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08-103419 A Al 1 f 1 City ityDev deralbrae 'aytS Mechanical Permitp08-103419-00-ME Cc'Nnmunity Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609i.-.1 ; Inspection Request Line: (253) 835-3050 Project Name: COMMUNITY HEALTH CENTERS OF KING COUNTY Project Address: 33431 13TH PL S Parcel Number: 768190 0070 Project Description: Provide and install (2) new FPVAV boxes,(33)new grids and(1) new split system AC including refer piping.No exterior work performed. , Owner Applicant Contractor KING COUNTY HERMANSON CORPORATION(GENERAL) HERMANSON CORPORATION(GENERAL) 500 4TH AVE 1221 2ND AVE N HERMACLOO5BJ(8/25/2010) SEATTLE WA KENT WA 98032 1221 2ND AVE N 98104-2337 KENT WA 98032 Additional Permit Information Mechanical Valuation 13941 Is this an Online or O.T.C.application? No Mechanical Fixtures Compressors 1 Ducts 1 Evaporative Coolers 1 PERMIT EXPIRES Saturday, January 31, 2009 Permit Issued on Monday, August 4, 2008 I hereby certify that the above information is correct and that the construction on the above described property and the occupanc and the use i I be i ccorda - with the laws, rules and regulations of the State of Washington • the y of Federal Way. Owner or agent: C ��i, Date: �- IS FP3,PIED A be) 4,4r r . DATE: INSPECTOR AREA AND TYPE OF INot ECTION D- 3• � : _ A - i [S' _ V W4S1 j q, /D-** 3c-` 0/114 h • ✓°L -4iic w4/15 , 81 `lifi";r• (hay ?�)2c Z7. THIS CARD IS TO•MAIN ON-SITE CITY OF -� ommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-103419-00-ME Owner: KING COUNTY Address: 33431 13TH PL S FEDERAL WAY, WA 98003-6357 This card is part of your required inspection documents. 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) ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date eS Date ,' . For inspector reference only ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date Y ECEI,INI Y Federal way PERMIT E? fL t 0 3 t COMMUNITY DEVELOPMENT SERIJiFU 1 6 2008 0 Q$ SF MFC ME EL PL DE EN FP 33325 3 AVENUE SOUTH•PO BOX 9718 g LI C AT I O N FEDERAL WAY.WA 98063-9718 I I / 3 /0 253-83 .emir,3 @ FEDERA Q to...emir,u� q.e l� The following is requirec PfeSmation-an incomplete application will not be accepted. Please print legibly(in ink)or type. 2�\-1-1 MI PROPERTY INFORMATION SITE ADDRESS 3 3s) )'.J ',GCtl... —' SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 1 `C) Z ' �1 0 -Va--C-5� � LOT SIZE(4)LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate pangthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on thispermit onlu) I i1cue - r i o \ n-e F f-p / ' ,i -1 � ne,LA� c�rcd CLflc- . (1e. .__) � - .rv%1 PI( - \( c\vo , re-f ,r\ i PROJECT NAME(Name of Business or Owner Last Name) C.1"\C \j C. (' k eco k.*-h T.,11_1: MI PEOPLE INFORMATION PROPERTY NAME `' . `^ �-}� PRIMARY PHONE OWNER LA J Co VY�-1 ( ) - MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS 51 tv 3rd r.r `>ectAe. ; << CONTRACTOR COM ANY NAME APPLI ITNNA(M�/E��� ��(� �_ OFFICE °�'PHO) NE.� MAIL ADDRESS Cr� CITY,STAChnrip TE,ZIP _. \- 5e.,1 J CELL PHONE' ) -C'{1C( `'t0o�l ( )1C Ave_ • 4.. ,1*--)-�.!) (:CL) . - 0% i CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - C� - k©\ C\C LCL i .2_ -31-C` (- ) ., CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS OI1 �_J Iu • -lb a ' l `-(. e-{ y 3 he(( 1�5t:31. APPLICANT CO ANY NAME APPLI • NAMEOFFICE PHONE,� i -ermcumso n Con, T-ef i Cc T )Thc � ( - `r'a MAILINGADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP T 2 r e Ave. FAX NUM \r ( r - - !f I / `v/ -00(-6-1BER / 0 Architect ❑ Tenant 0 Agent Other O c 1 ( ) '75. - CIC(° PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY.STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$_ VALUE OF PROPOSED WORK $_ SPRINKLERED BUILDING? ii YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO . WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC) 0111 II PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ■ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL /� � ,,�� Value of Mechanical Work$ D (tD Iyy (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS 1 EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES ,� BBQS FANS GAS WATER HEATERS �. MISC(Describe) (r),,\\?-, BOILERS FIREPLACE INSERTS HOODS(commercial) COMPRESSORS FURNACES RANGES NiCe,\/ 1�3 2J DUCTS-- ► C 1. GAS LOG SETS I REFRIG.SYSTEMS Vic$- 4r CT-112-VDS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Slobs) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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 cation. SIGNATURE: ' ,! ) ; ►�.!` DATE Pr rty Owner and/or Authorized Agent FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES C NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application