06-100546 •
City of Federal Way Mechanical Permit #• 06-100546-00-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: ST PAUL TRAVELERS
Project Address: 33650 6TH AVE S Suite 200 Parcel Number: 926480 0210
Project Description: Remove/Relocate(9) return grilles,(7) Supply Diffusers, (1)6-ton rooftop unit. Provide/
install 2.5 ton rooftop unit to include curb adapter,and V V T cooling damper.
Owner Applicant Contractor
SUN LIFE ASSURANCE PUGET SOUND REFRIGERATION PUGET SOUND REFRIGERATION
33650 6TH AVE S POB 27073 PUGETSR169CB 12/31/06
FEDERAL WAY WA 98003 SEATTLE,WA POB 27073
98125 SEATTLE,WA
98125
•
Additional Permit Information
Mechanical Valuation 26000 Over the Counter Permit? No
Mechanical Fixtures
Air Handling Units 2 Fans 7
CONDITIONS: .
PERMIT EXPIRES Wednesday, August 9, 2006 -
Permit Issued on Friday, February 10, 2006 .
I hereby certify that the above information is correct and that the construction on the above described property and .
the occupancy and the us • in- ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: '0 f"-E3 CDC.
I
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100546-00-ME
Owner: SUN LIFE ASSURANCE
Address: 33650 6TH AVE S Suite 200
FEDERAL WAY, WA 98003-6754
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.
0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) 154 Final-Mechanical(4065)
Approved Approved to release test Approved
By /wr Date 2.1z3/Q6 By Date By 0,1 Date (Oto
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Federal Way PERMITAcEIVE
COMMUNTYDEVELOPMENT SERVICES SF MFC L PL DE EN FP
3332E D AVENUE LWAY, A 9 9718 APPLICATION'
p $ 00�. /
FEDERAL 07'FAX -898063-9718-260 I /
253-835-2607•FAX 253-835-2609
10
1 www.dtuofedera!uoa.corn 40
•F FEDERAL
The ollowin• is r •tired in ormation-an incom•fete a. •licat _li( i. ;, 21-2• .. Please •rint le•ibl (in ink)or _ .
• PROPERTY INFORi1r►I ION
SITE ADDRESS .`.)3G5v 6 iN)E/_ S Fr- E AL- .A CONN'. C, Ctf3\Lkt3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL It Z• 6 y/ B D - C 1, k U LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (SEE._ A!7F)1-72-,}kE��
!Attach..paste Pa9e0,I.5Ih9 1.9.1 description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING t I MEC. - CAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
ZEKooL /eEI.00Pc -W ..
1 $ .Q--Ther, C ILLS , /4 Sri,?;f_ e ►tel
�(ZNc.IJ
'' •00i---\-6? '
oo -6? \ /AA-7/34L4( A
' L4••4C.-E . k Qov(fie/ ws r ut-_ 2 .S so.S
700.F.-¢>"? Ga I'1 r CoQt A FEZ. , 4 \ cook.,..)c- YAMXEZ .
PROJECT NAME(Name of Business or Owner Last Name) 5"c S706"-)t— TzkvEL�¢-S
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER -71?. 4.')L/Alr-ruiEx ;;00 SU.J L.1 E A SSU 2,,,,,x_E- ) -
MAILING ADDRESS CITY.STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
" ,)(_-Er SOLX.3 2.E+r�\L--e_-- 'rv.. .L:, ..),-... vS tA (Z06) 'S7 - zsoo
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
SVS2 1 \S3 S; SEaTrl-E cvA g812-5
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 C) - CJ S-L 0 % 5 4 3 -B L '2. / Si / Cx ( 2 ) S6. -6g61.-
___
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
U L- e r S Z \ GCA L S \2 / s% /07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SAME ( )
-
MAILLING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER ''- .- •x.• t 7":• ", ` NAME 0 i OP /
u_ib
MAILING ADDRESS r - Crrv.STA 'r,,_ PHr a ' /( )
• DETAILED BUILDING INFORMATION
EXISTING USE .�i / PROPOSED USE Ar,,r, /
91
EXISTING ASSESSED/AP O/4.SED VALUE $ VALUE OF PROPOSED W.4` $ el�n
SPRINKLERED BUILDING? t/YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? VES ❑ NO
WATER SERVICE PROVIDERHAVEN a HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER HAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
i
•
• f .
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
CUTTING PROPOSED TOTAL ,": ({ w ::>.'.<<.,;^•may•�' - - r`3.�< w
NUMBER OF FLOORS { • r ;,g, _
**NEW HOMES ONLY• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each ty.• • t-• • • : tailed or relocated as part of this project Do not include existing fixtures to remain.
MECHANICAL �.
Value of Mechanical W. k $ 00C-)
AIR HANDLING w. EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(o.TLb/Shower combo) SHOWERS WATER CLOSETS moo MISC(Describe)
• DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(a.throomsink.) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 ci its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE c06 006
(signature) (71tle)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent g Contractor 0 Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pertnit Application
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