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Home My WebLink About15-105764 174S"..4"11Clly of Federal Way • • Mechanical Community 3 Econ.rev.Services Permit #: 15-105764.00-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: LIFE CARE CENTER Project Address: 1045 S 308TH ST Parcel Number: 082104 9042 Project Description: Install new ductless mini-split system for cooling in elevator room. Owner Applicant Contractor FEDERAL WAY CONVALESCENT CENTER' AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC 3001 KEITH ST NW (GENERAL) (GENERAL) CLEVELAND TN 37312 3602 S PINE ST AIRSYE*229KN(2/1/16) TACOMA WA 98409 3602 S PINE ST TACOMA WA 98409 Additional Permit Information Is this an Online or O.T.C.application? No Mechanical Fixtures Air Conditioners-Stand Alone Un 1 Ducting 1 PERMIT EXPIRES Saturday, June 11, 2016 Permit Issued on Monday, December 14, 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 d the f F eral Way. I �( Owner or agent: � Date: _V ` C.T,roF '4A • THIS CARD IS TO . AIN ON-SITE r Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-105764-00-ME Address: 1045 S 308TH ST Project: FEDERAL WAY CONVALESCENT ( FEDERAL WAY, WA 98003-4706 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) Cl Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By DateDate �� • s ❑ Rough ElectricalCI Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date RECE ® PERMI' APPLICATION Federal Way NOV 12 2015 CITY OF /FEDERAL WAY PERMIT NUMBER / `� _ / D� TARGET DATE /a4 V3 SITE ADDRESS `J ((((//// `r / l SS•�� SUITE/UNIT# 1645 G PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 9 g,rrig60 Oqs al LE _ go Lk a_ TYPE OF PERMIT ❑ BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECTU'f c 6&41e.) � -6 If 6661 t ng 5-1-ekiL new dot 6s I'Ya Lir) I -g I' 5 PROJECT DESCRIPTION ., '�,�r ani[ I I� L() / dL� (LO vY�, J Detailed description of work to �I 1 v!1/ be included on this permit only NAME PRInARy PHONE PROPERTY OWNER I • D SS E-MAIL C Y c $ ^ • ZIP NAME /. PHONE RI ) 1 rI , 1 j l..! /�-X L /• E-MAIL MAILING ADDRESS.l.Y6 ' CONTRACTOR a P ►1 � CITY T Y I 4,_ ,ST.7TEn ZIPq �/t+6q FAX W,� rsCRI�'��AC_' QT LAElFT� lJ`/i `..__.._ EXPIRATION XIRTII N/DATE FEDERAL WAY BUSINESS LICENSE# l(r�{f C��JJJV` zY/S/� Er 5 G �/ i,r,,^ „ __ _/Lri9 PRIMARY PHONE APPLICANT MAILING ADR S (`�J ` I/`✓-(�//J' E-MAIL CITY STATE ZIP FAX NAME PROJECT CONTACT U�. „ talc C9(L , (The individual to receive and MAILING ADDRESS /j Bo, �' w 3 L f 6 j/ 1-p " �'�J 6�(J � V V I respond to all correspondence �/ N 4 csej concerning this application) CITY �M s ZIPc Lteog gig .3g NAME 1 1. �j 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: ebi\-LEL'1 6-6ei l 1 r DATE 5 PRINT NAME: �e- 6/),_lJ"� 1 Jl}LS , ( Av '�../Jq`-" ' )S Bulletin#100-October 26,2015 Page 1 of 3 k:\Handouts\Permit Application • VALUE OF MEC ANICAL WORK MECHANICAL PERMIT $ q5 � indicate how many of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES 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 DISHWASHERSRAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(xitehen/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 $ 1 ) q EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? 2-1 n Yes ❑ No s 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 DECK GARAGE El CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY" ESTIMATED SELLING PRICE$ # OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories TOTAL IILD II 4 . � *) . TENANT AREA ONLY Pte ? LY ti, Bulletin#100—October 26,2015 Page 2 of 3 k:\Handouts\Permit Application