19-100335in
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax. (253) 8352609
Project Name: WA STATE GAMBLING COMMISSION
Project Address: 501 S 336TH ST
Mechanical
Permit #:19 -100335 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0240
Project Description: Relocate diffusers for new floor plan; provide ceiling exhaust fan for server room.
Owner
Applicant
Contractor
ROSEN PROPERTIES
PERFORMANCE MECHANICAL GROUP
PERFORMANCE MECHANICAL GROUP
ROSEN PROPERTIES
(GENERAL)
(GENERAL)
1800 12TH AVE NE SUITE 312-E
1012 CENTRAL AVE S
PERFOHA150RT(4/30/19)
BELLEVUE WA 98005
KENT WA 98032
1012 CENTRAL AVE S
KENT WA 98032
Additional Permit information
Mechanical Work Valuation? .................................. 9295 Is this an Online or O.T.C. application?.................. Yes
Ducting 1 Fans
PERMIT EXPIRES Wednesday, 17 July, 2019
Permit Issued on Friday, January 18, 2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use accordance with the laws, rules and regulations of the State of
Washingt n and th ty of Federal Way. 9 1 q
Owner or agent:Date:
. ""[
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMT #: 1910033500 Address: 501 S 336TH ST Suite 204
Project: ROSEN PROPERTIES FEDERAL WAY WA 98003-6328
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 aro logged on the back of this card.
1❑
Mechanical Rough -in (4165)
El
Gas Piping (4125)
Final Electrical
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
tj f,3 Date 111:fj
By
IM Date Z Z
By
Date
By
Date
13
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
A%
4ik
CITY OF
Federal Way
RECEIVED
JAN 18 2019
CITY OF RAL Ay
COM UNITY DEV OPMENT
PERMIT NUMBER 11 _ / —0 /S —33 5
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter(acityoffederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
501 S
1 204L
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICALL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
F�Uh�Ajr P1uZ�, 2 Gal"lk1 (OB1r'I�SS1ff13� T 1
Glota� ti; sGl3 h wa�a�+ hLw 'CtoVr'�^ l"/Ov+dC
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PROJECT DESCRIPTION
GGi I; 'ip V'00.".
Detailed description of ulork to
n Tnn o 1- spr,Kr--
be included on this permit only
NAME
Rose" P'rdpt r
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
PO box S003
CITY DCtlev e,
BST`TP
,�1
ZIPq� j
NAME
L
T�ITOr«IunGe 1*1ed*4'6n1 —a
PHONE
"L53-1fa -o6g9
MAILINGTADDRESS
1012 Ave, S
MALI,
�aM. eQ ✓OI�.GoM'I
CONTRACTOR
CITYK@SATE
✓i
ZIPq�v�Z
FAX
WA STATE CONTRACTOR'S LICENSE #
PF�FvHA150RT
EXPIRATION DATE
4 �3V t
FEDERAL WAY BUSINESS LICENSE #
Iq-85-D000A�2-ooAJ3C
NAMEPRIMARY
D Iwn 1---mie-
PHONE
25-3-390-06,11
MAILING ADD.
Ion- LenL.,,(Ave- S
E-MAIL
lu„.e r,,w�►c-Cvhl
APPLICANT
CITY t _ @ �+
1C”"
STATE
W !Al
Z� yv 1
-/ 7
FAX
NAlSE
� �g►i1 F_`
PRIMARY PHONE �r
t
PROJECT CONTACT
MAILING ADDRESS It
&MAL �.
(The individual to receive and
respond to all correspondence
CITY AI
STATE I
ZIP II it
FAX
concerning this application)
PROJECT FINANCING
NAME .
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 suppit o the city as art of this application.
/
SIGNATURE: DATE
PRINT NAME:c—
Bulletin #100 — January 29, 2016 Page 1 of 2 kAHandouts\Permit Application
MECHANICAL PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
$ j 2 015, U(-)
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commemial)
part of this project. Do not include existing ixtures to remain.
BOILERS
FURNACES
HOT WATER TANKS (cas)
WATER PIPING
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
OTHER (Describe)
DUCTING
GAS PIPING
WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VA LUE OF PLUMBING WORK
PLUMBING PERMIT
Additional Information
Snare Feet
a
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many of each (tipe offixture
to be installed or relocated as
part of this project. Do not include existing ixtures to remain.
BATHTUBS (or Tub/ ShmerCombo)
LAVS (Hand Sinks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Ei-trfa)
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Additional Information
Snare Feet
a
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s) Construction
# of
Additional Information
Snare Feet
a
Stories
A
+Sp> S„ IliiY
V
vw-
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Square Feet
Construction
Occupancy Group(s) Tvoe
# of
Stories
Additional Information
TENANT AREA ONLY
Bulletin #100 - January 29, 2016 Page 2 of 2 k:\Handouts\Pennit Application