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09-102451 - M :�Mechanical• City of Federal Way • • (� Community Development Services Permit #: 09-102451 -00-M E P.O.Box 9718 Federal Way, Fax 98063-9718 r^ Ins ection Re uest Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 a-sc p a Project Name: FEDERAL WAY MEDICAL CENTER Project Address: 30809 1ST AVE S Parcel Number: 072104 9244 Project Description: Change out(11) rooftop package heat pumps with new units(like for like) Owner Applicant Contractor FEDERAL WAY MEDICAL CENTE NORTHWEST AIRE SERVICES NORTHWEST AIRE SERVICES 30809 1ST AVE S PO BOX 66070 NORTHAS96324(5/24/10) FEDERAL WAY WA SEATTLE WA 98166 PO BOX 66070 98003-4090 SEATTLE WA 98166 Additional Permit Information Mechanical Valuation 54930 Is this an Online or O.T.C.application? Yes Mechanical Fixtures Air Handlinm4 Units 11 CONDITIONS: Subject to field inspection without plans. PERMIT EXPIRES Saturday, December 26, 2009 Permit Issued on Monday, June 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 us will be in accordanpe with the laws, rules and regulations of thee Stat of Washington 1 t•- City of Federal Way. -C%' Owner or agent: `5 Date: 9 0/p '. v,c f %6 • THIS CARD IS TO ,MAIN ON-SITE CITY CIF :12111Construction In„ ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 09-102451-00-ME Address: 30809 1ST AVE S Owner: FEDERAL WAY, WA 98003-4090 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) r Gas Piping(4125) Final-Mechanical (4065) Approved Approved to release test Approved By Date By Date By Date • • • • For inspector reference only___ ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved • By Date By Date 6, CEI/Ait '• Er.) Li 2 .q5- Al CITY OF JUN 2 9 "0' PERMIT SF MF CO EL PL DE EN FP Federal COMMUNITY DEVELOPMENT LO MENT SERVICE()F. FEc '' je�� KATION www.cityojfederalway.crom ` / /Y imummimimmilimmilimmoimmilimmi253 SITE ADDRESS i s� A U e „ray 3D 3 SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# of/ - Ji 01 - � � 4 - � a44 NAME OF PROJECT ` ' (Tenant or Homeowner Name) ct` i2AL LU9 � ,,,CA 1... �E.LS4 ❑BUILDING ❑ PLUMBING )MECHANICAL TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION 041 ta_AA- 14- 2cv'Te;r' ?ct E PROJECT DESCRIPTION Mu 5 i�„Ji`�� L.A.- i...)1.4-S 0�l K 8 L U k Detailed description of work to be included on this permit only , NAME PRIMARY PHONE PROPERTY OWNER 'EbE12AL A‘.j VY)Ch,t C A £> � (,?5') 839- vZ 03 C MAILING �ADDRESS,CITY,SJTATE,ZIP C y� ��p �j Q�/�J'�.� E-MAIL 2,©V -+ l - AVL o JJ v`�+ ` 11.x.✓-e �m(�rFhsoe)126: OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT El PROJECT CONTACT N /� PRIMARY PHONE O h W�-1-Al e a S t_ .1S r,` (2t.* l41 - . dC."S'7 CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX Pc Bc-v- L t 10 A4-11c. . Slivk' (Z )a,41 - . 431 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# K;LQ -h ASG t3 K4- G. /7 / h ;6`. tl-l �3a1C'co e)i•- NAME Al �7 PRIMARY PHONE APPLICANT A lei is L l��l Gk (2 ) t MAILING ADDRESS,CITY,STATE,ZIP FAX 'PO ZObe IvbL`?D S -4l€ OA. C '�I L( (Z047)24i - ..2c 9 i PROJECT CONTACT NAME PRIMARY PHONE (The individual to receive and cftYl-%i' Ac A ppI i c F i ' ( ) - respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX concerning this application) ( ) _ ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL ( ) - PROJECT FINANCING NAME t. OWNER-FINANCED Required for projects with /- value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE (RCW 19.27.095) ( ) _ I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part o this application. /29 SIGNATURE: a `i't e-1/.- DATE /z,4 PRINT NAME: ,4/bri S 2- AIc ,c h. Bulletin#100—4/21/2009 Page 1 of 4 kAHandouts\Permit Application • f_,tV MECHANICAL FIXTURES Value of echanical Work$ 5-4/4-1?..); (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. 1. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES HOT WATER TANKS(cas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or mb/Shower Combo) LAYS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEM( URINALS OTHER(Describe) DRAINS SHOWERS j/r� VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) i WATER HEATERS(Eleciric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION 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 c Yes ❑ No RESIDENTIAL AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) Type Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) Type Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—4/21/2009 Page 2 of 4 k:\Handouts\Permit Application