09-104516City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
• Mechanical'
WIN r"W Permit #: 09- 104516 -00 -M
V I Ltz E
Inspection Request Line: (253) 835 -3050
. Project Name: NW DENTAL
Project Address: 720 S 348TH ST Suite A -1A
Parcel Number: 233145 0010
Project Description: Remove/replace existing rooftoop unit, 6 exhaust fans, gas piping,ductwork and smoke
detectors
w er
Applican
Contractor
720 SOUTH 348TH ST LLC
EVERGREEN REFRIGERATION LLC
EVERGREEN REFRIGERATION LLC
11409 GRAVELLY LAKE DR SW
(GENERAL)
(GENERAL)
LAKEWOOD WA 98499
727 S KENYON ST
EVERGRL954R2 (1!6(10)
SEATTLE WA 98108
727 S KENYON ST
SEATTLE WA 98108
Mechanical Valuation .................. ..........................12000 Is this an Online or O.T.C. application? ................. No
1 Ductine :.......... ............................... 1 Fans.................. ............................... 6
Gas Pipe Outlets ............................. 1
PERMIT EXPIRES Monday, May 24, 201
Permit Issued on Wednesday, November 25, 2009
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use a cordance with the laws, rules and regulations of the State of Washington
and the City of Eggerat Way.
Owner or ag Date:
0-0 D tot
FC.
i
Adk
DATE
INSPECTOR
AREA AND TYPE 01 �SPECTION
UTY OF
Federal Way
THIS CARD IS TO IN ON- SITE
a Construction Ins ction Record
INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 09- 104516 -00 -ME Address: 720 S 348TH ST Suite AAA
Owner: 720 SOUTH 348TH ST LLC FEDERAL WAY, WA 98003 -7042
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(�5 Date 2 —&"l'
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Cmoc E1\/f4ERMIT SF MF CO L PL DE EN FP
L Federal Way
NOV 1 - APPLICATION z a
COMMUNITY DEVELOPMENT SERVICES
153- 835 -2607• FAX 253 -835 -2609
SITE ADDRESS
_72-0 S
3q8�L,
s+ ed��.� Wc%-
q. �00°
SUITE /UNIT #
A- fA
ZONING
ASSESSOR'S TAX/PARCEL #
2 3 3 i_q
S-
1JL40CA 6-r-_vcA( SW
0 CONTRACTOR APPLICANT ® PROJECT CONTACT
D o
1,
�Yffl
NAME
('c��r.�
PRIMARY PHONE
-763- 1-7 Li LA
r e,-\ �,
(Zdb )
MAILING ADDRESS, CITE YY, STATE, ZIP C jA 4
_72-7 S,
FAX
CONTRACTOR
(PAthv 11
6Ll�
WA STATE CONTRACTOR'S LIC NSE #
FvE(ZGQL�v4R
EXPIRATION DATE
l
FEDERAL WAY BUSINESS LICENSE #
EU kL`
NAME OF PROJECT
i iz6;�
" 2 f �'
"
NAME (�
(Tenant or Homeowner Name)
APPLICANT
I v
(2b 6 - 4 A Z 7 �
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
❑ BUILDING ❑ PLUMBING MECHANICAL
PHONE
6 )� PRIMARY -iL y )c� 7
TYPE OF PERMIT
` `O" ��U� °`
❑ DEMOLITION JkELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
a
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{jy that to the
best of my knowledge, the irlformation 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 oBicers and employees, upon the accuracy of the
information supplied to the city as a part of this application. Q Q�
SIGNATURE: va � � �Q ti b l� DATE Q
PRINT NAME:
Bulletin #100 - 4/'.
Page 1 of 4
k: \Handouts\Permit ADDlication
NAME t
_77-0 m^- 7 �� L Lc
PRDAARY PHONE
( ) -
PROPERTY OWNER
1 S i-
MAILING ADDRESS, CITY, STATE, ZIP
E -MAD.
1JL40CA 6-r-_vcA( SW
0 CONTRACTOR APPLICANT ® PROJECT CONTACT
OWNER IS ALSO:
1,
�Yffl
NAME
('c��r.�
PRIMARY PHONE
-763- 1-7 Li LA
r e,-\ �,
(Zdb )
MAILING ADDRESS, CITE YY, STATE, ZIP C jA 4
_72-7 S,
FAX
CONTRACTOR
(PAthv 11
6Ll�
WA STATE CONTRACTOR'S LIC NSE #
FvE(ZGQL�v4R
EXPIRATION DATE
l
FEDERAL WAY BUSINESS LICENSE #
EU kL`
i iz6;�
NAME (�
PRIMARY PHONE
0 4
APPLICANT
1_ VV_,_ +' J` ` �(�, a
(2b 6 - 4 A Z 7 �
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
{per
PHONE
6 )� PRIMARY -iL y )c� 7
(The individual to receive and
` `O" ��U� °`
l"
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E -MAD.
PROJECT FINANCING
NAME
OWNER - FINANCED
Required for projects with
tM-A�ILING ADDRESS, CITY, STATE, ZIP C ��.�yA //
[ Z -7 S _ �'�e.. , -n e, Sce.. 'U 1 e , L4 i4
^7 PRIMARY PHONE �
( `V%) '7�"T - L'? `{'I---,
value of $5,000 or more
(RCW 19.27.095)
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{jy that to the
best of my knowledge, the irlformation 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 oBicers and employees, upon the accuracy of the
information supplied to the city as a part of this application. Q Q�
SIGNATURE: va � � �Q ti b l� DATE Q
PRINT NAME:
Bulletin #100 - 4/'.
Page 1 of 4
k: \Handouts\Permit ADDlication
J
:., CAL FIXTURES.
Value of Mechanical Work O� O (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain_
i AIR HANDLING UNITS FANS ( GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (co -jal)
BOILERS FURNACES HOT WATER TANKS (Gaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
_L
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of fixture fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (--r b /Shower Combo)
LAVS (H—d Sink.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Hitcher /UUhtyl
WATER HEATERS (El -fticl
HOSE BIBBS
SUMPS
WASHING MACHINES
'TOTAL FIXTURE$
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
121 boo $
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Tvue I Stories Additional Information
ADDITION /�y(^�,V
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type I Stories Additional Information
TENANT AREA ONLY
Bulletin #100 - 4/21/2009 Page 2 of 4 k:\Handouts\Permit Application