16-100138 CITY UP ' PERMIT PPLICATION
Federal Way RECEIVED
PERMIT NUMBER
I (p _ I 0 0 138 _ NI e JAN 122016
— TARGET DATE ((TIN'or DERAL WAY
SITE ADDRESS SUITE/UNcP
[3i7 S 3Y1 PL. -# G g ?
PROJECT VALUATION ZONING ASSESSOR'S T4O3O
ARC # —
$ 5e) I`j�—JSJ 0 0
2 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Pr-MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT KITS ` _ } J CJ ITS
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PROJECT DESCRIPTION
Detailed description of work to .5 $ ' I DC 41.-T1 ,D el VA t 'L,f L, t-e cLi I-e-f' €'`g
be included on this permit only I/
/ ili 4Zr j liC # q
NAME RIMAR PHONE
PROPERTY OWNER f -.it ei b Gt.�,S.6-1•-k, (If3�J Qi 8 &-52.1
MAILING DRESS E-MAIL
7 3 8 7 1 0 AA.° N t,.' Id,QWSc.,A b cry) es
CITY STATE ZIP
NAME HONE
,...5'c i4 ' A ( t' e -A)C-- mac, 77?-6403
MAILING ADDRESS_ p �{ L
`-[ Q ��PL<�'l�1 id — U L -Ae; Sta `C(,f't r -M
CONTRACTOR
CITY STATE ZIP q� FAX
WA STATE CONTRACTOR'S LICENSE# E IRATION DATE EDERAL WAY BUSINESS LICENSE#
S.CAA-LiZr (2Otgi-c. / 24, / Ii- Zo - 06- /0 i :3)y 04-0L
NAME ../..... RIMARY PHONE
'e Andrlft?6- 2,,,,j6) 779 -(v/c- 6
APPLICANT MAILING ADDRESS MAIL
390 UP 10L4d .6A-- 0oveGI.QSf'a Qrre cti-4-1.
CITY77-‘)
�/�,' r , ,r STATE
` ZIP�J ('� FAX
1 vk wi L.J� w/ ( 3 lac
c.,,,
PHONE
,
PROJECT CONTACT 1Pi i c A-N 6c i n,,j c,,
(The individual to receive and MAILING ADDRESS zJ E-MAIL
respond to all correspondence -S a✓"ti Jt. Ai /4 12,v u`-'••--.t
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.22095)
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.
/
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SIGNATURE:PRINT �'""1 a .4....-1 G / I r DATE I " / L ^ lL
NAME: , ' 4 a 6-(- C ✓1`
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• I .411,
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ / -,.S&G
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 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?
❑Yes ❑ No ❑Yes ❑ 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)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Occupancy Group(s) Construction #of Additional Information
AREA DESCRIPTION in Square Feet p Y P( ) Type Stories
NEER'BUILI)IN
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
OccupancyAreaGroup(s) Construction # of
Additional Information
AREA DESCRIPTION in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
t s S
fV Mechanical
City ity&Econ
al Dev.ay Permit 16-100138-00-M E
Community&Econ.Dev.Services #:
3338th Ave S
W I 'E
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KITTS CORNER
Project Address: 1707 S 341ST PL Parcel Number: 390380 0020
Project Description: REP-Remove(2)existing rooftop units and replace with smaller units in size and weight.
Owner Applicant Contractor
NORMA S DAWSON SEA-AIRE INC SEA-AIRE INC
GARY L DAWSON 340 UPLAND DR SEAAII*206JQ(4/26/16)
17087 10TH AVE NW TUKWILA WA 98'188 340 UPLAND DR
SEATTLE WA 98177 TUKWILA WA 98188
Additional Permit Information
Mechanical Work Valuation? 12500.00 Is this an Online or O.T.C.application? Yes
- Mechanical Fixtures
Air Handling Units. 2
PERMIT EXPIRES Sunday, July 10, 2016
Permit Issued on Tuesday, January 12, 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: hcAAJ,e_ ��' 'c� Date: I — I Z '( (,
420,,k THIS CARD IS TO REMAIN ON-SITE
Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-100138-00-ME Address: 1707 S 341ST PL
Project: NORMA S DAWSON FEDERAL WAY, WA 98003-6867
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 By , 9 J, Date Al o,L„,t,
El Rough Electrical Final Electrical CilRight of Way
Approved Approved Approved
By Date By Date By Date