13-102567 411 III ` Mechanical
City of Federal Way
Community&Econ.Dev.Services -1 r r,1 1.:18 Permit #: 13-102567-00-M E
33325 8th Ave S
t :311
Federal Way,WA 98003 FEI a
Ph:(253)835-2607 Fax.(253)835-2609 G� Li - ..ii ‘1---;a Inspection Request Line: (253)835-3050
Project Name: QUAD PROFESSIONAL BUILDING
Project Address: 118 SW 330TH ST Parcel Number. 182104 9045
Project Description: Replace(3)water source heat pumps with Carrier high efficiency water source heat pumps,
. including ductwork,condensate drain piping,hydronic supply& return piping.
Owner Applicant Contractor `
QUAD PROFESSIONAL BUILDING P S R-HVAC&MECHANICAL SERVICES P S R-HVAC&MECHANICAL SERVICES
PO BOX 53290 (GENERAL) (GENERAL)
BELLEVUE WA 98015-3290 PO BOX 27073 PSRHVMS924JT(4/30/14)
SEATTLE WA 98125-1473 PO BOX 27073
SEATTLE WA 98125-1473
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Compressors/Heat Pumps 3 Ducting I
PERMIT EXPIRES Sunday, December 8, 2013
Permit Issued on Tuesday,June 11, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date: G - I I - 13
•
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THIS CARD IS TO REMAIN ON-SITE
Federal •
CITY Construction I ection Record
Way • INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-102567-00-ME Address: 118 SW 330TH ST
Project: QUAD PROFESSIONAL BUILDING FEDERAL WAY, WA 98023-6185
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.
El Mechanical Rough-in(4165) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By a Date rl` 193 —1.3
0 Rough Electrical Final Electrical ID Right of Way
Approved Approved Approved
By Date By Date By Date
•
03 - / Oa? S47 '
Feder I w ECEIVED PERMIT SF MF CO iip PL DE EN FP
COMMUNITYDEVEIAPMENTSERVICEM 11 ZOAPPLICATION
253-835-2607•FAX 253-835-26
iririr,a yolhvtr•:alu az) um
CIT( OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT4
118 SW 330th Street Federal Way WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL k
$ $16,328 1 8 2 1 0 4 _ 9 0 4 5
TYPE OF PERMIT ❑BUILDING ElPLUMBING Q9 MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) Quad Professional Building
Replace existing water source heat pumps with new Carrier high Efficiency(13.3 SEER)water
PROJECT DESCRIPTION
Detailed description of work to source heat pumps.replacement includes:New ductwork transition ductwork to existing supply air ducting.
be included on this permit only
Connect to existing condensate drain piping,hydronic supply and return piping,electrical wiring, and
thermostat wiring.Start test and air balance
NAME _ _ --_. PRIMARY PHONE - —
PROPERTY OWNER Dr.Terry Wallen (253)838-0765
MAILING ADDRESS 118 SW 330th Street E-MAIL
CITY STATE ZIP
Federal Way WA 98023
NAME PPSR MechanicaliO1iE (206) 367 2500
MAILING ADDRESS ~ E-MAIL
3132 NE 133rd Street
CONTRACTOR
CITY IP Seattle STATE ZFAX
WA 98125 (206)368 6856
WA STATE CONTRACTORS LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSES
PSRHVMS924JT 04 20 14 20-04-101543-OOBL —
NAME Jason Jensen PHONE (206) 255 3809
APPLICANT MAILING ADDRESS E-MAIL
3132 NE 133rd Street jason.jensen@psrmechanical.com
CITY Seattle STATE FAX
ZIP 98125 (206) 368 6856
PROJECT CONTACT NAME PHONE
Jason Jensen (206)255 3809
(The individual to receive and
respond to all correspondence MAILING ADDRESS 3132 NE 133rd Street
concerning this application) jason.jensen@psrmechanical.com
CITY STATE ZIP FAX
Seattle WA 98125 (206)368 6856
ALTERNATE CONTACT NAME: PHONE E-MAIL
Paul Goto (206)331 1399 paul.goto@psrmechanical.com
PROJECT FINANCING NAME
Dr. Terry Wallen
x❑ OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27 0951 MAILING ADDRESS,CITY,STATE,ZIP PHONE
118 SW 330th St Federal Way,WA 98023 (253)838-0765
I certify under penalty of perjury that I am the property owner or authorized 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 authorized 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 supplied to the city as a part of this application.
SIGNATURE: �, - DATE 6/10/2 013
PRINT NAME: Jason Jen-en
Bulletin#100-January I.2011 Page 1 of 3 k•\Handouts\Permit Application
} s S
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ $16.328 (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS 3 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerc)al) Water Source H/P
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not incl)iriP existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAYS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Uwuy) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NA Local Water District Public
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Medical/Dental Office 44050 ❑Yes No ❑Yes X No
RESIDENTI4 I., NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION `mei Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January I.2011 Page 2 of 3 k:\Handouts\Permit Application