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