11-101544 a ti
f
t Mechanical
City of Federal Way
CommunityPO.Development Services
Permit #: 11-101544-00-ME
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: KING COUNTY HEAL H C
Project Address: 33431 13TH PL S Parcel Number: 768190 0070
Project Description: Install A/C and condensing unit,cabinet heater,grilles,diffusers and registers
Owner Applicant Contractor
KING COUNTY MECHANICAL&CONTROL SERVICES MECHANICAL&CONTROL SERVICES
500 4TH AVE (GENERAL) (GENERAL)
SEATTLE WA 98104-2337 301 PORTER WAY SUITE A MECHACS962BT(02/26/12)
MILTON WA 98359 301 PORTER WAY SUITE A
MILTON WA 98359
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Mechanical Valuation 63564.00 Is this an Online or O.T.C.application" No
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Air Conditioners-Stand Alone Un 1 Ducting 39
PERMIT EXPIRES Wednesday, January 18, 2012
Permit Issued on Friday, July 22, 2011
I hereby certify that the above information is corre and that theconstructionon the above described property and
the occupancy and the use will be in accorda •- with the laws, rules and regulations of the State of Washington
Allr'd ttfe City of Federal Way.
Owner ora etti A "Y Date: 7c) / '<."u//
IN b /V-I/Il
t ,
THIS CARD IS TO "MAIN ON-SITE
CITY OFII) Construction In - ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-101544-00-ME Address: 33431 13TH PL S
Project: KING COUNTY FEDERAL WAY, WA 98003-6357
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) ❑ Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test G Approved
By Date By Date By ', [�.. Date 41-11,—/7
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• 5—44--
• �,rroF .� l EIV ERMIT
Federa
ilk; CO 4CIP PL DE EN FP
COMMUNITY DEVELOPMENT SERVI r R 2 2 ,,�„APPLICATION i
253www.607•FAX 2waq.co-260 I� ' 51707i/
www.cityoffederalwa4.com � /
SITE ADDREB6+ 0 1 O F FEDERAL WAY SUITE/UNIT(#/
33431 13th Place So CDgederal Way,WA. 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$63,564.00 76819000070
TYPE OF PERMIT 0 BUILDING 0 PLUMBING >(MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT King County Health Center
(Tenant Name/Homeowner Last Name)
Furnish and install Air Conditioner and Condensing unit, Furnish &install cabinet heater
PROJECT DESCRIPTION Furnish&install Grilles, Diffusers and Registers
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER King County 206 296-0648
MAILING ADDRESS E-MAIL
320 King County Administration Bldg
CITY STATE ZIP
Seattle WA 98104
NAME ,,,. '-��-w,... PHONE
nr
ency NW Contra , 425 883-1301
MAILING •� - '4. E-MAIL
15600 NE 8th
CONTRACTOR
CITY �,,, STATE ZIP FAX
Bellevue W A�� 9_8008 425 8
74
WA STAT O CENSE# _EXP•_IRA'-'l'ION DATE EDERAL WAY BUSINESS LICENSE#
NAME PHONE
Mechanical and Control Services Inc. 253 926-9777
APPLICAN MAILING ADDR E-MAIL
301 Porter Wa tedh(ggroupmcs.com
CITY STATE ZIP FAX
-- Milton WA 98354 253 926-9222
PROJECT CONTACT NAME PHONE
(The individual to receive and Ted Hunt 253 926-9777
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 301 Porter Way tedh(a�groupmcs.com
CITY STATE ZIP FAX
Milton WA 98354 253 926-9222
ALTERNATE CONTACT NAME: PHONE E-MAI
Travis Hull 253 926-9777 travishi groupmcs.comL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 r ance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part oft a•• ation.
SIGNATURE: DATE c2
PRINT NAME: --~ LL.` ■
Bullcliit X100—Jauuaty 1,2011 Pagc 1 0f 3 k.\IIau91uuts\Pvintit Appli9,aliuu
T
ID
X ✓a,✓v3 l� s✓
VALUE OF MECHANICAL WORK $ (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 include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS C'(( OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)commercial) •
BOILERS FURNACES HOT WATER TANKS)Gas) y>>'` -e-1
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
t a ,r .y r �ArA;"' t q, ?r � k. ,.' F } � P � �°�, 'S ✓��ps�'tr x`� +�„x-x2¢sX+ `,�` y, � * '•
,:v S`' �" 5$ 'h"' 44;
.., ��pv .4. .,< h. ,.:�. ..,.,,-. .,. .d`t„z✓ �u a.Pte, :✓ w,..�,.w� .. .,,✓�, .�,...�,,,, ,. a, . , .-�
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
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
t 7
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION Yom_
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING#
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application