14-102587 • r Mechanical
City FederalWay
Communiy&Econ.DevServices Permit #: 14-102587=00-ME
33325 8th Ave S -
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: EMERITAS SENIOR LIVING
Project Address: 31002 14TH AVE S Parcel Number: 082104 9088
Project Description: Replace gas to gas water heater
Owner Applicant Contractor
EMERITOL EVERGREEN LODGE L WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
3131 ELLIOTT AVE (GENERAL) (GENERAL)
SEATTLE WA 98121 2800 THORNDYKE AVE W WASHIES971OB(9/2/15)
SEATTLE WA 98199 2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit information
Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Wednesday, December 24, 2014
Permit Issued on Friday, June 27, 2014
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
a the City of Federal Way. �/
Owner or agen ,�%' Date: r✓ /liv,� (27,,2(,Y
iiimeift_i4lk THIS CARD IS TO AIN ON-SITE
Federal Wa a • Construction In ction Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 14-102587-00-ME Address: 31002 14TH AVE S
Project: EMERITOL EVERGREEN LODGE L FEDERAL WAY, WA 98003-4712
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) 0 Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date • .B�;� -"g Date/.07//7
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date / By Date
To Page 2 of 4 / 2014-06-04 21:02:32 (GMT) 18884000383 From: Deborah Shields
0 •
r CITY OF4 WayPERMIT APPLICATION
Federal RECEIVED
�
J j��'( - JUN 012014 ?
PERMIT NUMBER
14- _ ` 0 (� )617
_ t. "
i '
- -
_ TARGET DATE
SITE ADDRESS SUITEMIS k
31002 14TH AVE S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 8500.00 0821049088 _
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING e MECHANICAL ❑ DEMOLITION ❑ ENOINEERING ❑ FIRE PREVENTION
NAME OF PROJECT EMERITUS PROPERTIES INC
REPLACE GAS TO GAS WATER HEATER
PROJECT DESCRIPTION
Detailed description or work to
be inclzeded on this permit anti)
NAME PRIMARY PHONE
PROPERTY OWNER EMERITUS PROPERTIES INC 253-941-0156
MAILING ADDRESS E-MAIL
31002 14TH AVE S
CITY STATE ZIP 98003
FEDERAL WAY WA
NAME PHONE
WESCO 800-398-4663
MAILING ADDRESS E-MAIL
CONTRACTOR 3909 196th St SW
CITY STATE ZIP FAX
Lynnwood WA 98036
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE P
WASHIES971 OB 09 02 2015 2003104234BL
NAME PRIMARY PHONE
SAME AS CONTRACTOR
APPLICANT MAILING ADDRESS EMAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT JENNIFER COVELLO/NORTHWEST PERMIT 2067749499
(Thee eILCtEL2d al LO 7 CC 2UE and MAILING ADDRESS E-MAIL
respond±o all correspondence 1345 GULF RD JENNIFER@NWPERMIT.COM
concerning." this application) CITY STATE ZIP FAX
PT ROBERTS WA 98281 888-400-0383
,. _.
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
Required vallie of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
/RC11119.27 )9c)
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 info,,nation 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:
Jennifer Covello 06/04/2014
'" DATE
PRINT NAME: Jennifer Covello
Bulletin#100—January 1. 2013 Page 1 of 3 k:AHandouts\Permit Application
To Page 3 of 4 2014-06-04 21:02:32 (GMT) 18884000383 From: Deborah Shields
! r
VALUE OF--IMECHANCAL VV'ORK
......... ........
MECHANICAL PERMIT $ 8500.00
Jadicate how many of each type of fix-ture 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 iNS-,RTS j�'
BOILERS FURNACES 11 f 1 HOT W „
WATER TANKS;, <i
COMPRESS(-./PS G
RS AS LOG SETS 0� REFRIGERATION SIFT
KU-'TING GAS PIPING w000siUVES
DI-1 :/0,1). I..)k 1,
PLUMBING PERMIT
Indicate how many of each type of Iu-ture to be installed or relocated as part of this project. Do 1(01 include existirtq fixtures to remain.
BATHTUBS �,-o,iea - „r_�� LAYS TOILETS \VATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM SHEARERS
DRINKING FOTUNTAINS SINKS WATER HEATERS
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INF()RfVIATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Squste Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
p Yes D No Yen No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
ASEMENT '
FIRST FLOOR (or Mobile Home)
SECOtND FLOOR
COVERED ENTRY
GARAGE ❑ CARPORT ❑
CY1 EIE1 :(cleserz$e ,
•, EXISTING PROPOSEDTOTS
...
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW$itI3,3'ii1�[�
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetTyee Stories
TOTAL 13trILD7Nc3
TENANT AREA ONLY
3i1tt1 fzo AREA.ONLY
BulleLiu#100—January 1. 2013 Page 2 of 3 k:AHandouts\Pernul APplicalion