05-105374City of Federal Way -Mechanical Permit #: 05 - 105374 - 00 - ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection request line: 253 835-305a
Ph:(253)835-7000 Fax:(253)835-2609 p q
Project Name: US BANK
Project Address: 1436 S 312TH Parcel Number: 082104 9060
Project Description: Altering existing duct work and adding new supply and return air diffusers and new grilles to be
installed in new ceiling
Owner
Applicant
Contractor
U S BANK OF WASHINGTON
EMERALD AIRE INC
EMERALD AIRE INC
2800 E LAKE ST #LAKE00
22043 68TH AVE S
22043 68TH AVE S
MINNEAPOLIS MN
KENT WA 98032
KENT WA 98032
55406-1930
(206)251-6676
Mechanical Valuation..........................................6833 Over the Counter Permit ...................................... No
Mechanical Fixtures
Description iQuantit�l Description Quantityl ~ Description �Quantityl
- - — —
Air Handling Units 3 Ducts 1
PERMIT EXPIRES May 8, 2006.
Permit issued on November 9, 2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the lisp will be in a rdance 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 R-r MIAIN ON -SITE
CITY OF4A Community Development Inspection Record
Federal Way IVR INSPECTION 111i4QUEST PHONE # (253) 835-3050
PERMIT #: 05-105374-00-ME
Owner: U S BANK OF WASHINGTON
Address: 1436 S 312TH ST
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date
CITY OF A�
05-
0_5j7Y_
Federal Way
PERMIT
SF MF CO
E L PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 D AVENUE SOUTH • 63 BOX 97] 8
FEDERAL WAY, -9718
APPLICATION
TD
53-83-260
253-835-2607• FAX 253-835-2609
FAX
rnnlo,'illtafl40nralinall ro,r+
The follo:uina is required information - an incompL_te application will not be accepted. Please print Legibly (in ink) or type.
SITE ADDRESS I W] - -76 i � rr SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 9 SL_ �`' ! 4- - I- 6p Q LOT SIZE (sf ] 603D
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) 07 100 <4_,' Ot' 'Sf q O F �. ( df 1,
(Attach separate page for lengthy legal descnption) , ^I; �4;-S` 0,` 4
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING AMECHANICAL
" , * o s _ I oy t • 1,2 a - bo e do ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
A- NALLa_s
PROJECT NAME (Name of Business or Owner Last Name) „ US 86-N K"
PEOPLE•- •
PROPERTY NAME • % �y rPRIIM,,ApRY PHONE 'i
OWNER � 4. i� {XLc,) 23- )40*S
MAILING ADDRESS CITY. STATE, ZIP
14 JO _0 I�11L Sj ,e jTL,z_
CONTRACTOR
APPLICANT
COMPjANAME APPLICANT NAME OFFICE PHONE
+n'1'10, Soh [ 1 5 ,
MAILING ADDRESS CITY, SPATE, ZIP
AA -- __ CELL PHONE
-- RR
RELATIONSHIP TO PROD ECT • • — • "'•"""'- tt
❑ Architect ❑ Tenant ❑ Agent Other (Describe] ] ` [ J s4m f�
CONTACT NAM PRIMARY PHONE -mnll, nuutcwa
LENDER Per RCW 19.27,095: Lender i►}formution is NAME
required if project value exceeds $5,000 (.
?RAILING ADDRESS CITY, TATI•:, ZIP
I�k�a 5g AIL &A- �0
EXISTING USE A7-4 V, PROPOSED USE 1S q• V► _
EXISTING ASSESSED/APPRAISED VALUE $Lq �� g VALUE OF PROPOSED WORK $ & A 33
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES )(NO
WATER SERVICE PROVIDER 1, LAKEHAVEN j,HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER A LAKEHAVEN Ij HIGHLINE ❑ PRIVATE (SEPTIC)
d;%j
s. A DESCRIPTION
EXISTING
PROPOSED
TOTAL
S . FT.
S. FT.
S . FT.
FIRST
SECOND
—�
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL. PROPOSED SF TOTAL SF
"*NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or
AMr, k42AAY1 e.eu.
Value of Mechanical Work $ ��
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/ShowerCombo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVE fR.uhmo.n SinLef
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
as part of this project. Do not include existing futures to remain.
GAS LOGS REFRIG. SYSTEMS
HOODS (commercial) WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS NW C, A1}r
WATER CLOSETS (Toilet) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I eerttfg 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 perform the work for which the permit application is made. 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 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. I, a�
2y V
NAME/TITLE DATE
(Signe uYe) (Title) '
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Acontractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALT*
BUILDING SHELL ONLY?
❑ YES d NO
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
❑ YES u m
PLATTED LOT?
o YES 6 NO
TION ❑ REPAIR ❑ TENANT IMPROVEMENT
BASIC PLAN? ❑ YES
CHANGE OF USE? ❑ yEg
UP/SEPA/SU? ❑YES
DEMO PERMIT REQUIRED? ❑ YES dNO
Bulletin #100 — August 19, 2004 Page 2 of 4 k\Handouts\Permit Application