16-105993 •
Mechanical
City Federal Way � ' LEPermit #•16-105993-00-ME
Communityy Development DeptA . •
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: HALLMARK MANOR
Project Address: 32300 1ST AVE S Parcel Number: 172104 9073
Project Description: Like for like replacement of a water source heat pump.***REVISED 1/13/17 TO INCLUDE
2ND WATER SOURCE HEAT PUMP***
Owner Applicant Contractor
HALLMARK CARE CENTER JESSICA BRUCEAIR SYSTEMS AIR SYSTEMS ENGINEERING INC
3001 KEITH ST NW ENGINEERING (GENERAL)
CLEVELAND,TN 37312 3602 S PINE ST AIRSYE*229KN(2/1/18)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Mechanical Work Valuation? 10000 Is this an Online or O.T.C.application? Yes
a� �n,�� ���"�*����'��; €� .����t� ��€!',�� ��� � t �; y <������ ;mJ,s� b�t� f< '�'��� ��c ✓� �an,F,E� �f'��`M��G E � �t
Compressors/Heat Pumps 1
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:
‘00*S1)
fivt4
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Mechanical
City of Federal Way Permit #:16-105993-00-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: HALLMARK MANOR
Project Address: 32300 1ST AVE S Parcel Number: 172104 9073
Project Description: Like for like replacement of a water source heat pump.
Owner Applicant Contractor
HALLMARK CARE CENTER AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC
3001 KEITH ST NW (GENERAL) (GENERAL)
CLEVELAND,TN 37312 3602 S PINE ST AIRSYE*229KN(2/1/18)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Mechanical Work Valuation? 10000 Is this an Online or O.T.C.application? Yes
p�h �'� .f� she . '� " �
� i � spm } m„
��� �d �, �`
Compressors/Heat Pumps 1
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: 1 4E1,
Date: ��
THIS CARD IS TO REMAIN ON-SITE
ow Fe Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105993 00 Address: 32300 1ST AVE S
Project: HALLMARK CARE CENTER FEDERAL WAY WA 98003-5762
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) ID Final-Mechanical(4065)
Approved Approved to release test Approved
By Date , By Date By i4R4 Date 3 1 t° `"1 •
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
4„,„,..._ ..A. REcir
PERMIIOAPPLICATION
CITY OF r a ` ?N PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Wax253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
Or Pi-rµ :
PERMIT NUMBER / 4 _ ` O / 9 3 -14 E.. TARGET DATE
SITE ADDRESS
0, ^ � 1G-1-
�6 G SUITE/UNIT#
Q
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
s 16 ) 600 j _ 0)-.m a y 7 O - - 3
TYPE OF PERMIT ❑BUILDING 0 PLUMBING IVIECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ` k ar)6 ( ` S op
Icdt
PROJECT DESCRIPTION
^LA biL,416r W ��
Detailed description of work to 11)4 SL: W Q V) .A p l�'1A Vw
be included on this permit only / i
NAME PRIMARY PHONE ... ...
PROPERTY OWNER MAILINGWal(vaft
ADDRESS E-MAIL
CITY STATE ZIP
NAMEtpri r 5�ek �Lr') (LY-FE
MAILING ADDRESS 1-) , P Loei /,� ( LCONTRACTORJl �V jI-
CITY T1 a � rA ZIP< 9 4,61 FAX
W �1U7\tlh�',S012f,�4 jfIC.7 ; / ^ ,/S/,X�pI�ION `� FEDERAL WAY BUSINESS LICENSE#
NAME jl `L-/ ��1[` LJ/� If/fir I 1l� �( PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY e
STATE ZIP ZIP FAX
NAME '-"(�� // /�. 1 J(J PRIMARY PHONE
PROJECT CONTACT /\J� �LJtt�-["/`/"fit. 11/ °�
(The individual to receive and MAILING ADDRESS E-�LC`J� " A Lae 0
respond to all correspondence
concerning this application) CITY STATE ZIP FAX cLGit, LOG
G
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 the city as a part of this application.
SIGNATURE: • i( I C5t1..i DATE l I3 _ ``
'.--V1 6
PRINT NAME: J2`' V L`SCJ` 0 1 LL0
e.
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL 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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS I OT. yes 'be)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) �•�, I
BOILERS FURNACES HOT WATER TANKS(Gas) Q
COMPRESSORS GAS LOG SETS REFRIGERATION SYST h /\Di P
DUCTING GAS 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
✓/Ar;'fes-74 YY "far . rf 2 / rlzsJ�fitrr
%1D P /
�%%, r/, • �/xi1', � `�
....._.__...._..........._.._.._._..........._.........._._..._.____. _..........__...____..._.__.__....._—__...._._.
,>~�.�/"^��,',��fr�fi��:rx',� ��,t�/��',f x"0%4z 10a......---...._....__..._. .........._.__......._.._....___.............._._..__._..._......_..._......__...._...._.._..................._
FIRST FLOOR(or Mobile Home)
/, / r/` fr x / , / /' I' * i F/,+"rt. ,ice d/f
✓ati" ® S'',o, S f�',%x1/`�x, ,,, f`` r �i." i. /, Yi d✓ .. ��f �' ` 'x"" / /
COVERED ENTRY
/ t,,'F/-"01tf
/ / /,'", ' r4°
GARAGE ❑ CARPORT ❑
// `r/ r ^ // ir- jri•%r!.y"..,'/j a� yam, 4,30W67,7,7)0!%fr // rr r ,,f f.__...._._...—....__......... ....__.........._._....... ._......._—..___......_.....__._ ._.
5 ,f ,ri' . �; ,��,�;,E"s ,3'Y'% ? rv;�-•ly /�
�,r A �,%, ��/^%' =. �� .:F� . -;1,446: jFxF.�� ��ffef'����r>�,'.._ ....�.............
EXISTING PROPOSED' TOTAL
Area Totals
s;^ � Y,f+s%/^ft`�l^"'`r ,«'d <✓, ) � ,�®) I�FP,.9J � '��•r.,�.'G.',f; rfr rA,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
S.uare Feet Type Stories
"),"? . y ff ,'/s x t V /fi r:'`" /" 4 x,, .4 x'%,
/
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTIONOccupancy Group(s) Additional Information
S uare Feet a Stories
TENANT AREA ONLY
,_ �
,t%s�` .fkag�.3^ ✓, d✓,x,'" ,"r^"moi .fc^�^
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application