01-104601 City of Federal Way
Community Development Services ,Mechanical Permit #:01 - 104601 - 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: ODYSSEYJ&
Project Address: 33400 8TH'S Uri1f a 66 Parcel Number: 926500 0110
Project Description: MECH-Interior work only to relocate and demolish(19)ducts/diffusers in portion of 2nd floor office
space.
Owner Applicant Contractor
BONHAM INVESTMENTS COMPAN PACIFIC AIR CONTROL INC PACIFIC AIR CONTROL INC
999 3RD AVE#2626 11812 NORTH CREEK PKWY N 11812 NORTH CREEK PKWY N
SEATTLE WA BOTHELL WA 98011 BOTHELL WA 98011
98104-4018 USAY (206)682-6393
Mechanical Valuation 7500 Over the Counter Permit No
Mechanical Fixtures
'?!WO sCrip-;Yon$. i icc'.: m POP* "'Descr pilon ;c' Alt1046tity t ti,mescription,a`' qkictuantity
Ducts 19
PERMIT EXPIRES June 8,2002,IF NO WORK IS STARTED.
Permit issued on December 10,2001
I hereby certify that the above information is co•ect • d that the construction on the above described property and
the occupancy and the use wi be in rda,ce w. the laws,rules a l'egulations of the State of Was ' gton and
the City of Federal Way.
Owner or agent: r "Iv /2 /c�Date: /
I _ \
CONSTRUCTIO ' " ' " . ►
d ( - ' O
11111111!;=.
V F3Y�L rte. ' APPLICATION NUMBE', .._Kie ./- &27f--&--
\>\>
2�j�
APPLICATION NUMBER: ,�-''�
APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. -
- - ■ PROPERTY INFORMATION 7 .2 _65 .00
- �r� -
SITE ADDRESS: ,���e/ $"`� (Avenue Sou4 ASSESSOR'S TAX/PARCEL #: / .2 _6 5 Q 0 - O I Q
Fioc� /19-- 1/ Gf/ 67--n-_
u.�.
LEGA DES 'IPaION O • = CT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
i
/
- ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING MECHANICAL DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ENTION SYSTEM
PRO, SCRWTION( rovi ailed description): iedevOLM7111,--yytir- bat. `t_772.- _a,4td l c.h'i
PROJECT NAME: ( D _c(
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: _A ��� / DAYTIME PHONE: -
MAIUNG ADDRESS(STREET AD RESS;CITY,STATE,ZIP
��q �1 G2 2 r , ,�/ 1-71°
CONTRACTOR: NAME: Eat , , DAYTIME P JNE:
04, / 2.3
MAILINGADDDRR (STRE`T AADDRESSS;;CITY,STATE,ZIP): , EVENING PHONE:
J /V � VgA/0k %', KljI/ /id 0 / ( ) -
CITY 9F
BUSINESS UCENSE NUMBER:
FAX NUMBER
C W 010- 00 - 10- . 2- 4 - 0 0-t4G1416 )3 W -2270
CONTRACTORS REGISTRATION NUMBER: PAC- Le AC. -.?-302 2 P r EXPIRATION� DATE:
(copy of card required) `„ C- L l' 4 C �^3 Q ! /0 / O/ /03
APPLICANT: NAM • DAYTIME PHONE:
to y;Le („200 - 6
MAIUNG ADDRESS(STREET As as SS;CITY,STATE,ZIP): EVENING PHONE:
1(8/2. /) j etzei al 4), & r4 90 i ( ) - 1
RELATIONSHIP TO PROJECT: //11 FAX FAX NUMBER:
❑ ARCHITECT ❑ TENANT C OTHER(DESCRIBE): i/y"t.:;•< ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT -CONTRACTOR
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ -�J
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ /( .C—?J--2)
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE El PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** • 's,
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.0_-,PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
• AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
•
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
I DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
I�i \-N.‘ PLUMBING
BaT�iTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHW)IS! ER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING t3671TAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
11M111=1.11111111131;214.: ER/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 pe-rform the work for which the permit applitation is made. I
further agree to hold harmless the City of Federal Way as to any claim(inci,;4ing 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 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. f
NAME/TITLE:��� �- DATE: / 23�0/
0 PROPERTY OWNER APPLICANT 0 CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW 0 ADDITION 0 ALTERATION ❑ REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718-253.661.4000•FAX:253-661-4129