❑ BUILDING . QQ PLUMBING I' MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlvl
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
0,
7W -
NAME`
/1l
PRIMARY PHONE
(yL5) y4, � _ Z%
MAILING ADDRESS
CITY, STATE, ZIP
COMPANY NAME
APPLICANT
OFFICE
PHONE��7
MAILING ADDRESS
5y15-- S -v 3�/ 5�" sTA1131JI&V
CITY, STATE, ZIP
k/
CELL PHONE
(zs3 ) G 7335
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
_z 0 - C) 3 - 1 _o z s & -Z - B L /Z / :5/ / ov
FAX NUMBER
-73-S-7
CONTRACTOR'S REGISTRATION NUMBER (copy o[ card required with e'ch applleatloa( EXPIRATION DATE
�-V �ls-sm/ / K�
COMPANY NAME
APPLICANT NAME
ORRICE PHONE
MAILING ADDRESP
3(ts ��"
CITY, STATE, ZIP
�4t�13��r�1 . ►� `fid/
CELLPHONE
(z�� )��� -3s
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) sPAedNlf-1t-Ve
FAX NUMBER
NAME
G� � X71 -
PRIMARY PHONE
vs3 (006 --73 3S
E-MAIL ADDRESS
uzrE-Ie-8C-7r't`3� l
NAME i
MAIWNO ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK ($
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED TOTAL
SQ. FT. SQ. FT.
BASEMENT
FIRST
FLOOR AREAS
PROJECT
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED TOTAL
SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ssurpa
rsorosso
mrv.
""IYEWNOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
of each type of fudure to be installed or relocated as part of this project. Do not include existing
p J
Value�of IIMechanical Work $ r 100 �
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (orT b/shower Combo
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVs parhtoom swd►
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS pommarea q
RANGES
GAS WATER HEATERS
WATER CLOSETS Ironoq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVy under penalty of perjury that the ir{formatton 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 claimj, which may be mads by dny person, including the undersigned, and filers 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.'
���-f �—Zpq
.
NAME/TITLE L� I C/�`J " — DATE
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor ❑ Architect 13 Other
a
Rill, -tin til AA — Istmiwv 1. 7.rM Paae 2 of 4 Mandout0ermit ADDlication