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16-104596 Mechanical City of ay Community&Econ.ral Dev.Services Permit #: 'I6-104596-00-ME 33325 8th Ave S Federal way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: HUMANA Project Address: 321252ND.AVE S Unit 250.. Parcel Number: 215465 0050 Project Description: Replace split system. • Owner Applicant Contractor HUMANA JOHNSON CONTROLS INC JOHNSON CONTROLS INC 32125 32ND AVE S SUITE 250 22745 29TH DR SE JOHNSC*2720S(10/27/16) FEDERAL WAY WA 98001 BOTHELL WA 98021 22745 29TH DR SE BOTHELL WA 98021 Additional Permit Information Mechanical Work Valuation 10174 Is this an Online or O.T.C.application Yes Mechanical Fixtures Compressors/Heat Pumps 1 PERMIT EXPIRES Tuesday, March 14, 2017 Permit Issued on Thursday, September 15, 2016 I hereby certify that the above i rmation is correct and •- the construction on the above described property and the occupancy and the use I e i acco -nce the la s, rules and regulations of the State if Was.'ngton and AIR • -deral Way. Owner or agent: Date: /s- /6. FjA/ q�F - THIS CARD IS TO ' • IN ON-SITE CITY OF 401. Federal WayConstruction In . .ction Record INSPECTION REQ TS: (253)835-3050 PERMIT#: 16-104596-00-ME Address: 32125 32ND AVE S Unit 250 Project: HUMANA 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. 0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date . .$moi Dat -?,6,-4 1 0 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Reale CITY OF ��oPERMI'1OAPPLICATION 5 PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325 Federal Way SEP 1 2016 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com CITY OF FEDERAL WA7 5Y / - PERMIT NUMBER — 9 c 9/Z/ 76 _'(�CT _ �_ TARGET DATE SITE ADDRESS � � SUITE/UNIT# 3 Ia.c 3a.�6 i/ / PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ /2 J'7 _ TYPE OF PERMIT 0 BUILDING 0 PLUMBINGECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT /11/114/4'444 D�.S i� .9Ca-7-2-7 7'J7 PROJECT DESCRIPTION c F/E ,/o ,,/���� )-----,4f/e---,4-.1 ./.. 7-4,,t,// Detailed description of work to ZZ?C T r,�6� /44-797" ' SGC P17 0 be included on this permit only NAME / PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP PHONE Nom/©,s�ti/CO / �'Arreoe--gv ,6-634-‘79c3 MAILING ADDRESS E-MAIL CONTRACTOR (92d- 745 .1-9 �-1--/0,--- d rprr. ea.),/,-2?,-7-Rjei,cori f.I e7:ri - -2 STAT ZIy�Or� FAx �- /g-CG>ISS WAWASTATE CONTRACTOR'S LICENSE# C�EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE it `JCJ/W14567oZ 7;20 6 / / N ^ PRIMARY PHONE /t ` — APPLICANT MAILING ADD ,S,S d- - 7 j��� E-MAIL �'�--�--'^"" ✓✓ STAT 7.5,1 ��i FAX NAME /(Y��j•' PRIMARY PHONE PROJECT CONTACT ,!C /l 1 ,V L = / 5- —'f`(6 --5?-44, (The individual to receive and MAILING ADDRESSr� E-MAIL respond to all correspondence 2 f � '1—' P2 I/lL•L/1/fre/N2Eyje i co concerning this application) STAT Z FAX NAME ,�/ PROJECT FINANCING k� 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), zch ma be made by any person,including the undersigned,and filed against the city, but only where such cla' arises o. . • - reliance f the city, including its officers and employees, upon the accuracy of the information suppliedt c'ty as • part o, this applic on. ,' SIGNATURE: !" DATE �5/ 4� PRINT NAME: f�/�iyl JC ' � 1.4..-- DATE , Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application MECHANICAL PERMIT VALUE OF MECHANICAL WORK Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include exist](g fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS �/ OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) �U C7 !� BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST 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? CI Yes No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE r 1 " rir'r!�' f ,rrrj,14 ,,ri/, r `"! i ," :r rig �',.F FIRST FLOOR(or Mobile Home) r.W1- #4%* Y 1 ' > . - r/ ," f 'v,,,/„4,0/.//,, , ........__......._...............___..............................................._....._........_. ___.....__................ __........._..._...... � _.. '.,4/4 &'�� urs�a COVERED ENTRY ,•7740,44.- f; .,+ .. r/ 4. �.�'Fr,'�s f`''r "r%%v'.'%r;'` rrr..t,-- -._...__.__.......................:.....:.........._............_......................_.......................---.._._......--—........-- GARAGE ❑ CARPORT• ❑ j � � 'ices _.._.__....._.....__....._.._.........._. EXISTING PROPOSED TOTAL .....__........._............._...__..._..............._...__.._._......._........_....._.._.___._..___....................................._.. Area Totals ruff . ® � : f ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION Occupancy Group(s) Construction #of Additional Information AREA DESCRIPTION Area in S.uare Feeta Stories it �., ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS Area in Construction #of AREA DESCRIPTION Occupancy Group(s) Additional Information 3 uare Feeti.e Stories TENANT AREA ONLY / Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application