13-100031 t ,-•
t Ivy Meclfanical
City of Federal Way s
Community&Econ.Dev.Services �< Permit #: 13-100031-00-ME
33325 8th Ave S a, ,,
Federal Way,WA 98003
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
: :
Project Name: SOUTH KING FIRE AND RESCUE
Project Address: 31617 1ST AVE S Parcel Number: 072104 9210
Project Description: Install gas piping for replacement of unit heater in engine bay
Owner Applicant Contractor
LAKEHAYEN UTILITY DISTRICT AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC
31617 1ST AVE S (GENERAL) (GENERAL)
FEDERAL WAY,WA 98003-5201 3602 S PINE ST AIRSYE*229KN(2/1/14)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit information
Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Air Handling Units. 1 Gas Piping 1
PERMIT EXPIRES Tuesday, July 2, 2013
Permit Issued on Thursday, January 3, 2013
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
andan ./the City!of�Federal Way.
Owner or agent: J( 1 11-�l/ Date: " �I
• THIS CARD IS TO EMAIN ON-SITE
CITYC' OF - Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100031-00-ME Address: 31617 1ST AVE S
Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98003-5201
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) -0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By DateBy ` v Date
• 0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
L
• Ilogo -3 l
F ederal vrt���EIVED OF PERMIT MF C/AM PL DE EN FP
F
COMMUNDEVELOPMENTSERESO 3 2013-APPLICATION
253-835-2607•FAX 253-835-4AN
www.cituo!jecteratwati.co,,
CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT#
' ' 1 4
11 II ( . ,
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1 ) qw.f R5L. o --72. 10 /4 _ 9 / 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING )4.MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) t, 4 ( ,l/�G C +1...341-1 (( 7" Rue L
PROJECT DESCRIPTION i^�16 -Fat L d L i!�` (� --k..)u l Cn i�c jLi1C,
Detailed description of work to CJ dAl Si)JW t' -�1 ' r1 x. I sJ 1 treG
be included on this permit only q/` 5 p
_ � �j ) r/�' 041X1c , pO u-k I l
NAME`„_.. J V v' "J �'1PRIMARY PHONE
PROPERTY OWNER �(' PI 410- l'r ? -q 4 �-�
MAILING ADDRESS ! c+- _ � . S , -� E-MAIL
CITYj. \.I vOJC, S� Z� t✓ �! U `�J J. ... ....
NAME ! /^ . �� r _ __ 5 ()gun e� /u y 'MJ'J - /. � 1 (l I
CONTRACTOR
MAILING ADDRESS •3 r� G " Gp 6�'+�-/' ✓✓ � , ,tb5
CITY ,�,^ R ZIP((34 61 35-g---- 363-,(9-3-5-1
WA A-1 RdI e �-{ iE1�1 1 (, i EXPIRATION DATE/i `"(� 1FEDERAL
� AY BUSINESS LICENSE 00666 L O b
NAME /� _ (ten q fV t _ _�c,,,i .,.i�_ J 411 J PHONE.:�"l✓ �O!�� ClL
MAILING ADDRESS %1w11X�;.Y/yD ` il/n�/' Y E-MAIL ._'�J
APPLICANT V'j 1 �/y - ' •1,,SSE I..P?)(•�5reA,WS
CITY•�<,. ,,,^ �d' t..- 157,
, `'"T ZD'��"/ /�,q F •J �f ,'.I-Cci`' 7 ��
PROJECT CONTACT NAME azG t Its f J C (J Vv PHONE �j
(The individual to receive and C �� �
respond to all correspondence
MAILING ADDRESS -tea
concerning this application)
CITY T� 5 �� `�'��
.JAiL.'V i "`ie. Sw a Zwq g V q J,'5"'i._ g- 1 /
ALTERNATE C91ITACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME y
J�, OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,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 thecityas a part of this application.
SIGNATURE: , J rau- {"` DATE i "
PRINT NAME: > " 55((& 'C I UL -+,31( A 6
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• • r`
✓/2'Z 0C i i/i%/ / ze ✓ /� „ is T i/'/ =s %//✓ !lj�'
VALUE OF MECHANICAL WORK $ 1 , -1 . (a copy of bid or estimate must be provided)
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 ,+OTHERDes�crrllb)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) �A ' + '.c.o•Ae-(
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING 4 GAS PIPING WOODSTOVES
Indicate how many of each type of fudure 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 P XTTU
,t19$A4Sik
v h •e. �3 a r� :,ai, Iia ✓ a -- 3 � r �l ;v1�ai. .. \ 33. ;t Ir .�
✓?'!a,. °��? Vie,,,}� 'L,':;.,�\`� jI'.. •r; ,.. :,. 3 r. •01
• 3a `
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUEOF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
.; -7 ) ❑Yes ❑ No ❑Yes ❑ No
i,�;� „/s-., iL, �\�\ /;'. �+d..r •. .,. Ja 1 ,rte/ h
"00'
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
Bivt
3• ..��_ �, ,,,.,;c„ a.,n ,.�,,� ! 3>>. �,�'. ...,.� „vim �� `�• ' ':,1 <, ��. :.,r...✓:. ... . ..: ............... ................. ........... .............. ......................................._..._.........._._..........
FIRST FLOOR(or Mobile Home)
bit3 x f % S 'Zk 13f i �3; 3 .................... ..................... .... .................._.._...............__...
COVERED ENTRY
"il1 ,
GARAGE ❑ CARPORT ❑
3 3 t 9 pp]
:15
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
5`411:.E Rik0 Mk- .9E9, 99- El','XitEME,EAIIIMESS2
AREA DESCRIPTION
Area rea Occupancy Group(s) Construction #of Additional Information
in uare Feet e Stories
!3�_ IrE.... /��„ .t�.. ..... .s. s1
ADDITION
'
AREA DESCRIPTION `iOccupancy Group(s)ea Construction #of Additional Information
in uarere Feet Type Stories
*?' 3 O \\\\,: 9 / ( • fir/ T11$54'f'
E.999
TENANT AREA ONLY
33 ,.'pi sri \ 3
EE 999,91
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application