05-103979 er4
City or-Federal Way Mechanical Permit #: 05 - 103979 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: RE USA OFFICE
Project Address: 31919 6TH'S SuiteA200 Parcel Number: 082104 9233
Project Description: Adding jumper ducts and extending return air ducts for existing tenant space under construction.
Owner Applicant Contractor
FEDERAL WAY PROFESSIONAL PLAZA LLQ ALEXANDER'S HEATING INC*ALEXANDE ALEXANDER'S HEATING INC*ALEXANDE
31919 6TH AVE S SUITE A100 11933 124TH AVE NE 11933 124TH AVE NE
FEDERAL WAY WA 98003 KIRKLAND WA 98034 KIRKLAND WA 98034
(206)412-4477
Mechanical Valuation .. .. . .3500 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity I Description Quantity
Ducts . _ = 1 1
PERMIT EXPIRES February 5,2006.
Permit issued on August 9,2005
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: 1'4,1 Date: o8--o9 - o r
r ..
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103979-00-ME
Owner: RAJIV NAGAICH
Address: 31919 6TH AVE S Suite A200
FEDERAL WAY, WA 98003-5210
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By G./GC Date ,P/7/3:6 By Date By `c� Date //Z./GIS----
•
� D
7
Iii
•
•
t
RECEIVED
cit,..A_, r i.
Federal Ways, ..
--- i-: -�___Tha
wMMUNTYDIVsLONIEIPrSERVXXES AUGGoff' R�1/I �I' SF MF CO ME)EL PL DE EN FP
sussmAVENUE aolmr•roBOX nu
s �, I CA'I'IO N
z�i FM:sa ss-2 CITY OF F r
unmask voffsdrzatimem BUILDING DEPT. / l
The olio . is wired i ormation-an Inco •tete • ••tication will not be acre•ted. Please •rint k, • 'n or j
•
■ PROPERTY INFORMATION 4
SITE ADDRESS 3 I T 1 g 6 ?lug 5o, Fes&,J t4 9& /�'
&3 SUITE/UNIT it -2 0°
ASSESSOR'S TAX/PARCEL# Q v 2 J Q q- i Z, LOT SIZE(si)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
M **arabMafir WOW Seilai d..a i
' - ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING . ,1:,. HANICAL
• 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRO DESCRIPTION(Provide detailed description of work included��tdeed on thig Hermit Q��nly)
. PROJECT NAME(Name of Business or Owner Last Name) F&2 P/ -- 1.-L
1
/
• PEOPLE INFORMATION -
PROPERTY NAMES� . PRIMARY�
OWNER FaZA „L w 1 rpJ���i lo "yrt. LL.0 PHONE3 a - .3 TCI
MAILING ADDRESS �J CITY STATE,ZIP (/
314/ 9 (o4126 5°. F. ., 4)7 GO4 98'D83
CONTRACTOR COMPANY NAME AP CANT NAME OFFICE PHONE
A! i4 4 i i reK (Z�.�s) 912 - 9V77
MAILIN ADDRESS , CITY,STATE,ZI CEU.PHONE
I.I g 537_:.J. l/a-A ' KI tRK/ 9- . 9'. 17 (� I cm, -;.1,977
aTYOF'�EaAWAY WS LICENSE NUMBER EXPIRATION FIATS 'FAx NBl1BER
z° -. --1. b 3 9 ' 57- . . i i /3 I ' t c (a209" $W
CONTRACTOR'S REGISTRATION NUMBER(NM d art required with seek a,plisatpa) EXPIRATION DATE
Q 1. �-- A g T D'-Z M g' —7 1/40.' IDI
APPLICANT COMP MV
APPLICANT NAME OFFICE PHONE
Z11 c�,� . ( )
• MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
a Architect O Tenant a Agent 0 Other(Describe) ( ) -
CONTACT PRIMARY PHONE E-MAIL ADDRESS
MI •, 5 .1ee.4" (ZaZi 14(2- Kt/ 77
LENDER :r. ;ar ,. 2 .::� 4,tn,-.,,p;, ,,,, NAMs
._,,.. , • / i„./
rk. r,r�`— ,� ' i i4.f
MAILING AD'REBS I- VP
•
• . • • • . • ■ DETAILED BUILDING INFORMATION •
EXISTING USE I . F
i PROPOSED USE 0 ics L
EXISTING ASSESSED/APPRAISED VALUE $ I .1. I-% VALUE OF PROPOSED WORK $ 3 Soo. 0 0
SPRINKLERFD BUILDING? O YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES O NO
WATER SERVICE PROVIDER 'LAKEUAVEN O HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER IrAKEHAVEN O HIGHLINE . 0 PRIVATE(SEPTIC)
•
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST •
31/C4
imli
SECOND -
; . •
. .
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•'
DECK(COVERED?)
GARAGE 0 CARPORT 0 .
NUMBER OF FLOORS wan= PROPOS=D TOW its._ 'v.„r, . .,4:;i?_fo:,.::!.�:�tt,t, -iv„I f• •
"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 WO
Value of Mechanical Work $ 3500
•
R HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(e..merumn WOODSTOVES
\//
BOILERS ,.,. FIREPLACE INSERTS RANGES ' t ., , MISC(Describe)
• COMPRESSORS ' '" I�URNACES GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING .
BATHTUBS prTub/Shower Combo) SHOWERS WATER CLOSETS(temp MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS •
LAYS(ashram*In s, 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 authorised 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 chin,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 city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. / 4
NAME/TITLE V �.. 1Juz4 , DATE v 1 '/ >6-
(S lure) (Title)
RELATIONSHIP TO PROJECT a Owner ❑Agent Contractor ❑ Architect ❑ Other
•
.- - - i�,�R<<.�:C ;.,*,.*M;4, 'd tha,trI 1 1,-;Ycir':�, IvijF:t` -
, ic)ii)ilf4c, <i 44 cFPI. . a': ;;(fa :t:+=)ff ;f,,`:,('.3 `pi
e7a�(c) l 7 c.ti(0ry/01:.;'l(;fd. ',:'?t+ I fo
1.4:,..3.',,t,vc)o);�*fii YY G)L i-;]�I D"}•,l tr
i-- ', ; �f^r `i`�4 `iia• :•gni e!
Cr.j \�Ci [!.9 .(e! r)4i]jflF d: ;rp( ✓)-:•l' or (,_Z
•
•
•
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application