04-103852 n
City onity Development Services eveWay
C�.rtmunityMechanical Permit #:04 - 103852 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050
Project Name: WORLD SAVINGS
Project Address: 33400 8TH1S Suite130 _ Parcel Number: 926500 0110
Project Description: Relocate approximately 15 supply and'return air grills to accomodate new office layout
Owner Applicant Contractor
INTEGRATED REAL ESTATE SERVICES PACIFIC AIR CONTROL INC PACIFIC AIR CONTROL INC
1015 3RD AVE SUITE 1010 11812 NORTH CREEK PKWY N 11812 NORTH CREEK PKWY N
SEATTLE WA 98104 BOTHELL WA 98011 BOTHELL WA 98011
USAY (206)682-6393
Mechanical Valuation 3000 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity L_ Description 'Quantity Description Quantity
[Ducts __— 15
PERMIT EXPIRES March 21,2005.
Permit issued on September 22,2004
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 and
the City of Federal Way. G�
Owner or agent: ,7L':i9/`^ Date: ( �' 2 —0 y
Ct(i'l
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103852-00-ME
Owner: INTEGRATED REAL ESTATE SERVICE
Address: 33400 8TH AVE S Suite 130-
FEDERAL WAY, WA
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By W Date q- Z ?•Q
A ..........
ewa SF MF C ete EL PL DE EN FP
COlUNITY DEVELOPMENT SERVICES
3353EDFIRST A WAY,WA • BOX 9718 APPLICATION TD
FEDERAL WAY,WA 98063-9718 / /
253-661-4115•FAX 253-661-4129
The ollowin• is re•uired in ormation-an incom•lete • • •lication will not be acce•ted. Please •rint le. bl in ink or t •e.
�
,tTk PROPERTY INFORMATION
D
SITE ADDRESS � .t 30
. S S . SUITE/UNIT ll \
C��err
+k
TAX/PARCEL ll 1 2- Ce, S 0 d- 0 1 ( 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
(Aaacn separate page for t.ngthj legal desopnon)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL/0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
gLjr 15 SUP?Ly Ant c2-+E-ru rz-N .NIT2— Csu-k ws -r o
,p.--GCAH be -t-- RE. 1)Fry-+ ' LX•it)UT-•
PROJECT NAME(Name of Business or Owner Last Name) w oSb•V l I,S(s--S•
PEOPLE INFORMATION
PROPERTY NAME ( C PRIMARY PHONE
OWNER C•�i IN VHS S b N Pf�.t.S` ( ) -
MAILING ADDRESS CITY,STATE,ZIP
177-7. t4W Nom ST. Poitt D , OrcC- c•'72ael •
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
lA c-i+FIC- Iv R (e TTZ-bi.- l 114c. CZ%CA-ldtz-b NZ-.• G/s.12 IN, ( Zb
a ) fc2 8 - (23`13
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
U >IZ t.1 • tII.—PK1)NL .*)b4 -r )WA '1&!)11 (2bG) 510 - (5-1 12
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
ZO— D0 —I O 1 i Sd- B L 12 / 3 /CI' (Zob)37a - fii-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
GI_ F D. e'_ Z30P $ fin/ \ / Qocf
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
VI�1-► 4i2-• (am) r�2- &3�3 Yl�,.va ,C,�a..W
LENDER Per RCW 19.27.095: Lender information is NAME CO Alrbk • Lts-1-`
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ?Jt 000
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
Ct•nrr•n cr•ntnnr•nn flrmr•n n r A Trr•Ts A TrC41.T n vrn_vr'MTV ,-, nnTTrA Te•SCrnn'Tnt
PROJECT FLOOR AREAS
I
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL=STING TOTAL PROPOLLD TOTAL mamma AID PROPOSLD
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 3� bb O ,o O
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
15 DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Thb/Sbo.mr Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom smko) 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 , •de • • person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the rel • - - ,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE to �2d`��'T M�-+sb- �—' DATE .1)1( /t4
(Signature) �� (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent yQ t_,'ontractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES 0 NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO , DEMO PERMIT REQUIRED? o YES o NO