16-105645 Mechanical
City of Federal Way Permit #:16-105V45-400-ME
Community Development Dept.
333yin Ave s
Way,Way,WA 98003 p I ns ection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: WILLAMETTE COURT APARTMENTS
Project Address: 31580 23RD AVE S Parcel Number: 092104 9123
Project Description: Removal of existing boiler and replacement with(2)new PVI conquest hot water tanks.
Owner Applicant Contractor
WILLAMETTE COURT APARTMENTS TERESE ANDERSONHERMANSON HERMANSON COMPANY LLP
201 27TH AVE SE SUITE 300 COMPANY (GENERAL)
PUYALLUP WA 98374-1135 1221 2ND AVE N HERMACL005BJ(8/25/16)
KENT WA 98032 1221 2ND AVE N
KENT WA 98032
Additional Permit Information
Mechanical Work Valuations 20686 Is this an Online or 0.T.C.application? No
Hot Water Tanks 2
PERMIT EXPIRES Sunday, 18 June,2017
Permit Issued on Tuesday,December 20,2016
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: Date:
i,7_-IzD1
1/4Fp
THIS CARD IS TO REMAIN ON-SITE
Federal iltfa Construction Inspection Record ` • .
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105645 00 Address: 31580 23RD AVE S
Project: WILLAMETTE COURT APARTMET FEDERAL WAY WA 98003-5538
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 Rou h-in 4165 +,
g ( ) ElGas Piping(4125} ® Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date 0♦By Date •.� ✓r� Date ,,,0'-- ( G—'
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
IA'...-"" 411 41(0 - / 0 3---& ti _5•
t ? WY Federal Way PERMIT SF MF CO a PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES Ap P LI CATI O*EC EIVE
D
253-835-2607•FAX 253-835-2609
www.ettuottederalway.com
NOV 2 9 2016
SITE ADDRESS CITY[TTvOF FEDERAL WA iSUITE/UNIT#
31580 23rd Ave S Federal way, WA 98003 CDS
PRZilECT VALUATIQPL ZONING ASSESSOR'S TAX/PARCEL#
I 0 9 2 1 0 4 _ 9 1 2 3
20686 r .. , - - - -
TYPE OF PERMIT ❑ BUILDING ElPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Willamette Court HWT Retrofit
(Tenant Name/Homeowner Last Name)
Removal of existing boiler and replacement with two new PVI conquest hot water tanks
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Independent Living 2532315025
Independent Living MAILING ADDRESS E-MAIL
201 27th Ave Se
CITY STATE ZIP
Puyallup wa 98374
NAME PHONE
Terese Anderson 2062007804
MAILING ADDRESS E-MAIL
CONTRACTOR 1221 2nd Ave N tanderson@hermanson.com
CITY STATE ZIP FAX
Hermanson Kent WA 98032
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DAT!
FEDERAL WAY BUSINESS LICENSE#
hermacl005bj 0 8 2 6 7 20-00-101999-00 BL
NAME PHONE
Terese Anderson 2062007804
APPLICANT MAILING ADDRESS E-MAIL
1221 2nd Ave N tanderson@hermanson.com
CITY STATE ZIP FAX
Kent WA 98032
PROJECT CONTACT NAME PHONE
Terese Anderson 2062007804
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 1221 2nd Ave N tanderson@hermanson.com
CITY STATE ZIP FAX
Kent WA 98032
ALTERNATE CONTACT NAME: PHONE E-MAIL
Zach Cole 2064029639 zcole@hermanson.com
PROJECT FINANCING NAME
ER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS•CITY,STATE,ZIP PHONE
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 the city as a part of this application.
SIGNATURE: qt. DATE 11/29/2016
PRINT NAME: Terese Anderson
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
r • •
r
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES 2 HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
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?
E Yes ri No E Yes E 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)
................................................................................................................................................................................................
Area Totals EXISTING PROPOSED TOTAL
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL NEW/ADDITION
AREA DESCRIPTION
AreaConstructionGroup(s) Construction #of Additional Information
in Square Feet 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-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application