16-101746 ... .- .� • Mechanical
City&Econ Federal way Dev.Services
Community Permit #: 16-101 746-00-M E
ni & .
33325 8th Ave S F'NAL E D
Federal Way,WA Request Line.98003 Inspection Re 253 835-3050
Ph:(253)835-2807 Fax:(253)835-2609 p
Project Name: SEA-MAR CLINIC
Project Address: 31405 18TH AVE S Parcel Number: 092104 9233
Project Description: Remove and replace(13)RTU with new like in kind.
Owner Applicant Contractor
SEA-MAR COMM HEALTH CENTER STEVEN TRAN WASHINGTON HEATING&A/C INC
1040 S HENDERSON ST. WASHINGTON HEATING&A/C INC • WASHIHA012LQ(6/16/16),
SEATTLE WA 98108 13620 1ST AVE S 13620-1ST AVE S
BURIEN WA 98168 BURIEN WA 98168
Additional Permit Information
Mechanical Work Valuation? 135000 Is this an Online or O.T.C.application? No
•
Mechanical Fixtures
Air Conditioners-Stand Alone Un 13
PERMIT EXPIRES Saturday, October 22, 2016
Permit Issued on Monday,April 25, 2016
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: [1 ai9 r/02 0 ft
r
44$,A
• __ • _ •
. _ .
. .
DATE INSPECTOR AREA AND TYPE OF 'TSPECTION .
°.7-"ZIO-((# c--Q' 10L,4`.# ' ir
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• THIS CARD IS TO IN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-101746-00-ME Address: 31405 18TH AVE S
Project: SEA-MAR COMM HEALTH CENTEF FEDERAL WAY, WA 98003-5404
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) ti Gas Piping(4125) 0 Final-S K F&R(4060)
Approved Approved to release test Approved
•By ----?--S Date 'Q—((_ (6:7� By Date By Date
o Final-Mechanical(4065)
Approved
B ----e--E Date `( 1'/ /60,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. IVED •
•c�rroF A`
APR o s zoos PERMIT APPLICATION
Federal Way
CTY OF FEDEEc WAY p�
PERMIT NUMBER 1 — / 0 Cr c/ [ c — M L 2 q l I
TARGET DATE l �Q
SITEADDRESS 31405 18th Ave So. Federal Way WA 98003 SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ , 000 . 00 CF 0 9 2 1 0 1 - 9 2 3 3
TYPE OF PERMIT El BUILDING ❑ PLUMBING L$MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Sea Mar Clinic Federal Way
Remove and replace all existing rooftop HVAC units
PROJECT DESCRIPTION
Detailed description of work to with new like in kind.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Sea Mar Community Health Center
MAILING ADDRESS EMAIL
1040 So. Henderson Street
CITY Seattle STATE 98108
NAME PHONE
Washington Heating and A/C, Inc. 206 860 3832
MAILING ADDRESS E-MAIL
CONTRACTOR 13620 1st Ave So.
CITY STATE ZIP FAX
Burien WA 98168
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
WASHIHA012LQ 6 X16 201E
NAME PRIMARY PHONE
Same as Contractor
APPLICANT MAILING ADDRESS E-MAD,
CITY STATE ZIP FAX
NAME P PHONE
PROJECT CONTACT Steven Tran 20Y860 3832
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 13620 1st Ave So. stran @washingtonheatin,
concerning this application) CITY STATE ZIP FAX
Burien WA 98168
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$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 ci as a par•'o this application.
SIGNATURE: DATE 04-8-2016
PRINT NAME: Steven Tran
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
13 AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
-
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type o f fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo( LAYS(Hand Sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION fin square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
�,/', '� , :fir//e x �` '�/ Y T� 4 : ` p ........................................................................................_. ...._.._......_...._...
ae
FIRST FLOOR(or Mobile Home)
• 1t,: � � € ks is "
COVERED ENTRY
y
GARAGE ❑ CARPORT ❑
l 3�A �
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area p Construction #of
AREA DESCRIPTION Occupancy Groups) Additional Information
in - uare Feet • 'e Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Groups) Construction #of Additional Information
uare Feet • •e Stories
ria <, '`�, �L Ste:_ss 3.763 •.� - //% */,�i ""' �✓ P r
TENANT AREA ONLY --
22/ / ear
s•" a ! eye a 4 J E 4% 6 ,'f, ( ?J',. 1 is I y ,.
�? .5r,,.r:= ,.",/6„":', v y:,�rl;! ..,� .n •„•, ”,� �: 04,21/fill ,.4�7yg a#.'�.,++`.Otg:
Bulletin#100—January 1,2013 Page 2 of 3 kAHandouts\Permit Application