09-101986City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: HEALTHWORKS
Project Address: 1300 S 320TH ST
Mechanical
Permit #: 09- 101986 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 082104 9241
Project Description: Replacement of existing HVAC unit, like for like, weight is less than existing unit and to
utilize existing curb.
caner
Anolicant
Contractor
CHUN PAK
AIR SYSTEMS ENGINEERING INC
AIR SYSTEMS ENGINEERING INC
UI C PAK
(GENERAL)
(GENERAL)
1300 S 320TH ST
3602 S PINE ST
AIRSYE•229KN (2/1 /10)
FEDERAL WAY WA
TACOMA WA 98409
3602 S PINE ST
98003 -5359
TACOMA WA 98409
Mechanical Valuation ................. ...........................4857 Is this an Online or O.T.C. application? ................. Yes
Subject to
Pumps .............. __1
PERMIT EXPIRES Wednesday, November 25, 2009
Permit Issued on Friday, May 29, 2009
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 City of Federal Way.
Owner or agent: Date:
FINALED *�io/cl
CITY OF I�
Federal Way
THIS CARD IS TO REMAIN ON -SITE
%_;ommunity Developmcnt Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101986 -00 -ME
Owner: CHUN PAK
Address: 1300 S 320TH ST
FEDERAL WAY, WA 98003 -5340
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 Datep�
For inspector reference only
❑ Rough Electrical
Approved
❑ FINAL - Electrical
Approved
By Date
By Date
v: 1,
pFRM P"6i _ I t)
. Federal WaYAM 2 9 t �'t' y PERMIT 5. MF CO ME EL PL DE EN FP
r:.APPYLICATION
COMMUNITYDEVEIAPMEh'1'SERVICES �+y�^"
253- 835,2607•,2S?A15 -E801 R.l�
Lam.
SITE ADDRESS
\ �>Oo
SUITE /UNIT M
NAME OF PROJECT
(Tenant or Homeowner Name)
ZONING
ASSESSOR'S TAX/PARCEL M
04s 21 c7 Lam- C�rL 4 l
❑ BUILDING 0 PLUMBING )q MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME ` {
P X10 i—S
PRIMARY PHONE
(���) e6SA
MAILING ADDRESS. CITY, STATE, ZIP
E-MAIL
t 0 S, 32c)' -N g�
❑ CONTRACTOR ❑ APPLICANT PROJECT CONTACT
OWNER IS ALSO:
,f_ • L'
A PRIMARY PHONE
(2 6)�-I? _qqW
CONTRACTOR
MAILING ADDRESS, CITY, STATE, ZIP
'5('Vo2 50')T k Act
FAX
(253) 3 - t' 3
WA STATE CONTRACTOR'S LICENSE B
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE f
NAME
PRIMARY PHONE
APPLICANT
_
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(7i le individual to receive and
L `Z-L7
( 253 ),53?- - C( y
MAULING ADDRESS, CITY, STATE. ZIP
FAX
respond to all correspondence
concerning this application)
Sooz- S
( ) -
ALTERNATE CONTACT NAME:
PR04ANY PHONE
( )
E-MAIL
6
PROJECT FINANCING
NAME
OWNER - FINANCED
Required for projects with
value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
(RCW 19.27.095)
i 1 -
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 Wag 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 4f 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:
PRINT NAME:
Bulletin #100 — 4/21/2009 Page 1 of 4 k:\I- IandoutsWermit Application
Indicate number of each
_ AIR HANDLING UNITS
_ AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
Work $ (A C
xture to be installed or relocated as
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
GAS PIPING
OPY OF BID OR ESTIMATE MUST BE
part of this project Do not include e:
GAS PIPE OUTLETS _
HOODS(csvuneiclap
HOT WATER TANKS (Gas)
REFRIGERATION SYST
WOODSTOVES
Rxtures to remain.
OTHER (Describe)
..
Bulletin #100 - 4/2112009 Page 2 of 4 k: flandoutsTermit Application
ie.Z
AREA DESCRIPTION
Area
Construction
# of
Occupancy Group(s)
Additional Information
in Square Feet
Stories
;.i
.. .,.
a
ADDITION
AREA DESCRIPTION
Area
Construction
M of
In Square
Occupancy Group(s)
Additional Information
Feet
Stories
mix
TENANT AREA ONLY
" ARFls. '4
Bulletin #100 - 4/2112009 Page 2 of 4 k: flandoutsTermit Application