16-103976-�
City of Federal Way _ Meel�aikal
Permit #: 16- 103976 -00 -M E
Community & Econ. Dev. Services a ` ;
33325 8th Ave S
Federal Way, WA 98003 `
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: CHA & LEE CHIROPRACTIC CLINIC
Project Address: 1700 S 305TH PL Unit A Parcel Number: 255817 0130
Project Description: Installation of Daikin 2 Ton, 14 SEER Heat Pump with Matching Air Handler
Owner
Auulicant
Contractor
JASON INHO CHA
WAYNE KENNISON
DR COOL INC (GENERAL)
33725 SE SORENSON ST
DR COOL INC
DRCOOI'024QE (3/15/18)
SNOQUALMIE WA 98065
1723 PEASE AVE E
PO BOX 2322
SUMNER WA 98390
SUMNER WA 98390
Additional Permit Information
Mechanical Work Valuation ? ....... ..........................7500 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Air Handling Units ......................... 1 Compressors / Heat Pumps............ 1
CONDITIONS:
Prior to final inspection, screening method must be in place
FWRC 19.115.050(6)(ii)
(ii) Site utilities including transformers, fire standpipes and engineered retention ponds (except
biofiltration swales) should not be the dominant element of the front landscape area. When these must be
located in a front yard, they shall be either undergrounded or screened by walls and/or Type I landscaping,
and shall not obstruct views of tenant common spaces, public open spaces, monument signs, and/or driveways.
PERMIT EXPIRES Monday, March 6, 2017
Permit Issued on Wednesday, September 7, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy anZ;;7 cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: /ice s,, Date:
FjN
�O
?>EIIS CARD IS TO ON SITE
t
Federal Wa ConstructZOn In ectlon Record
y INSPECTION REQ TS: (253) 835.3050
PERMIT #: 16- 103976 -00 -ME Address: 1700 S 305TH PL Unit A
Project: JASON INHO CHA FEDERAL WAY, WA 98003 -4814
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 )
as Piping 1
Final - Mechanical
Approved
Approved to release test
Approved
By Date
By Date
Date (c,_(; .�
Rough Electrical
Approved
0
Final Electrical
Approved
0
Right of Way -'
Approved
By
Date
By
Date
By
Date
�
CITY OF �►, PERM IlftPPLICATION
�"� '�/
PERMIT CENTER + 33325 8+h Avenue South + FeWLq 98003 -6325
Federal Way 253- 835 -2607 + FAX 253 - 835 -2609 + permitcentel*ityoffederalway.com
O 01,� M � SEP.07 2016
PERMIT NUMBER 3 C
TARGET DATZ;f'TTY a FEDERAL WAY
CDS
SITE ADDRESS
SUITE /UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL ^ O
`TYPE'OF " PERMIT
❑ BumdiNG ❑ PLUMBING ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIREPREVENTION
dq
NAME OF PROJECT
('` ' 1
W2
� C4-M
J--6
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
NAME
1�
-\_ �
PHONE
2 3 -�� ,-
G ADDRESS -y
'� � !_) ;2-
E-
CONTRACTOR
CITY�+ -
STATE
Z
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT,
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E -MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
I ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME {
OWNER- FINANCED
When value is $'5,000 or more
(RCW 19.27.095)
MAILING ADD S, CITY, STATE, ZIP
PHONE
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 apart of this application.
SIGNATURE: X51 -� DATE
PRINT NAME:
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application