22-105348City of Federal Way
Community Development Dept
33325 8[h Ave S
Federal Way, WA 98003
,Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name
Project Address
Project Description
WELLSPRING
33650 6TH AVE S
Mechanical
Permit #:22-105348-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0210
Revise existing supply duct, return duct, and rebalance existing diffuser. Install (l) ceiling
exhaust fan with exhaust duct and damper.
Owner .
Applicant
Contractor
RIDGWOOD CENTER C/O CALISTA REAL
CONNIE HARDINHOLADAY PARKS INC
HOLADAY PARKS INC (GENERAL)
ESTATE LLC
4600 S 134TH PL
HOLADPI379NO (9/3/23)
PO BOX 240329
ANCHORAGE AK 99524
SEATTLE WA 98168
4600 S 134TH PL
TUKWILA WA 98168
Additional Permit Information
Mechanical Work Valuation?.—.:.... ................:........ 10795 Is this an Online or O.T.C. application? ........... I...... Yes
Ducting
Mechanical Fixtures
1 Fans
PERMIT EXPIRES Saturday, 27 May, 2023
Permit Issued on Monday, November 28, 2022
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
Was I d th of Federal Way.
Owner or agent: g Date:
�' vv�-' �
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 105348 00 Address: 33650 6TH AVE S Unit 114
Project: RIDGWOOD CENTER c/o CALISTA FEDERAL WAY WA 98003
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) El Gas Piping (4125) 0 Final - Mechanical (4065)
�_ Approved Approved to release test Approved
By O Date `� '?/� By Date By 1 Date 17/I qla,
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVE[
CITY OF '-_--
Federal Way
PERAUT NUM BER a
NOV 17 2022
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterCacityoffederalway.com
— — TARGET DATE
SITE ADDRESS
SUITE/UNIT #
33650 6th Ave S
114
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
9 2 6 4 8 0 0 2 1 0
$ 10,795
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING W MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Wellspring PT TI
Revise existing supply duct. return duct. and
PROJECT DESCRIPTION
rebalance existing diffuser. Install (1 ) ceiling exhaust
Detailed description of work to
fan with exhaust duct and damper.
be included on this permit only
NAME Ridgewood Center
PRIMARY
02 6250 4530
PROPERTY OWNER
MAILING ADDRESS
33650 6th Ave S
E-MAIL
connieh@holadayparks.com
CITY
Federal Way
STATE
WA
ZIP
98003
NAME
Holaday Parks
PHONE
206-250-4530
MAILING ADDRESS
4600 S 134th PI
E-MAIL
connieh@holadayparks.com
CONTRACTOR
CITY --[STATE
Seattle
WA
ZIP
98168
FAX
206-248-8700
WA STATE CONTRACTOR'S LICENSE #
HOLADPI379NO
EXPIRATION DATE
9i 3 i23
UBI # 578-004-089
NAME
Connie Hardin/Holaday Parks
PRIMARY PHONE
206-250-4530
APPLICANT
MAILING ADDRESS
4600 S 134th PL
E-MAIL
connieh@holadayparks.com
CITY
Seattle
STATE I ZIP
WA 98168
FAX
NAME
Connie Hardin/Holaday Parks
PRIMARY PHONE
206-250-4530
PROJECT CONTACT
MAILING ADDRESS
4600 S 134th PL
E-MAIL
connieh@holadayparks.com
(The individual to receive and
respond to all correspondence
CITY Seattle
ST#RA
{V� VV
ZIP 98168
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
0 L•Vll _ :arks com L•NolaOay PdM$InC. LN=Lonnie Hardin
Connie Hardin °.'" ' ` _ 11 /17/22
SIGNATURE: D. "' ',' DATE
PRINT NAME: Con a11e_Har_din/Haladay-Parks
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application