11-101620 Aik
.. 1Vechanical
City of Federal Way
Community Development Services Permit #: 11-101620-00-ME
P.O.Box 9718
•
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MORPHOTRAK
Project Address: 33405 8TH AVE S Parcel Number: 926500 0060
Project Description: Installation of 35 grilles,registers&diffusers.
Owner Applicant Contractor
LBA REALTY MERIT MECHANICAL INC(GENERAL) MERIT MECHANICAL INC(GENERAL)
660 SW 39TH ST SUITE 255 PO BOX 2109 MERITMI163CM (6/01/11)
RENTON,WA 98057 REDMOND WA 98073-2109 PO BOX 2109
REDMOND WA 98073-2109
•
`Mition'al Permit Inform- I.
Mechanical Valuation 11573 Is this an Online or O.T.C.application' Yes
P 1 4 s l{ echanical Fixtures ' 5
Ducting 1
PERMIT EXPIRES Tuesday, October 25, 2011
Permit Issued on Thursday, April 28, 2011
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 ity of Federal Way.
Owner or agent: \�'\ _ Date: -1.
• TIM CARD IS T MAIN ON-SITE
CITY OF ` y
Construction I ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT#: 11-101620-00-ME Address: 33405 8TH AVE S
Project: LBA REALTY 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.
o Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
.By C�J Date r,_ Z`t, .By Date ,By75.-- Dater---74-41
ate '� '��
6)10-F a (a 7-5q
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEI .11 - J 1- - °
CITY OF • PERMIT MF CO PL DE EN FP
Federal Way PR 2 8 2011
• COMMUNITY DEVELOPMENT SERVICES AP P LI CAT I O N
253-835-2607•FAX 253-835-2609
www.cihionedcralwall.com CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
S3
110C $Tl+ 4
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1)1573. no q 2 fo `T i u - 0 o w 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING (MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT A/6 Ira
(Tenant Name/Homeowner Last Name) I �lOr 10
PROJECT DESCRIPTION
1. 5) NEAJ (a s 4- C"( 4),4- r rb Ette5 -24/ is
G/ i 1=
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1�� - RraL ij f,
MAILING ADDRESS E-MAIL
��SU <i.-) 31 /.1 (J 5Li r Z
LINA) W14l O STATE ZIP
k.„&-J�l 0_
�
PHONE
E ( (Yi Er,N-14)1) ISL ( rL/(- •
MAILING ADDRESS E-MAIL
9(
CONTRACTOR 0 I5i414(1 - /J
� , )E
C TY STATE ZIP k-Z6i4n4rAiD LOA-
WA
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
4,l7-61t CvVl 0 U /O( /760 los-400 vu 80
ON
CqHzs-)
APPLICANT MAILING ADDRESS MAIL
'k /S3/L° 4vc 4147uvbb®mi;,c,rn,ech4Nlc✓� <Gbv�-i
C�TY� STATE ZIP
ICc:DI VI/0 _ _ LJv� A(0-5-2_ ps)8� -oPROJECT CONTACT NAME NE
(The individual to receive and S41M/ 4S
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,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
information supplied to the ity as a part of this application. f
SIGNATURE: DATE ( A
PRINT NAME: Pl 04A-E_ 4 j We 3
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
1111P IP
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each 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 OUTLETS • OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) C35)r FA,! 6j0i>zs
BOILERS FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SE-15 REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or-rub/shower Combo) LAVS)Hand Sinks) TOILEIJ WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Kitchen/Utllityl WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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COVERED ENTRY
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Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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AREA DESCRIPTION !MN Occupancy Group(s) Construction Stories Additional Information
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ADDITION
AREA DESCRIPTIONIEEE' Occupancy Group(s) Construction Stories Additional Information
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TENANT AREA ONLY
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