11-104829 • 1111 City of Federal Way Mechanical
Community&Econ.Dev.Services Permit #: 11 -104829-00-M E
33325 8th Ave S ff"" s r
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 E Inspection Request Line: (253) 835-3050
Project Name: CENTURY LINK WAVERLY 7
Project Address: 35520 1ST AVE S Parcel Number: 292104 9076
Project Description: HVAC upgrade per plan, including new equipment placement and duct modifications.
Work is all inside the structure.
Owner Applicant Contractor
KING COUNTY JOHANSEN MECI IANICAL INC JOHANSEN MECHANICAL INC
QWEST CORPORATION 20109 144TH AVE NE JOHANMI173PK(2/2/13)
1801 CALIFORNIA ST FLOOR 25 WOODINVILLE WA 98072 20109 144TH AVE NE
DENVER CO 80202 WOODINVILLE WA 98072
Additional Permit Information
Mechanical Valuation 127414 Is this an Online or O.T.C.application? No
Mechanical Fixtures
Air Handling Units 1 Compressors/Heat Pumps 2 Ducting 1
Refrigeration Systems 1
PERMIT EXPIRES Tuesday, July 10, 2012
Permit Issued on Thursday, January 12, 2012
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 of Fede al Way.
Owner or agent: / L:��y�'�'� Date: f/I2 /Z._
l
F1 t eCtiZ
_ „rah._ ..."**%. THIS CARD IS TO REMAIN ON-SITE
CITY OF `4 Construction InP ection Record
Federal INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11-104829-00-ME Address: 35520 1ST AVE S
Project: FEDERAL WAY, WA 98003-7018
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) ❑ Final-Mechanical (4065)
Approved Approved to release test �� Approved
By 7,-:-..- Date /-7,-0 /Z____� By Date ' 'By �C`'„� Date (-20—`2
❑ Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
_A
,, iv L .i, 0,,._,_q. F 6:2...g
• -
CITY OF
Federal Way ')�C 11 k` PERMIT SF MF CO' ME PL DE EN FP
S.COMMUNITY DEVELOPMENT SERVICES APPLICATION
IQ 41117., .,,,/ f
253-835-2607•FAX 253-835-2609 r r
www.cittto((ederwal.cor of
• F E,.
CTIN cDS
SITE ADDRESS SUITE/UNIT#
35520 /st �4V 6 Fd�/ , �,9. 9813 N/
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ ,j�r?1 ply, �' T535..d 9 Z / D 4' - 9 0 7
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �j/f l . /� ��/yam/ /✓/J
(Tenant Name/Homeowner Last Name) /`�/`! `� o/M 4 /J4 2t i. e (' L
PROJECT DESCRIPTION /7 I Mt caperbi J /'e,- ,e3/441 I ��yl/-/=l "t4 ,.
Detailed description of work to ,5 /�yq,y f" ,O/t G&/ Q,y)/ e, � xfJ ./4/eVt-
.
be included on this permit only
N / PRIMARY PHONE
PROPERTY OWNER N � /CetitG(A y Li it[_
/ ING AY 'i,1/P LESS„7...t...15 ,/ �/ E�1 E-MAIL
CI CYIC.!/ , / /e../� /~ ST ZIP 876/
i-n A am 6 4 /lf(Mll�l/ Ti1G. PHONE
x/g/-� -la�Cv
MAILING ADDRESS E-MAIL
CONTRACTOR 2O/09 /1 " 49v kr
CITY
/�l (rf O.MI STATE i ZIP�b 7�-- F z -' 7- 33
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1.'OIK4 4JM ' /?3 ,"/C 2 / 2 i/3
NAME PHONE
VII 4-6
0 z-7 Aga
APPLICANT 2d/O ADDRESSMAILDth t//A 4 7 ' /e E-MAIL
9 /"7` /v ,,,,ILP�ottanseH Mect<.erste
/CI�T�Y STATE ZIP F
CJce lin/i//e. 104 98'077- 425-4760-6.933
PROJECT CONTACT NAME PHONE
(The individual to receive and ��%�l C� /i` `, `L
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME EI OWNER-FINANCED
Required value of$5,000 or more -1.71.�,,1 f� r /,` 'e' ete 1'41/, ./7/!&••
IRCW 19.27.0951 MAILING ADpRESS,CI'�'YiLATE,ZIP, log / _ /jivi�/e�zew• 4'2 /qg/H^244,
I certify under penalty of perjury that I am the property owneror 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 "ity as a part of t,' application.
411111111111111" --
SIGNATURE: _DATE .
PRINT NAME: V
Bulletin#100—January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
•
,6:. ....'. . .,,: .....MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ /27/"I/At (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.
1 AIR HANDLING UNITS FANS GAS PIPE OUTLIcIb OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerctaU
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS I REFRIGERATION SIL&fpip lo g
DUCTING GAS PIPING WOODSTOVES J
PLUMBING FIXTURE r,...:.. ''.
Indicate how many of each type of fixture'tb4 installed or relocated as s art of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(H mks) TOILETS WATER PIPING
DISHWASHERS RAINWATER EMS �i�• NALS OTHER(Describe)
DRAINS SHOWERSilk CUU 4 BREAKERS
DRINKING FOUNTAINS SINKS_. tchen/utlltty) WATER HEATERS(E)ectnc)
HOSE BIBBS SUMPS HING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
LU I� $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
i]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
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES oNLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
44 COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Additional Information
Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application