12-102333 • Mechanical
City of Federal Way
Community&Econ.Devv..Services Permit #: 12-102333-00-M E
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253)835-3050
Project Name: EVERGREEN EYE CENTER
Project Address: 34719 6TH AVE S Parcel Number: 202104 9178
Project Description: Replacement of existing RTU with slightly larger one.
Owner Applicant Contractor
JARSTAD FAMILY LLC JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
34719 6TH AVE S AIR SYSTEMS ENGINEERING (GENERAL)
FEDERAL WAY WA 98003 3602 S PINE ST AIRSYE*229KN(2/1/14)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit information
Mechanical Valuation 14408 Is this an Online or O.T.C.application? No
Mechanical Fixtures
Roof Top Units 1
PERMIT EXPIRES Saturday, December 8, 2012
Permit Issued on Monday, June 11, 2012
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
nd the City of Federal Way. 1 , I f i
Owner or agent: Date: v2 { ` — ` p�.
THIS CARD IS TO F,MAIN ON-SITE
CITY OF I •
Federal Wa Construction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102333-00-ME Address: 34719 6TH AVE S
Project: JARSTAD FAMILY LLC FEDERAL WAY, WA 98003-8714
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) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Off_ Date 1.1",, _1��
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF 0 PERMIT
Federal Way r MF CO • PL DE EN FP
k. COMMUNITYDEVEIAPMENT SERF S U B PPLI CATI O N 6A20,111/
253-835-2607•FAX 253-835-2609
www.cityotjederalway.com
MAY 2 5 2012
SITE ADDRESS CITY QF F`EDEE WAY SUITE/UNIT#
41 I qb�'' &tits ,j .
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ I14jLV O2 a, I � � —
q 1
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING X.MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
�g (? 6 ��,�.,,,�x ,k(
(Tenant Name/Homeowner Last Name) _
PROJECT DESCRIPTION Qr i�� ``LL�g r/�( 1 o64 o,( ,M�� 1 f W)n
Detailed description of work to V) 1� Ili+ 1 C Lj'0 1
be included on this permit only NPRIMARY
HONE
AME--
PROPERTY OWNER Vq 1e4 JG ` - " _ rS ?5 Pgf � ''t)-----(91-1'b
MAILING ADDRESS PO (/ t,./ 19...6
50 E-MAIL
CITY• 020
4..1 ZIP q V
NAME/ 6 1,j6 1(6 ur) co 9 5 -5*7, -1 CJ q-
MAILING ADDRESS ,�') (�, E-
CONTRACTOR
CONTRACTOR UMI /JA�I it 10
CITY `��y j ,�j�a 1 ° K.i , T mei 1 )c C�6 g^ t., '(.9a
V=.� 1
F I k•J CLQ C'�,O t'S,.I NS4 , ,_ t.BI`CPIRATI
III •
r .. `..: ..,,b'n/ ,.15:',',,P.%',,,,_"A / l il � 1,2 ' ; va✓ 'S -.00W .M
VALUE OF MECHANICAL WORK $ I g) al-°1 _ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not includeting fixtures to remain
AIR HANDLING UNITS FANS I GAS PIPE OUTLETS I OTHE• Describe 1
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) ,�,y�—��—�����q�tt��yy
BOILERS FURNACES HOT WATER TANKS(Gas) H�13��'l�1/J/I
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture r;-13;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 FIXTURE ,
la , �..� 3 Vi s, r r 3 ,, 3 �... ,� \ _ .:y a J:432-ti:-ILA( U ''4*, g ,'
, FP?•.. '.4,h a ,'ir,. G... i.� �s. �. �,.,„ ;. ".s.,3. ,m,•:k„_ .' � ,;t. ,. . „'„ `:33.k:. .3...r .,?"::,, "., ,,:?r,
CRITICAL AREAS ON PROPERTY? ' WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
)13 fi1IG $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
(T" o � a-)
( 40 ,Yes ❑ No ❑Yes ❑ NoD
j/ ' Ve�,' "4/ ce. l re ,m" ` gt i .
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE -
} ,41\ \ 5
FIRST FLOOR(or Mobile Home)
COVERED EN''Y
ir
... %. L„ ,,4. ` ,.::. \,3 ••.il� .. ,.,.;.F_,. i,1 3,. %y> ,z1.,`, T ., ;'..ai c ..... .... ............... ............. ..._................................................... .........._........... ........_
GARA ❑ CARPORT ❑
�:_• =..a..� > .I. .,�,_�1��\,.
` .. ''''''';';'' ':q4',f i . �„1,l„ ��jj//>=>�'> .3a� :r, h., 1 ..=rte ...._..................
EXISTING PROPOSED TOTAL
Area Itry
, Wx" s; , ,' / 1a�1116,,.,� 1e0)1 7�„ fET .�yc, sise.4E; 2,.
\
ESTIMATED SE�LLING PRICE$ p #OF BEDROOMS y
1141,1}11016 j-RA
15 Ili VarZWitIggle%1U:1 ;; ',4r.4-Nit,„ 21.4,11
AREA DESCRIPTIONLEMN Occupancy Group(s) Construction St es Additional Information
1
i 3:.. \ ( ,1, :: i :d/' „ ter/� e' l ,3'. :, \`\ r 3. a /_
my„y,, a, <, ;�.: t...rr• E.,,3-' ;_•_� � ;
ADDITION
AREA DESCRIPTIONIMRE' Occupancy Group(s) Construction #of Additional Information
;' ��� z .. /�
_ to 3
73, ITENANT AREA ONLY �_M�
3
2 h
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application