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11-104645 • • • Mechanical Communi Ci tof&FederalEcon.Dev.WayServices permit #: 11 -104645-00-ME 33325 8th Ave S Federal Way,WA 98003 Request Inspection Line: 835-3050 Ph:(253)835-2607 Fax (253)835-2609 P (253) Project Name: KING COUNTY HEALTH CENTER Project Address: 33431 13TH PL S Parcel Number: 768190 0070 Project Description: Replace existing air handling unit AC-1 and condensing unit CU-1 Owner Applicant Contractor KING COUNTY MECHANICAL&CONTROL SERVICES MECHANICAL&CONTROL SERVICES 500 4TH AVE (GENERAL) (GENERAL) SEATTLE WA 98104-2337 6426 18TH ST E MECHACS962BT(02/26/12) FIFE WA 98424 6426 18TH ST E FIFE WA 98424 • Additional Permit Information Mechanical Valuation 172400.00 Is this an Online or O.T.C.application? No 9 1 .1 • Mechanical Fixtures Air Handling Units 1 Air Conditioners- Stand Alone Un 1 Gas Piping 1 Refrigeration Systems 1 PERMIT EXPIRES Sunday, June 24, 2012 Permit Issued on Tuesday, December 27, 2011 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 an he City of Federal Way. Owner or agent: `� '' Date: A) .7.,,,,/,"/:72"'" Iii( 12 t$' /s THIS CARD IS TO EMAIN ON-SITE • CITY OF ``" �- Construction I ection Record • Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 11-104645-00-ME Address: 33431 13TH PL S Project:*"' ' a '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) El Gas Piping (4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date 'By Date By ri. " Date (2,z1/.. 1t . ❑ Rough Electrical111 Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date _c t o - -� arrorPERMIT •MF CO E PL DE EN FP Federal Way ; " COMMUNITY DEVELOPMENT SERVICES AP P L I CATION j 1 _ / c.� s�4 y -c 253-835-2607• AX 253-835-2609 �•' ll��wy �... uru�w.tityoffede rrlurnr.__pm ®� .‘1115 ' (� 14 ��♦ l'ckV Z/°/ji SITE ADDRESS ' 0-41 3j(i 14`,L ����, 3.� SUITE/UNIT# PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# TYPE OF PERMIT CIBUILDING CIPLUMBING ;;;fl.MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) PROJECT DESCRIPTION L e `L e— `d . ` i f l4 `L 1�f f/ Detailed description of work to (o- ¢ �c r a?in5's V Lk) t be included on this permit only ` J s ` a. C 1.0 �-.� �� �~{ l6LGCY+4'n� . �,V1 �wo s 11 - Irt5yy-vv-mom NAME t PRIMARY PHONE PROPERTY OWNER MAILIN ►DDRESS �� ILE-MAIL � }.:co I , � rem J 3.4.CITY STATE ZIP NAME `` PHONE MAILING ADDRESS E-MAIL CONTRACTOR P)tlir�6- I L fi 4eel I11g r-ca<r rr+c.5- �►n CITY STATE ZIP /F �J'/2‘-/ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# t'hr - l r" `/ - /- NAME PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME PHONE (The individual to receive and Ulh a- respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) 6 41 Ck CITY STATE ZIP FAX L4-/1--- q pati S ALTERNATE CONTACT NAME: PHONE E-MAIL rt PROJECT FINANCING NAME en OWNER-FINANCED Required value of$5,000 or more C (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 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. j SIGNATURE: --" �Y DATE / . O 11 PRINT NAME:`` (v ".•1-- Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application VALUE OF MECHAMCAL WORK $ /74 e)G (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. —14— AIR HANDLING UNITS FANS I GAS PIPE OUTLETS OTHER(Describe) 1) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORSGAS LOG SETS I REFRIGERATION SYST p DUCTING ! GAS PIPING WOODSTOVES 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 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 FIRST FLOOR(or Mobile Home) xs%S ' tt',s € «'". _ app, -' '----'---' - ---'—'- — 91q zsx ,4. COVERED ENTRY GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL Area Totals "*NEW HOMES ONLY** R " + �` ,,, ESTIMATED SELLING PRICE$ r #OF BEDROOMS x,.. .- -X7173:1=. 3e, w sem' AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in S.uare Feet .e Stories ,-`1A,': ADDITION AREA DESCRIPTION Area Occupancy Group(sl Construction #of Additional Information in Square Feet • �e Stories = eft 4 sx 4'4 TOTAL BUILDING 3- TENANT AREA ONLY 473 °fan " z { '- ' x ' ..„.„..„,„,..„4,- a 3 f n ,- :ar,_n p h l- g aE x ya41.,r€ Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application