11-101108 4"' ' .# Mcchaical
City of Federal Way •
Community Development Services Permit #: 1 1 -101108-00-ME'
P.O.Box 9718
Federal Way,WA 98063-9718F ILE
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KWA(KOREAN WOMEN'S ASSOCIATION) SENIOR CITY
Project Address: 31635 23RD AVE S Parcel Number: 092104 9299
Project Description: Install(2)split system heat pumps and associated fans,ductwork,piping,etc.
Owner Applicant Contractor
KOREAN WOMEN'S ASSOCIATION EMERALD AIRE INC(GENERAL) EMERALD AIRE INC(GENERAL)
123 E 96TH ST 5108"D"ST NW EMERAAI055BL(4/1/13)
TACOMA WA 98445 AUBURN WA 98001 5108"D"ST NW
AUBURN WA 98001
Parini
m a
Additional-Pe 1
Mechanical Valuation 38726 Is this an Online or O.T.C.application? No
Mechanical Fixtures oy
Air Handling Units 2 Compressors/Heat Pumps 2 Ducting 1
Fans 4
PERMIT EXPIRES Tuesday, November 1, 2011
Permit Issued on Thursday, May 5, 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 ip accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: co `��� l i •
DATE INSPECTOR,' AREA AND TYPE 01 SPECTION $'
THIS CARD IS TO REMAIN ON-SITE
,CITY°F % Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-101108-00-ME Address: 31635 23RD AVE S
Project: KOREAN WOMEN'S ASSOCIATIM FEDERAL WAY, WA 98003-5425
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) D Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved 5
By (.1._ Date __ ,,,),�1 \ . By/ Date �j *By ife0 Date / /�,. .lt
ft,/13- 6//0 7// 4fr-A.... --x... 4„„r- 0,..7
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ctrr i•F
® / 01 ._ v g'
4 ederal WageiNI ) PE RM I T SF MF CO EL PL DE EN FP '
COMMUNITY DEVELOPMENT S
33325 8TH AVENUE SOUTH•63 BOX 9718 2 4 2 i APPLICATION
FEDERAL WAY, X 53-8 3-2 [ TD / /
253-835-2607•FAX 253-835-2 r` f l
www.cituoffederalwau.corn 111
The ollowing is41•s i iir�E � �tion-fan incom•tete a••lication will not be accepted. Please •rint legibly(in ink)or type.
,�, • Prue
INFORMATION
SITE ADDRESS (2')
``I\W?'S c?D 1 r uy- v SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 10 Q \ ( ±Cl a --L,,N. LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal descnption)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0461ECHANICAId
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
.4 a 0( dY k 14viai 4- puA I 'i ) � u
PROJECT NAME(Name of Business or Owner Last Name) 7 `tJ C aA W e ---&1---, "(5_5- Z 6.0-N
• PEOPLE INFORMATION
PROPERTY NAM - PRIMARY PHONE
OWNER 1) ni_v LP (
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
UY`rri ci• Pd r'' i i .., r rwon . r (07)) 3-)A ,
.
MAILING ADDRESS CITY,STATE,ZIP Z CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER �}
— B L / / )%1S S /
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY N
AAME APPLICANT NAME
rOFFICE
✓��PHONE
V l✓ A / 4,i/€ f Ile- S' ar)no n3� /tF 11. 11a.,-;5(c 5 ) C3
MAILING ADDRESS CITY,STATE,ZIPCELL PHONE
Sloe 2) d# th nBart/ gO (
RELATIONSHIP TO PROJECT ` FAX NUMBER
❑ Architect 0 Tenant o Agent /Other(Describe) rt i I aC^4\r ( ) '' -5"7cr7
CONTACT NA E PRIMARY PHONE E-MAIL ADDRESS
Than on .,(e 1AA. : .-el in15.5 ) 7a -L3.04es cripmembpente-rabdier
calk
LENDER Per RCW 19.27095;:Lender thformatzon is NAME
required if project;vaIue exceeds$5,000 -.s
MAILING ADDRESS CITY,STATE,ZIP
II DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS < - `
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE D CARPORT❑
NUMBER MBER 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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS y FANS HOODS(commercial) WOODSTOVES i
BOILERS FIREPLACE INSERTS RANGES MISC(Describe) t S t„^�(
COMPRESSORS FURNACES GAS WATER HEATERS 1
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(ros t) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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.
NAME/TITLE DATE ;3 1 a D-I t
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ wner ❑ Agent tntractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑
NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES .❑NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application