21-101371City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LIFE CARE CENTER
Project Address: 33528 6TH AVE S
Project Description: BLUEBEAM - Replace rooftop HVAC unit.
Mechanical
Permit #:21-101371-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 926500 0030
Owner
Applicant
Contractor
FEDERAL WAY LLCA ASSOCIATES LLC
BRETT ROEBUCKAIR SYSTEMS
AIR SYSTEMS ENGINEERING INC
3001 KEITH ST NW
ENGINEERING INC
(GENERAL)
CLEVELAND, TN 37320
3602 S PINE ST
AIRSYE*229KN (2/I/22)
TACOMA WA 98409
3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Mechanical Work Valuation? ................................. 19946 Is this an Online or O.T.C. application?.................. No
Mechanical Fixtures
Roof Top Units I
PERMIT EXPIRES Wednesday, 27 October, 2021
Permit Issued on Friday, April 30, 2021
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: ' ! [ Date
I _��
CITY F
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101371 00 Address: 33528 6TH AVE S
Project: FEDERAL WAY LLCA ASSOCIATE 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.
❑ Mechanical Rough -in (4165) Q Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Aa Approved
r
By Date By Date By Date R d7al
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date