17-103077 Mechanical
cltyrFe l p wayFILE
Permit #:17-103077-00-ME
Commni umeet Dept
333255 8th e8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: THE RETREAT AT MAPLE HILL APARTMENTS UNIT 75
Project Address: 1901 SW 320TH ST Parcel Number: 132103 9101
Project Description: Installation of heat recovery ventilator
Owner Applicant Contractor
FAIRFIELD MAPLE HILL TONI BOWMANKLIEMANN BROTHERS KLIEMANN BROTHERS HTG&A/C INC
5510 MOREHOUSE DR UNIT 200 HTG&A/C INC (GENERAL)
SAN DIEGO CA 92121 4703 116TH ST E KLIEMBH02IBT(1/27/18)
USA TACOMA WA 98446 4703 116TH ST E
TACOMA WA 98446
Additional Permit Information
Mechanical Work Valuation? 3988 Is this an Online or O.T.C.application9 Yes
Mechanical Fixtures
Air Handling Units I Ducting 1
CONDITIONS:
Subject to field inspection with plans (attached)
PERMIT EXPIRES Sunday,24 December,2017
Permit Issued on Tuesday,June 27,2017
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
,Washington and the City of Federal Way.
Owner or agent. .__ _� I�`� /
Date: !
` THIS CARD IS TO REMAIN ON-SITE
CITY OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103077 00 Address: 1901 SW 320TH ST
Project: FAIRFIELD MAPLE HILL FEDERAL WAY WA 98023-5165
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) ® Gas Piping(4125) 111 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By- – —Z
\ Date(/
v--3G r7
ri Rough Electrical ❑ Final Electrical El Right of Way
Approved Approved Approved
By Date By Date ,By Date
RECEIVED - 0 -0 .
-7. 7-
Federal Way JUN 2 7 2017 PERMIT - -
SF MF C M
COMMUNI7YDEVELOPMENTSERVICES EL PL DE EN FP
33325 STM AVENUE SOUTH•PoorroF FEDE
FEDERAL WAY,WA 98 Tp / /
2538352607•,FAX253MUNrry DEVEL�PLI CATI O N
www.cituoffederaiwau.coin
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
f[ - + 3i
'' 1 ---
SITE ADDRESS 1 1 � L 1/V 3 �t SUITE/UNIT# �,�
ASSESSOR'S TAX/PARCEL# / 3 Q�- I i .2-3_ 91 V ) LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING , MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT ESCRIPTION (Provide detailed des ription of included on this ermit onl
-.. i I
_. 9')i'.;--ti4/1/14+I 0 X) 6-1-- H Eli9 Lc_OYLial 1/- ri-fi 1
PROJECT NAME(Name of Business or Owner Last Name) The'e / rc?).--� M/ t HILL
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER (
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
A.44)
CONTRACTOR C pppANY NAME APPLICANT NAM
��Y ,M n I S tym OFFICE PHONE
ul l �u �1 �.Smr� ( 3)
L.[ 0I G D 31_, 6 C ,STATE,ZIP 4 Q�4//j/e CELL PHONE - ��
C'1 R llL•/• FXPIRRA n N C DATE
T71[J FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
`? -9g - 161 1 7 -tip-0 L Ia-3/- / 7 ( ) -
CONTRACTOR'S REGIST TION NUMBER EXPIRATION DATE E-MAIL ADDRESS
R1-1 'I6 0 �l f3T % -027-/ g t nl rbc-ki r-, iJ/faeos.no)
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C5t—cs4e le_ ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0/�Agent
L 0 Other ( ) -
PROJECT �+'/�J _ PRIMARY PHONE
�,r�.�..��-� E-MAIL ADDRESS
CONTACT A („tom )c3O�, - 7 302.
LENDER NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRES CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL 3q,Q8
Value of Mechanical Work$ v (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certifiy 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. /j4 .,
ISIGNAT DATE L ! ` f
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
U NEW U ADDITION U ALTERATION U REPAIR U TENANT IMPROVEMENT
BUILDING SHELL ONLY? U YES U NO BASIC PLAN? U YES U NO
ZONING DESIGNATION CHANGE OF USE? U YES U NO
NEW ADDRESS REQUIRED? U YES U NO UP/SEPA/SU? U YES U NO
PLATTED LOT? U YES o NO DEMO PERMIT REQUIRED? U YES U NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application