17-104926 , 7t
a
Mechanical
City of Federal Way Permit #:17-104926-00-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: DR JULIA FREDERICKS
Project Address: 33516 9TH AVE S Parcel Number:926925 0060
Project Description: Move(11)ducts runs,replace all(11)grilles,move(1)t-stat and wire and install(4)bathroom
fans.
Owner Applicant Contractor
JULIA FREDERICKSDR JULIA FREDERICKS PATRICK CONVERSEALL STAR HEATING ALL STAR HEATING&A/C INC
PLLC &A/C INC (GENERAL)
34617 11TH PL S UNIT 102 PO BOX 70 ALLSTHA044JK(4/12/19)
FEDERAL WAY WA 98003 FALL CITY WA 98024 PO BOX 70
FALL CITY WA 98024-0070
Additional Permit Information
Mechanical Work Valuation9 4750 Is this an Online or O.T.C.application? Yes
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Ducting 1 Fans 4
PERMIT EXPIRES Tuesday, 10 April,2018
Permit Issued on Thursday, October 12,2017
I hereby certify that the above nfo, - is correct and that the construction on the above described property
and the occupancy and the tJ a will b in accordance with the laws, rules and regulations of the State of
Wash' gton and the City of Federal Way.
Owner or agent: Date: i /
1 \-
TATE INSPECTOR AREA AND TYPE OF INSPECTION 3 a
I l `r t ,��s l47, cvv�r`
THIS CARD IS TO REMAIN ON-SITE
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CITY OF a
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104926 00 Address: 33516 9TH AVE S Bldg 6
Project: JULIA FREDERICKS FEDERAL WAY WA 98003-6322
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.
t❑ Mechanical Rough-in(4165) ® Gas Piping(4125) 0 Final-Mechanical(4065)
> Approved Approved to release test Approved
By Date By Date 1/5 --E:). Date q 2 ( c
El Rough Electrical El Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
lY° 1 OCT 12 2017 PERMIT APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 +permitcentendcir,offederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ I UELt --e, �p _ G 0
- TARGET DATE
SITE ADDRESS SUITE/UNIT#
33 8 ) c S o ti\i��
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ SC3 e c) _ 0 o
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING><MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Dp rR E 71 E R J LL<
11 PROJECT DESCRIPTION
i 1 Do t l is, Pe c ,�
Detailed description of work to Ill)v " 15T I i�iiJ $ -
be included on this permit only i y oo h fit
3
NAME
3'+r � PRIMARY PHONE
k L
PROPERTY OWNER SLI i a. E-MAIL
✓✓� 1 c � A 11
CIT` STATE ZIP
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- :.
......._ NAME if t - -_-_ PHONE _ ..
Via) ' l.s —a#`
MAILING ADDRESS 111 J E-MAIL
-,.
CONTRACTOR
CITY STATE ZIP FAX
Fi;iii t
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
. //7 30-/5-la3919 -00-0C
NAME PRIMARY PHONE
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APPLICANT MNG ADDRESS L
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zi
Cum
hL) STATE
--- IP FAX
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-_
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--_ LIME Ii j94J' - ---- PRIMARY PHONE
PROJECT CONTACT f i `y i CD r5
(The individual to receive and �G LXS �y� E-MAIL
respond to all correspondence /'� V
concerning this application) CITY i) C��� STATE MP
Uo FAX
yt
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), w ma e made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a pa f is application.
c24
SIGNATURE: / DATE / i
PRINT NAME: 111P l de AL l c iU J C O,s,
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MIEc'H:ANICAL PERMIT $ ( 7 13
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/Utiury) 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 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application