17-102702 r
Mechanical
City
nityDe Federal Development
Permit #:17-102702-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: FEDELTA HOME CARE
Project Address: 505 S 336TH ST Parcel Number:926480 0270
Project Description: Relocate(4)supply air diffusers,install(1)new supply air diffuser and(2)return air grills.
Owner Applicant Contractor
RH FOUNTAIN PLAZA ASSOC LLC PAUL JOSEPHPERFECT CLIMATE INC PERFECT CLIMATE INC(GENERAL)
PO BOX 5003 4426 221ST PL NE PERFECI022D53/12/18
BELLEVUE WA 98009 REDMOND WA 98053 PERFECI022D5(
)
4426 221ST PL NE
REDMOND WA 98053
Additional Permit Information
Mechanical Work Valuation? 2500 Is this an Online or O.T.C.application? Yes
Ducting 3
PERMIT EXPIRES Sunday,3 December,2017
Permit Issued on Tuesday,June 6,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupanc d the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: 73.----- Date: ‘1/4// 7
immilimmoim
THIS CARD IS TO REMAIN ON-SITE
��► Construction Inspection Record
Ftral Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102702 00 Address: 505 S 336TH ST Unit 100
Project: RH FOUNTAIN PLAZA ASSOC LLC 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) El Final-Mechanical(4065)
Approved Approved to release test Approved
By ilij Date (P)--r))I By Date .,By he Date (01911/111
Rough Electrical ❑ Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
A RECEIVED
GITYOF ! PERMIT APPLICATION
JUN O 6 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.corn
CITY OF COMMUNITY DD�o p.WAY r
PERMIT NUMBER l '1 _ I C� 2 0 M / f
Co / ( -7
TARGET DATE /
— —
SITE ADDRESS SUITE/UNIT#
Svc" S. 334 r\ Sr I iripO
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$
2-Cb 0 , w I c
2- I/ e_ a_ - C.) z Z U
TYPE OF PERMIT D BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT F POLI-7----1-Th \ AA,P CP s „
PROJECT DESCRIPTION iZX'�� y �A DI t,51=17 5
Detailed description of work to Tro$1\q k‘ 1 lU e u S/h D 1 k S c C 4 2 - T 'rrV 14\r (j2 i 1) S
be included on this permit only 7
NAME PRIMARY PHONE _
'`os ?f'09PROPERTY OWNER
MAILING ADDRESS E-MAIL j)INS 1.1 L 6t'
1 ea) i12-1"' I Ui= 0‘.)L 11-05 �- er\"1 ES, Cam
CITY STATE ZIP
NAME PHONE
1PF-12- ZL (-J ,':v,/9-T[_ » ZZs- 2-60-654;3
MAILING ADDRESS E-MAIL'
CONTRACTOR y 1 Z 6 721 S'_ PL 1U/- FpC L,Ma 1L6) .61)L.i'L• v.
CITY STATE ZIP
AX
12-c-0rnvA„✓) („A 9 v S3
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
7 vi'-'r' /i2 / I ? 2uly-Iu3Giti- -EL
NAME L PRIMARY PHONE
7Ect G Lit n— % n-[ 5D Se-0V I-12 t'- 2 6 ir-6 i S$-
APPLICANT-
11421
MAILINGADDRESS2.2-19- 2 r� E-MAIL
%4 Z 1 - ('.A �L• M.0.. 1-. L'.'ti
CITY STATE ZIP AX
1?.i� L.4 fbc$)
NAME PRIMARY PHONE
PROJECT CONTACT 1 37,z L ZS_1-6(...)-- 4 5 CS-
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence tl(4 7 to 22 i 5' Q r
concerning this application) CITY 1`� / STATE ZIP FAX
(AA- '405)
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 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 city as a part of this application.
SIGNATURE: /J i-- DATE G- 1
PRINT NAME: (-)14-iA L_ bS' \t-
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ Z51,0• -
Indicate how many of each type offu"lure to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANSGAS PIPE OUTLETS OTHER(Describe),
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
3 DUCTINGGAS 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(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
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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ERISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION OccupancyAdditional Information
Souare Feet Group(s) Type Stories
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COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area m Construction #of Additional Information
AREA DESCRIPTION Occupancy Group(s)
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application