16-101857 ti
• Mecl an`iCal
City of Federal Way1,
Permit #:16-101857-00-ME
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Request Inspection Line:
Ph:(253)835-2607 Fax (253)835-2609 p (253)835-3050
Project Name: NORTHWEST CHIROPRACTIC CENTER
Project Address: 34730 PACIFIC HWY S Parcel Number: 202104 9145
Project Description: Replace(2)existing RTU with smaller unit in same location.Existing duct work to remain
wn Applicant Contractor
LORRI A NICHOLS LLC SUSAN MATTHEWS ALL CLIMATE HEATING&A/C(GENERAL)
34730 PACIFIC HWY S ALL CLIMATE HEATING&A/C ALLCLCH966C6(2/26/18)
FEDERAL WAY WA 98003 17527 NE 67TH CT 17527 NE 67TH CT
REDMOND WA 98052 REDMOND WA 98052
•
Additional Permit Information
Mechanical Work Valuation , 26500 Is this an Online or O.T.C.application No
Mechanical Fixtures
Air Conditioners-Stand Alone Un 2 Ducting 1
PERMIT EXPIRES Wednesday, November 9, 2016
Permit Issued on Friday, May 13, 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 Federal Way.
Owner or gen : ID 4 /! Date: /3 4::)-e,/C
FINALED
41/4 • THIS CARD IS REMAIN ON-SITE
CITY OF - - ..
Construction lig
Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-101857-00-ME Address: 34730 PACIFIC HWY S
Project: LORRI A NICHOLS LLC FEDERAL WAY, WA 98003-6821
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.
El Mechanical Rough-in(4165) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Dat• _ iik__dor
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
( IO / y
TY Or V''''°'�..,,,,s, PERMIT
1 CITY
Way F CO ME PL DE EN FP
iVIIMIUN1TY DEVELORMEM1T SERVICES APPLICATION
I 253-835-2607•FAX 253-835-2609 APR 18 2016 5147 ' t
0 '!,S 1 SV '' . rimier L. CITY OF FEDERAL WAY
SITE ADDRESS
� CDS SUITE/UNIT#
Ride-kle__ _ e✓z raj
PROJECT VALUATION fp ZONING A ESSOR'S TAX/PARCEL It
$ `, t3 ) 7 o 2 /_L '-( - 9 — _SI— _
TYPE OF PERMIT ❑BUILDING ❑ PLUMING ]MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT -
(Tenant Name/Homeowner Last Name) ` - j/' /t'� J^6 f.s
PROJECT DESCRIPTION p J�� ('tI1a��Detailed description of work to
be included on this permit only
_ _.. .. �OV Y v ✓r !� 13 Y PHONE -- -
PROPERTY OWNER N �� (` t f( '_- j/? rJ
LING ADDR S �joy. .� t b'0� T T-
y CftL' i ' cry ibrolAt e holP5 �1
NA �JLr PHONE "l
( C fL - :ZZs- f*,3o7-1
CONTRACTOR rjCa1 J(✓�( I'!/(dz r l7
prxki A Zgl,ISz ilAX k(5,-?---Is-5-5-
WA STATE l_c_i_. i /CONTRACTOR' .LICENSE# / /2/ N D/ /E/� -2_0-0k-
2_FEDERALWAY i040
BUSINESS
C-.(�-'LICENi
NAME �-l-"/ `C..` l O PHONE lQ_ !.J
APPLICANT MAILING ADDRESS //\ E-MAIL
CITY STATE ZIP FAX
_ .. _ — --crth. -12:' -
PROJECT CONTACT N SaPHoxE
(The individual to receive and It � 01q - % . 3
respond to all correspondence MAILI GADDREss r_ Jn E_
concerning this application) I d-� N� Go
g---,. FF�� l O140P t� I,(i44.-t . i IX_/'
Y me 4-icL ZI <po FAX
. (Z c- O lG 7- 1 C-S-J
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
D 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 •.e. not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environm nt•' laws.
I further agree to ho • h• le - th- City , Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investiga,•• • d • -fen . of . claim), hich may be made by any person,including the undersigned, and filed against the city,
but only where such ai • ses ,ut of t eliance of the city, including its officers and employees, upon the accuracy of the
information supplied • h ity as •part-6' is application.
/ d V/
SIGN TURE: `� _ S'-4
r� ` . DATE
PRIN • -. . 1/JL`
s.
Bulletin#100-January I,2011 Page 1 of 3 k_\Handouts\Permit Application
.
x eT gr .+yx `�•
�a ��+f�" ����Skc,
VALUE OF MECHAMCAL WORK $ (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 K OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)Commercial) 'k u
BOILERS FURNACES HOT WATER TANKS)Gas) 1 YC S
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
° a V. `��we .«-�'u .i, �< £",-`„'r•E : .R'' ,•.` a a
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/Utilit) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES ;''fG?TAL FI71;TUg47.r
,. tx �o x ��, e €*., ami `rte .r v s :ate • x: 'P7 • _
'� •
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?
D Yes❑ No ❑Yes 0 No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
41,
tee.
FIRST FLOOR(or Mobile Home) — --
ECS` ec.<• virrs.zro. b v£ ' s "�� .� -- -- -----------
COVERED ENTRY
GARAGE 0 CARPORT 0
ATHFR es e ,
e
EXISTING PROPOSED TOTAL --- -Area Totals
z ,,) *.„a � �s f14TFW HOB�F.SUNL .” `? y aa? .
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
... y 4 Kai 7. „ ,,.: 37.71 Y >,:� tv 0,��, � r2.
sem c.p. �.� "�` .:,,...�, `°.' ' as"�-� ta. x ` �,.
AREA DESCRIPTION 'EMI Occupancy Group(s) Construction #of
P Y P( ) Additional Information
• a
Stories
ir, �gvN r p r a • '.t`:. r °`>3. ,�, ag .,,,;'3"
•
ADDITION
u, 1.gm
}(��,.,
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
in S uare Feet P Y P1 ) .e Stories Additional Information
4 FATAL BtilI:DING "^ Cs
„ x. n ,•
TENANT AREA ONLY
b � 4jEch a � � tee
Y .,
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application