15-105759 _ s k
11111 Mechanical
• • ' City of Federal Way Permit #: 15-105759-00-ME
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SEA-MAR CLINIC
Project Address: 31405 18TH AVE S Parcel Number: 092104 9233
Project Description: Ductwork,diffusers&exhaust fans;(2)ductless split A/C to serve Data and Elevator
Machine room.
•
Owner Applicant Contractor
SEA-MAR COMM HEALTH CENTER WASHINGTON HEATING&A/C INC WASHINGTON HEATING&A/C INC
1040 S HENDERSON ST 13620 1ST AVE S WASHIHA012LQ(6/16/16)
SEATTLE WA 98108 BURIEN WA 98168 13620 1ST AVE S
BURIEN WA 98168
Additional Permit Information
Is this an Online or O.T.C.application Yes
•
Mechanical Fixtures
Air Conditioners-Stand Alone Un 2 Ducting 1
PERMIT EXPIRES Tuesday, May 10, 2016
Permit Issued on Thursday, November 12, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- • - in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: - Date: //—/02-020/5
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•
INSPECTOR AREA AND TYPE OF "-'SPECTION
3- 15-1(-0 w vy—\ c,\< \ j. .12i0
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` THIS CARD IS TO AIN ON-SITE '
Fe0"414141 .0e�al
Federal • Construction In ection Record
Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-105759-00-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) Gas Piping 4125
❑ Approved ❑ Approved to release test ❑ Final- Approved al(4065)
Approved /
By Date it)'t t— (4, By Date Date t ( 1 7 .
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
F�EIVED •
&l4.46 Nov 12 2015 PERMIT APPLICATION
ead Why
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / — / (e/ 5 / 9_ ``�J E TARGET DATE
SITE ADDRESS 31405 18th Ave So. Federal Way WA 98 0 0 3 SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 100, DOCk 00 CF 0 9 2 1 0 1 - 9 2 3 3
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Sea Mar Clinic Federal Way
Provide and install new supply and return air ductwork
PROJECT DESCRIPTION
Detailed description of work to with duct insulation, thermostats and toilet exhaust
be included on this permit only
fans. Two ductless split AC to serve the Data and
Elevator machisl? room
NAME PRIMARY PHONE
PROPERTY OWNER Sea Mar Community Health Center
MAILING ADDRESS E-MAIL
1040 So. Henderson Street
CITY Seattle l WAE I 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 /16 1201e
NAME PRIMARY PHONE
Same as Contractor
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME S t even Tran 2Y 8 6 0 3832
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 13620 1st Ave So. stran @washingtonheat ins
concerning this application) CITY STATE ZIP FAX
Burien WA 98168
NAME OWNER-FINANCED
PROJECT FINANCING
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 city this application.
SIGNATURE: DATE 11-12-2015
PRINTNAME: Steven Tran
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
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 15 FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial(
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS 2 REFRIGERATION SYST
14 DUCTING GAS PIPING WOODSTOVES
-
VALUE OF PLUMBING WORK
PLUMBING 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.
BATHTUBS(or Tub/Shower Combo) _ LAVS(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)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
...............................................................................................................................................................................................
COVERED ENTRY
GARAGE ❑ CARPORT ❑
...............................................................................................................................................................................................
Area Totals EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in •uare Feet , •e Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in •uare Feet • •e Stories
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\HandoutsTernlit Application