21-100661City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HUMANA
Project Address: 32125 32ND AVE S
Mechanical
FILE
Permit #:21-100661-00-ME
Inspection Request Line. (253) 835-3050
Parcel Number: 215465 0050
Project Description: Relocation of grilles, registers and diffusers for tenant improvements.
Owner
Applicarst
Contractor
1-5 TECH INVESTORS LLC
KEY MECHANICAL CO OF WA
KEY MECHANICAL CO OF WA
180 SANSOME ST SUITE 1200
(GENERAL)
(GENERAL)
SAN FRANCISCO CA 94104
19430 68TH AVE S
KEYMEW*240NZ (3/27/23)
KENT WA 98032
19430 68TH AVE S
KENT WA 98032
Additional Permit Information
Mechanical Work Valuation? .................. w-............. 28500 Is this an Online or O.T.C. application?.................. Yes
Ducting
� I ccha n ic:tl F i rtu res
PERMIT EXPIRES Saturday, 21 August, 2021
Permit Issued on Monday, February 22, 2021
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:
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100661 00 Address: 32125 32ND AVE S Unit 250
Project: I-5 TECH INVESTORS LLC FEDERAL WAY WA 98001
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.
l Mechanical Rough -in (4165) ❑ Gas Piping (4125) Q Final - Mechanical (4065)
Approved Approved to release test II Approved ,t
By Date By Date By R(v Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECENED
PERMIT APPLICATION
CITY OF _. 18 2021
��� PERMIT CENTER + 33325 8� Avenue South t Federal Way, WA 98003-6325
Federal
Wav
AV 253-835-2607 + FAX 253-835-2609 + permitcentel n ciryoffederalway.com
PERMIT NUMBER _dl _ % 0 & _L _ M -L
SITE ADDRESS
PROJECT VALUATION
28, 500
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
TARGET DATE
i SUITE/UNIT N
Ile J , _ _ _ 7
1 ZONING ASSESSOR'S TAX/PARCEL N
2 i s y 6 S- o o s o
❑ BUILDING ❑ PLUMBING XMECHANICAL ❑ DEMOLIT1oN ❑ ENGINEERING ❑ FIRE PREVENTION
H LA W1 A r\ FeC�C_r;c ( I.Jg j
Fed Dr��qn be s S Yl s I Ct n tr.[
. _ Jr P R . A ..,
NAME
YS - er , �', ✓,e� fo rs
C C_
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
_
E-MAIL
CITY T STATE
ZIP
NAME
K /�ecl�an: cet J ---
PHONE
��� $�i �3gz
MAIL! O R�.SS �/
l y3 d t T�-`�'� /'h✓� S
E-MAIL
`� —A 7� �
,, 1
MecAGn,iA
CONTRACTOR
CITYSTATE
2TP^
FAX
Z
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
UBI #t
(oo /94_
ISY
PRIMARY PHONE
2<53 8-72-
-? 312
NAME
I� e C
MAILING ADDhMS
9 3 a ✓-e S
E-MAI
J 041 ie (e 9
rl ec A.A,41
APPLICANT
CITY STATE
K�+t
ZIP
9 ?b3 Z.
FAX
253 n 2
PRIMARY PHONE
NAME �/%
K
PROJECT CONTACT
r 1 C
M°I A R u S�f'� e S
E-MAIL
(The individual to receive and
respond to all correspondence
CIPr j STATE�E
NAME
zlPq& 3 Z
FAII
OWNER -FINANCED
concerning this application)
PROJECT FINANCING
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 city as apart of this application.
SIGNATURE:
PRINT NALdg
s i, I.a4,.;.e
DATE % 2r
VE
Bulletin #100 —February 19, 2020 Page 1 of 2 kAHandouts\Permit Application