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Home My WebLink About15-106011 s } • Mecnal City of Federal Way �(,//, Community&Econ.Dev.Services Permit #: 15-106011-00-ME 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: HALLMARK MANOR . Project Address: 32300 1ST AVE S Parcel Number: 172104 9073 Project Description: Replace failed water source heat pump serving day room#2 , Owner Applicant Contractor HALLMARK CARE CENTER JESSICA BRUCE AIR SYSTEMS ENGINEERING INC 3001 KEITH ST NW AIR SYSTEMS ENGINEERING (GENERAL) CLEVELAND,TN 37312 3602 S PINE ST • AIRSYE*229KN(2/1/16) • TACOMA WA 984093602 S PINE ST TACOMA WA 98409 Additional Permit Information Is this an Online or O.T.C.application No Mechanical Fixtures Compressors/Heat Pumps 1 PERMIT EXPIRES Saturday, May 28, 2016 Permit Issued on Monday, November 30, 2015 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 the C" Fe er I Way. i { Owner or agent: r)O1A1 Date: n INA , ,Irit%. • THIS CARD IS TO MAIN ON-SITE v.CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-106011-00-ME Address: 32300 1ST AVE S Project: HALLMARK CARE CENTER FEDERAL WAY, WA 98003-5762 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. 0 Mechanical Rough-in(4165) Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By 1." Date 1 I I 7`(le ® Rough Electrical 111 Final ElectricalEl Right of Way Approved Approved Approved By Date By Date By Date ► f } I 0 FeOf ,p, deral. y PERMIT APP4c#T • NOV 3 0 2015 PERMIT NUMBER 13 _ 1 0 0 ( 1 _ FEDERAL TARGET DATE CITY � t RAL.WAY CDS SITE ADDRESS SUITE/UNIT# PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ q ,1 12,rni q,86 ► I . i o - q i g 5 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING /// MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT ft(i I f I I n6( i S-0) - Dam R6Om. PROJECT DESCRIPTION « � `^/ c ��/�e Detailed description of work to S �/ ungQ �l i �- !�,• be included on this permit only ULA — PR PHOV PROPERTY OWNER NAME! , �5J ✓ -<-( ) -ate/ MAILING ADDRESS g 3647i i CA, n , • E-MAIL CITY✓_ci L`� IUIu�J QT ZIP9• ,i CJI 04 IN RZ v E-MAIL CONTRACTOR `C' pt�� (C( CITYT nr\a, �STg R ZIP �,{/ /),1 /J rg g g j t+..7 $ ►�'1r[';� rT I�ICyE E1 IJLJ /TI•�IIN DATV FEDERAL WAY BUSINESS LICENSE#1 _ .. li-!yrf`��ll •�T+( '(/jam �J 1 , NAME PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME J�\(_,` c/ e in /Wz. PRIMARY PHONE PROJECT CONTACT (The individual to receive and MAILING ADDRESS ,/ respond to all correspondence � �LL— � i'� �� concerning this application) CITY STATE ZIP FAX NAME ..- _.. PROJECT FINANCING OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application SIGNATURE: ' 231A43Yf *(31 DATE i 1 —024 1 5 PRINT NAME: 5 ,JC k 6(L&L Bulletin#100—October 26,2015 Page 1 of 3 k:\Handouts\Permit Application • • • LIO$ O F,cHAL WORK MECHANICAL PERMIT '%`]J/ti Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include gxisting fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTT-I5 �le ribe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)BOILERS V 9 BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES tL. V Li"' '' I VALUE OF PLUMBING WORK PLUMBING PERMIT $ 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 Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(K)tchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION 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? r-1` i i;ml �n p� r) 5 ' '[ () ❑Yes ❑ No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DOK GARAGE ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES oNLI'** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories NEW tiiiiLDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories .TOTAL.BUILDIN a.. TENANT AREA ONLY \ A At a a s Bulletin#100-October 26,2015 Page 2 of 3 k:\Handouts\Permit Application