12-103883 •
11. 1Vigehattical
City of
Community&Econ.Dev.Services Permit
Way t #: 12-103883-00-M E
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)8
Ph:(253)835-2607 Fax:(253)835-2609 p Q 35-3050
Project Name: MORPHOTRAK
Project Address: 33405 8TH AVE S Parcel Number: 926500 0060
Project Description: Installing a new exhaust fan and hood for soldering area.
Owner Applicant Contractor
LBA REALTY RIND II-CO I LLC AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC
PO BOX 847 (GENERAL) (GENERAL)
CARLSBAD,CA 92018 3602 S PINE ST AIRSYE*229KN(2/1/14)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Mechanical Valuation 4281 Is this an Online or O.T.C.application No
Mechanical Fixtures
Hoods 1
PERMIT EXPIRES Sunday, February 24, 2013
Permit Issued on Tuesday,August 28, 2012
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
:nd the City o ederal Way.
Owner or agent _ — Date: 9/..2 8/09 12
q/26
• THIS CARD IS TO MAIN ON-SITE '
CITY *" • Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 12-103883-00-ME Address: 33405 8TH AVE S
Project: LBA REALTY FUND H-CO I LLC FEDERAL WAY, WA 98003-6305
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 _ DateR-262.---(7
El Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
A- 1111 t2LQ33
CITY OF PERMIT SF MF CO ME PL DE EN FP
Federal �EIVED
COMMUNITY DEVELOPMENT SERVICES AP P LI CAT I O N
253FAX 253-835-26
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www,cit4o((ederwraAUG
222012 5 / i9 II2
SITE ADD ( ,�, L ,,/' SUITE/UNIT#
!`�`' (l Ave. 5'.
PROJECT VALUATION ZONING 6 ASSESSOR'S TAX/PARCEL#
q a b5 00 - 60 (g O
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT m�`r pi/1
• OO<(Tenant Name/Homeotuner Last Name) CJ 6
PROJECT DESCRIPTION (`�,,� ) eX J1 W-� �n $ 11 $)( 561 del
1 q
Detailed description of work to 01 0t
be included on this permit only
PROPERTY OWNER bNA.I�. 6 -k- &&Y)/ni (p�T(o —HgNE ~'bq-3 f
"�/-1' 1-7 ✓ 6 Ave, 0' E-MAIL
lS_1
cITY; _j • u)vesxrrat zwCq 96� /�
NAME
Ai l! 5evil
/ 1, V1 t J EHE g5-.
✓ ��435,51(4g
1-1 (J 4
CONTRACTOR �fff(r$� G/,�
CITY Titoz
W/ � 14469 FAX. SI3 C7
mT { �8,757S C 1., /0 .BPIRATION D 5 L FEDERAL WAY BUSINESS✓ LICENSE 5
NAME ./1 l if 5.y
S4011,
,•, ; _ _'�1, �b'1lJi 'l Lr U1 g PH
ONE53-5-) �4 g4
APPLICANT MAILING' \ADDRESS tsto, . I9`0 E MAu,Y S r , (Zo _ . '
CITY�I./�LXi ryl Vl ZIP q, c 0 v<3 FAX
I Z✓Y a ✓a 1Y 33_7 LL S
PROJECT CONTACT NAME T�%lam` 01 / PHONEgk r�•^al 1p'I f/
(The individual to receive and C� 1 "(c tt
respond to all correspondence MAILING ADDRESS E-MAIL,/, .....55 y„_e.„0
concerning this application) `/�r�'
CITY STATE ZIP FAX 61. 1 t Idu✓
T RNATE int 6 CONTACT
VY1Or ci 6- L A-(14gt-{e�/irtnIe,r6a6c( , Lt,
PROJECT FINANCING NAME -^ �y OWNER-FINANCED
Required value of$5,000 or more 1 J 7
(RCW 19.27.095) MAILING DRESS•CITY.STATE,ZIP PHONE
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
51._.efyua,„..f..ej
information supplied to the city as a part of this application.
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SIGNATURE: I 1 J (U l/�� DATE
PRINT NAME: ie-(LA._Or U
Bulletin#100—January 1,2011 Page 1 of 3 k:\}landouts\Permit Application
•
$ )
VALUE of bfECIIAAIvICAL WoxK (a copy of bid or estimate must be provided)
•
'" Iniiiitte now mpny of eacii type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLElb OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS I HOODS(Commercial)
_ BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Mb/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utuity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES x
a ,�3
via 3? ..,,...33,�Y t• 1a' 4 .. ::., idl ��. f: .: 3 "''. 3•
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
r) $ 3,$ I
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
(�(�', 10) di ` oS , 6 ) I 0 Yes 0 No ❑Yes 0 No
�� .. . _
� � , New OR ADDITI ,,,
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
If!y �� Ski 3 � �� 3
, r .,...u.�.: a:.:-.': ,, ,,., ,�'' ,,is,,, ,. ;„.iS. , ,..A a, \ .,��..'. ........ ......... ...... ................ ............ ................ ..
COVERED ENTRY
GARAGE 0 CARPORT 0
' fi g "� I
EXISTING PROPOSED TOTAL
Area Totals
„.I EW 41 or tr..,.
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in •uare Feet A. Stories
4
..,>•••. 'f a°�....3 e i .,,. sf4s x ,-,\.. � ,:.. .ut .,,._.<:, rib,.4„`''ra3
ADDITION
AREA DESCRIPTION Occupancy Group(s) Construction #of Additional Information
• Stories
s w@
�4
,. .TENANT AREA ONLY
.4 ..4 • .�� <. F,n v.. .a.s ?, ..., .,. -.tpg , 3•,c A:. .. ,... .4
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Applic