17-103169 • Mechanical
City of Federal Way p * jj �J
Community Development Dept. 1 ermil. #:1 /-103169-00-ME
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33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 __...,
Project Name: C& C COMMUNICATION
Project Address: 33650 6TH AVE S Parcel Number: 926480 0210
Project Description: Installation of(1)new VAV box,ceiling diffusers and rebalance existing supply diffusers.
Owner Applicant Contractor
RIDGEWOOD CENTER CONNIE HARDINHOLADAY PARKS INC HOLADAY PARKS INC
33650 6TH AVE S 4600 S 134TH PL HOLADPI379NO(9/3/17)
FEDERAL WAY WA 98003 SEATTLE WA 98168
4600 S 134TH PL
•
SEATTLE WA 98168
Additional Permit information
Mechanical Work Valuation? 18000 Is this an Online or O.T.C.application? Yes
1, 9
Ducting 1
PERMIT EXPIRES Wednesday,27 December,2017
Permit Issued on Friday,June 30,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the oc• , y a •• the use will be i -ccordance with the laws, rules and regulations of the State of
►:'� Washi •ton and the City of Federal Way.
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Owner or agent: �� � Date:
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THIS CARD IS TO REMAIN ON-SITE ,
CITY OF
Construction Inspection Record
Federal Vvcy INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103169 00 Address: 33650 6TH AVE S Unit 106
Project: RIDGEWOOD CENTER FEDERAL WAY WA 98003
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 1 Approved to release test Approved
By A.p) Date -7/ ?'0/1 By Date By(\ Date g .4-v..-k
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date , By Date By Date
RECEIVED
JUN 302017
CITY OF
GiryoFFg.n, PERMIT APPLICATION
Federal Way�MMUN(r'°AO WAY
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(ucityoffederalway.com
PERMIT NUMBER 1 y'� _ 0 3 _J _ /L E,
/ — !! TARGET DATE
SITE ADDRESS �p SUITE/UNIT g
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M
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TYPE OF PERMIT 0 BUILDING 0 PLUMBING V<ECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT at C
PROJECT DESCRIPTION "�• I div Vi+'� � `yI d t' �jtl��.
Detailed description of work to t tL
be included on this permit only `4"`•`"` 4 S
NAME . PRIMARY�,� PHONE (�
PROPERTY OWNER y a'tC46•0—"' Cr—. 1tor ""O j `S
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NAME
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CONTRACTOR zZl'1rn\ lr�/ ei)A 4:thQtiplaktrad
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WA STATE CONTRACTOR'S LICENSE k EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
L.aNpI 7 l L)O 1 /3 /17
N PRIMARY PHONE
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APPLICANT a ADDRESS EMAIL
460D 134P..P e Z tvnlit.h D (�srom
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NAME PRIMARY PHONE
PROJECT CONTACTyy`,C A=
(The individual to receive and MAILING ADDRESS
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where IL clai sea out of the reliance of the city, including its officers and employees, upon the accuracy of the
information s a as gpart oft application.
SIGNATURE: > DATE Lip` � ' 7
PRINT NAME: Y‘01%
•fi g("el t o
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE of M$CHAmcm.WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include eting res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS 1 OTHER(Describe)_
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) VkV (DIC
BOILERS FURNACES HOT WATER TANKS(GO.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each• pe of fixtur•to be. tatted or,-lo..,ed as part of this project.Do n' inclu.,e e'sting fixtures to remain.
BATHTUBS)orlub/Shower ..bo) LAVS(H: d Sinks) T. :,,1 S WA 'IPING
DISHWASHERS RAINWA R SYS EMS 4 RINAL- . HER(Des..-be)
DRAINS SHOWER VACUUM c'E• :i RS
DRINKING FOUNTAINS SINKS(Kitchen .fluty) WATER HEATERS(Eiecbic)
MI
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(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑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 0 CARPORT 0
OTHER(describe)
Area Totals SEISMS PROPOSED TOTAL
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE$_. _ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area is Occupancy Group(s) Construction #of
Square Feet P P( ) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Construction #of
Square Feet Occupancy Group(s) Additional Information
Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
e.
Y"
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application