09-102053 ' ' •
City of F&demMechanical
i Way Q
Community Development Services Permit #: 09-102053-b0-M E
P 0 Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: ASSOCIATION RESERVES WASHINGTON LLC
Project Address: 505 S 336TH ST SUITE 620 Parcel Number: 926480 0270
Project Description: Remove,replace and relocate ducts and diffusers for Ti work.
Owner Applicant Contractor
FSP FEDERAL WAY CORP PACIFIC AIR CONTROL INC(GENERAL) PACIFIC AIR CONTROL INC(GENERAL)
401 EDGEWATER PL SUITE 200 11812 NORTH CREEK PKWY N SUITE 104 PACIFAC230P8(10/01/09)
WAKFIELD MA 01880-6207 BOTHELL WA 98011 11812 NORTH CREEK PKWY N SUITE 104
BOTHELL WA 98011
•� � 1)1•: i'<-�•••• T,•tjo .A..<._,• dK«-t i._`F> ' ':
Mechanical Valuation 4389 Is this an Online or O.T.C.application? Yes
v:3 i4,4. �yy: •.R.t,nr .te.,. • r :rtt �^•e\s>�:`i .� Y. „�.- ;.��•L':l"'�, E�.. • �,.
Fk' ► '�'• fir.� i.<'�' "' €. `""�" �'" . "'�40' •.� :..•� :F,
r.••
�.: �" . �.'-.�r - •><'Nri:�z a x.1"�'��-. ~•..i�C°�. 1=�`i'aer�l''.�`.�f'rr,�'rs
•
i � - CONDITIONS' F�4
;�
t A
o
.044.!4=
-a -
--'; - -
�
Sub e4l .fton wi _
16
ti
� ' hoz ��" ��e K - -_-
4
.'.4 P-, ' 10 YmN,hr;',�
PERMIT EXPIRES Tuesday, December 1, 2009
Permit Issued on Thursday, June 4, 2009
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.
Owner or agent: /�� Date: e
( 1929'/97
• THIS CARD IS TO MAIN ON-SITE • - •. •
aria* ommunity Developmt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-102053-00-ME
Owner: FSP FEDERAL WAY CORP
Address: 505 S 336TH ST SUITE 620 •
•
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)
A proved Approved to release test Approved ,
By Date )e Aag By Date By 2"1/2„.. Dat C� G
•
•
•
• I
For inspector reference only
O Rough Electrical p FINAL-Electrical
Approved Approved •
By Date By Date
RE EI D
�.r�. C - O d c 3
Federal Way JUN a 4 2009 PERMIT
COMMUNITY DEVELOPMENT SERVICES
SF MF CO®EL PL DE EN FP
33325 8'H AVENUE SOUTH•PO BOX 9718
FsnFR.l.WAY,W 18 ID / /
253-835.2607•FA � 5-60F E D E�� CATI N f
wu in,ayo(Jedernh oral,nm �� .—_.--_—
The following is required rmation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
IN PROPERTY INFORMAFIO\ (a
SITE ADDRESS 505 Sou-H1 33(o`� S � Fdera1 Way, W/1 983o3 sunwuxrr# /- 10 2
ASSESSOR'S TAX/PARCEL# Ci 2 CO q' 0 0 - 0 2 ? Q LOT SIZE(Of)
Wes+ Cainpa s Business Part< t 3 of Kc..sP No L o4g
LEGAL DESCRIPTION(e.g.Acme Estates,tot 1)R&L,rd.n NO g&o(911 goo? SD Sr .DAF L0TS 214- 25'26-Z7
(AIS far WV"legal
• 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)
Move- D 1 pp u s arts . A-Db 2. Di F RI s ERS kin) 3 EGGGASFr
GI It,I,CS, RELoct4h� Z Room set.-i&o�RS ,CA-D MtccttWµ'Cat RAWIn36
(ItJ& -SAIM6? , *AIR BA-t,ANGt , PER1&tr5.
R,t (*'- (ec.15r1)-1C) 1 Flu s a.s lA-i t D aci cit N 6) D uct-I490 R K. Pe-12, P 1,M4.
PROJECT NAME(Name of Business or Owner Last Name) (,414-41-1t11.4 PLIT2A lOnf (Loo R I N Itche• T.Z'.FOR: 1:S
sso�eavl ia'lE
D
• PEOPLE INFORIJATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT w..' OFFICE PHONE
PPtu rtc. IMtS__GOI�t't1R.o1, LNG. Vukhl€.s €T (2010) ,,Zt'�(0-(082163j3
MAIIINI,nuUHESS IIY,STATE,ZIP CELL PHONE
rteaI.1D )t(;at:.kwv14. (oL serrata, WY 98011 ( 240)E5%Q..-7g 7
__... -
CITY ON r EDERAL.... ..maa5 LICENSE NUMBER
2-0— tz.v -- 1 of 2so 12‘..3.!/2.001 2.O
09 ( ) '34O -2._.?0
CONTRACTOR'S REGISTRATION NOI SER ON DATE E-MAIL ADDRESS ---
-PAcC.t�/4C 230?g 2_f Zg/2-v tO Ducaic pc;cica:rcor (.C,oM
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
PPtc t,t%tc PAR CDt4T1261, iwc. DIIR1..►C StE itT5D1-t (20(0) (.0e2 -(0393
MAILING ADDRESS ( cr CITY,STATE.ZIP CELL PHONE
1181214oanlC4 . PDA.�1.$Th lot 8o11-trvt' .tR 9gal I (2O6) Seo -7837
RELATIONSHIP TO PROJECT I FAX NUMBER
❑Architect 0 Tenant ❑Agent *Other 'SLAB C,ONTY4 l2t)1L (ZOO) 3 4 D-2 2'0
PROJECTNAME PRIMARY PHONE E-MAIL ADDRESS .
CONTACT 'E(A t�'M' `S( i12-L SDµ ( 20(p) cost -0393 DuctiveSepa PGa4 rcoryho1.COM
LENDER NAME 1....)
�'/4\ Per RCW 19.27.095:
Lender information is required(f project value exceeds$5.000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
4 ,
in PROJECT FLOOR ARIAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS 10:11111Mmares= TOTAL TOTAL CISTmn.r 1erm.11101.061110
w TOTAL Sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
CHANICAL t�pp
Value of Mechanical Work$ V.544 . GG (A COPY OF BID OR ESTIMATE MUST BE INCLUDED Wr'TI APPLICA77OIV)
1)0 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS EH
GAS WATEREATERS
HOODSMISC(Describe)
BOILERS FIREPLACE INSERTS ) ,q
COMPRESSORS FURNACES RANGES
IS DUCTS GAS LOG Stab REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo( LAVS(Bathroom Stoke) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rowel)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 darty 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 supplied to
the city as a part of this application.
SIGNATURE: DATE d -Y o
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pernrit Application