10-101673 � � _ ' 'N�e�h�nical
� City of Federal Way A �/�C
CommunityDevelopmentServices Permit #: 1 0-1 01 673�oO�IrIG
P.O.Box 9718 �.� �
Federal Way,WA 98063-9718 ��
Ph:(253)835-2607 Fax:(253)835-2609 � �:.�.�;, '; Inspection Request Line: (253)835-3050
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Project Name: JARVIS FINANCIAL
Project Address: 33308 13TH PL S Suite 3 Parcel Number: 768190 0040
Project Description: Install(8)supply grilles,intall(8) returen grilles and misc ductwork.
wn r li n Contractor
13TH PLACE SOUTH PROPERTIES LLC MACDONALD MILLER FAC SOL INC MACDONALD MILLER FAC SOL INC
33308 13TH PL S SUITE 1 (GENERAL) (GENERAL)
FEDERAL WAY,WA 98003 7717 DETROIT AVE SW MACDOFS980RU(12/31/10)
SEATTLE WA 98106 7717 DETROIT AVE SW
SEATTLE WA 98106
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Mechanical Valuation............................................3800 Is this an Online or O.T.C.application?.................Yes
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CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, October 23, 2010
Permit Issued on Monday, April 26, 2010
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: A � �1��t-L��- _- Date: �/2-(F--//C'+
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THIS CARD IS TO REMAIN ON-SITE
��°F �'� � Construction In�ction Record � '- '� '
Feder�al Way INSPECT�ON REQUESTS: (253) 835-3050
PERMIT#: 10-101673-00-ME Address: 33308 13TH PL S Suite 3
Owner: 13TH PLACE SOUTH PROPERTIE� FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on-site. DQ 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.
� Mechanical Rough-in(4165) � Gas Piping(4125) � Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By � � Date _��
� Rough Electrical � Final Electrical � Right of Way
Approved Approved Approved
By Date By Date By Date
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Federal Way APR � � ?.0'G PERMIT S�' MF CO EL PL DE EN FP
COMMUNlTYDEVE��Ettriy� ��;��,�y,��,ICATION / /
253 835 2607•FAX 253 835 26��
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SITE ADDRESS
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SUITE/UPiIT M ZOIVING �y ASSESSOR'S TAX/PARCE li
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NAME OF PROJECT J�VIS FINANCIAL
(Tenant or Homeowner Name)
❑ BUII.DING ❑ PLUMBING �CHANICAL
TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION
INSTALL (8) SUPPLY GRILLES, INSTALL (8) RETURN GRILLES
PROJECT DESCRIPTION �D MISC DUCTWORK
DetaQed description of work to
be inciuded on this permit only
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NAME l ... . PRIMARY PHONE �
PROPERTY OWNER OH INVESTMENTS LLC /`� �,�p J qJ�1 �p� S�'r u c'l-la�1 ( ) -N/A
MAILING ADDRFSS,CITY.3TATE.ZIP LlNAIL
29328 8TH AVE S FEDERAi.WAY,WA 98003
OWNER IS AL30: N �, � CONTRACTOR � APPLICANT � PROJECT CONTACT
NAME PRIMARY PHONE
MACDONALD bIILLER ( 206 ) 768 - 4278
CONTRACTOR M��NG ADDRE83.CITY.STATE,Z� FAR
7717 DETROIT AVE SW SEATTLE.WA 98106 � � _
WA 3TATE CONTRACTOR'S LICENSE M E7CPIRATION DATE FEDERN.WAY BUSINES3 LICENSE N
MACDOFS980RU 12�3j �j� 20-0S-100S72-00-BL
� NAME PRIMARY PHONE
DARYL ANDERSON (206) 768 - 4216
APPLICANT
MAILING ADDRES3,CITY,STATE,ZIP FAX
7717 DETROIT AVE 3W SEATTLE,WA 98108 � � _
PROJECT CONTACT NANIE � PRIMARY PHONE
(The indiuiduai to receiue and DARYL ANDERSON ( 206 ) 768 - 4216
respond to ail correspondence MAILING ADDRE33,crr�r.8TATE,ZIP Fnx
concerning this application) 7717 DETROIT AVE SW SEATTLE,ww esios � � _
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
DARLA DOLL ( 206 ) 768 - 4278
PROJECT FINANCING N^ME
� OWNER-FINANCED
Required for projects with
ualue of 55,000 or more MAIL[NG ADDRES3,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) r � _
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I cert4fy under penalty of perjury that I am the property owner or authorized agent o,j the property owner.I cert{fy that to the best
oj my knowledge, the ir4/'ormation submitted in support of this permit appltcation is true and correct.I cert�fy that I will comply wtth
all applicable City oj 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 federa! laws regulating
construction or environmental laws.
I jurther agree to hold harmless the City of Federa!Way as to any claim(including costs,expenses, and attorneys'fees tncurred
in the investigation and dejense o,/'such claim), u�hich may be made by any person, including the undersigned, and,filed against the
city, but only where such claim arises out of the relianc e city, including its o,jficers and employees, upon the accuracy of the
ir4formation supplied.�tn tty as a part of this applic on.
SIGNATURE: ��� ` DATE 4-26-10
PRINT NAME: DARLA DOLL
Bulletin#100-January l,2010 Page 1 of4 k:�Handouts�Permit Application
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�ECHANI�:A� FIXTURES
Value o Mechanical Work S (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be instalied or reiocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLEI'S 16 OT'HER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerc�aq GRILLF..S
BOILERS FURNACES HOT WATER TANKS�c�)
COMPRESSORS GAS LOG SE'I'S REFRIGERAI'fON SYST
DUCTING GAS PIPING WOODSTOVES
-��� FL�IYIBING FIXT�,JRES
Indicate number of each type of fixiure to be installed or reiocated as pa-t of this project. Do not include existing fixtures to remain.
BATHTUBS�or�b/Shower Combo] LAVS�tiand S�nksl TOILE'I'S WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS��tchen/um�ty] WATER HEATERS(e�ectdcl
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIILTURE.4
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF ERI3TING IMPROVEMENT3
$ 3.800.00 $
ERI3TING/PREVIOUS USE LOT 3IZE(Ia Sqnue Feet) ERISTING FatE SPRINHLER PROPOSED FIRE SUPPRESSION SYSTEM?
3YSTEM? ❑Yes ❑ NO
❑Yes ❑ No
RESIDENTI�.L
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAI.
FOR OFFICE USE
_......................................................................................................................................................
BASEMENT '
FIRST FLOOR(or Mobile Home) SAME SAME
_............................................................_..._..............................................................
SECOND FLOOR
COVERED ENTRY ---. .
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DECK
GARAGE ❑ CARPORT ❑
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01'HER(descrtbe)
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ERI8TIN0 PROP08FD TOTAL
Area Totals
""NEW HOMES ONLY'""
ESTIMATED SELLING PRICE$ #OF BEDROOMS
`` COMMERCIAL - NEWIADDITI{?l�
AREA DESCRIPTION Area Occupancq Group(s) Construction #of ��tional Information
in uare Feet e 3tories
NEw BUuaDnvG
ADDITION
COMME�C�A� -REN�UDEL/TENANT IMPRUY�MENT5
ARF.A DESCRIPTION Area Construction #of
in uare Feet Occupancy Group(s) e Stories `��tional Information
TOTAL BUILDIIVG
'hNANT AREA ONLY
PROJECT ARF.A ONLY
Bulletin#100-January l,2010 Page 2 of 4 k:�IIandoutsU'ermit Application