17-103036 •
Mechanical
City
nityDe Federal Development Permit #:17-103036-00-ME
Community Development t.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: COVE EAST APARTMENTS-CABANA BUILDING
Project Address: 33030 1ST AVE S Parcel Number: 172104 9121
Project Description: Install and upgrade(3)mini split ductless and one energy recovery ventilator
Owner Applicant Contractor
K C HOUSING AUTHORITY WILLIAM DOMINGO AIR SYSTEMS ENGINEERING INC
600 ANDOVER PARK W 3602 S PINE ST (GENERAL)
TUKWILA WA 98188 TACOMA WA 98409 AIRSYE*229KN(2/1/18)
USA 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Mechanical Work Valuation? 20575 Is this an Online or O.T.C.application? Yes
Compressors/Heat Pumps 1
PERMIT EXPIRES Wednesday,20 December,2017
Permit Issued on Friday,June 23,2017
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
,I n Washington and the City of Federal Way.
Owner or agent: Date:
47 F .
THIS CARD IS TO REMAIN ON-SITE
CITY Of Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103036 00 Address: 33030 1ST AVE S
Project: K C HOUSING AUTHORITY FEDERAL WAY WA 98003-6363
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) Q Gas Piping(4125) W
0 Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date �;.By Date �_.B�j� —�. Date --(—p7 .
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
..,...._ .A. PERMIT APPLICATION
CITY Of
Federal Way PERMIT CENTERMLA IJ pv+Federal Way,WA 98003-6325
253-835-2607+F 0 tcenter(akityoffederalway.com
I - 10.30 3( _ M JUN 2 3 2017
PERMIT NUMBER-_ - - loMh ��` -YA 17
DEVELOPME
SITE ADDRESS SUITE/UNIT 8
',0/20 1ST AvE Sothrti rev wAte WA low?
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ Zo OC16 i 1 2 I v 4 _ q 1 2 t
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (,OVE $&Ji AFAizt-M&15 CAOAIJA ( 12,115)
I N S rk 11 A-n o N) / NPa-tz/s9 e or 3 KO Sp1 as Dii1cc Lss s /s q
PROJECT DESCRIPTION o06 e JERKY R etov vc�h i 1 lk
Detailed description of work to "` 1
be included on this permit only
NAME PRIMARY PHONE
le c/Wt-
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAMEPHONE
f7Y4f (S 6-kill-I- �je° i.J(c
253 -X72'.411.1g4
MAILING ADDRESS E-MAIL
CONTRACTOR 1&02 66, 106 ST 1/1(tIiGlp®Ase1. W9
CITY STATE ZIP FAX
--rh oil A' w,-' 61� 1,0 .mi3. 0331
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY■USDIESS LICENSE Y
A►RSY6A22P1Itt4 o2 / of Ig
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS EMAIL
9k & ^,nji_,--^ CITY STATE ZIP FAX
NAME
PROJECT CONTACT r9.4.i t 6 t -1l'Ii-400 n 13 1 . --i7-.Ill Y9
(The individual to receive and MAIL ING ADD/REESS 1 EMAIL
respond to all correspondence &oz %b O.PI IJ6 �� ozol e-Iz( A56-t.ui5
concerning this application) CITY , SZkr- OTE ZIP4e,4coi FAX
AS-
NAME , W
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 authorised 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 suppliM 'i -
d to the city as a part of this application. /,,
SIGNATURE: DATE ls'• 7 -17
PRINT NAME: Wii*vi ►TD Dowin
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application