15-103592 JP • 41' • • Mec fanical
CityCommunity
ofEc n.D Way Permit #: 15-103592-00-M E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 I LIEInspection Request Line: (253)835-3050
Project Name: HALLMARK MANOR
Project Address: 32300 1ST AVE S Parcel Number: 172104 9073
Project Description: Replace failed water source heat pump located in the mechanical closet in the kitchen.
Owner Applicant Contractor
HALLMARK CARE CENTER JESSICA BRUCE. AIR SYSTEMS ENGINEERING INC
3001 KEITH ST NW AIR SYSTEMS ENGINEERING (GENERAL)
CLEVELAND,TN 37312 3602 S PINE ST AIRSYE*229KN(2/1/16)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C.application? No
Mechanical Fixtures
Compressors/Heat Pumps 1
PERMIT EXPIRES Saturday, January 30, 2016
Permit Issued on Monday, August 3, 2015
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
d the tyFd ral Way.
Owner or agent:
Date: pr v I S
11.*\° C)
�
__Aik.- THIS CARD IS TO MAIN ON-SITE
CITY OF 0Construction In ection Record ''
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-103592-00-ME Address: 32300 1ST AVE S
Project: HALLMARK CARE CENTER FEDERAL WAY, WA 98003-5762
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 By INIP> Date t V(Y [ 15—
El Rough Electrical ID Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF ; PE1 PPLICATION
Federal Way il,
Aub %% z°15
PERMIT NUMBER 15 _ 0 _ NIcry QF F� ERA ' Tilll is
ARGET DATE
SITE ADDRESS
SUITE/UNIT#
gg0
16-1- A-Ve. S .
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I u 4 -
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING )(MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT o I ityw (k_ I / i/u 7w r UJ$ H_ r Q p L&yr (7 r�
PROJECT DESCRIPTION iz6 I 14L 16a(cc(w, c 1 k y Ip�i-m p
Detailed description of work to S ._4 V V/ ` kt-kJ ,i « 6L�
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER H t oJ/ /d. ( r
MAILING ADDRESS O+ e...y -i E-MAIL
CITY JS`/l. („ j�„�'L4, ,yam Liu
ZIP g -,7 ` a
ay)
NAME `( 5 i -! • '/ a ' t ry Lill PHONE Z'3-�� 94 4
IV
MAILING ADDRESS ( //V1\, 5' - Gi. J E-MAIL
CONTRACTOR (/n/1 ✓/�
CITY y 1 • ""' S'I"AT].a ZIPq t/ 4,0 FAX - -L
WA SI Try' C ' J ,/� I '. TION Dig FEDERAL WAY BUSINESS LICENSE#
NAME �(, 1K\.•� 11 vj PRIMARY PHONE
A.I
I( 6
Lp-ccrn6 61(1 Lnefur19
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME , {
PROJECT CONTACT 76S€ 'I. L( g P u 4 7,57,1s...23) _9 4.9
(The individual to receive and MAILING ADDRESS
respond to all correspondence l a5�
concerning this application) CITY STATE ZIP FAX WS,,``cc
WSJ
NAME
PROJECT FINANCING yi 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 city as a part of this application.
SIGNATURE: r' }i DATE _ 21 ~ t5
PRINT NAME: (J �-( 0 V ( A CJ'
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• VALUE MECHANICAL WORK
MECHANICAL PERMIT $ , I
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include ixisting fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS 0TH$R RA �(yD_essa-ii e1 I��
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 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 IIn Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Lt-r5 3 n ,., i mM n 5-g, 5 j 0
Li Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DE iK 3
GARAGE ❑ CARPORT ❑
CHER(describe} (`
//y�r /y ............._...._................................................................................................................._.._........._.......................................
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES O141LY** •
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
N'aw UILDING
...�'..\ : #4 0 .. s,.�;a� iii, . ,. �\ �, G ,. :ao „"
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Tye Stories
f40
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application