16-103837 •RECEIVED
►► PERMIT APPLICATION
CITY of AUGF ti a I Way G 1 0 2016 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
J 253-835-2607+FAX 253-835-2609+permitcentendcitvoffederalwav.com
CITY OF FEDERAL WAY
PERMIT NUMBER / / _ 1 2) c - - lTI,
4,.� f 0 `✓��j � � �`� TARGET DATE
SITE ADDRESS SUITE/UNIT#
33010 19th Lane S, Federal Way Unit 19, 20, 21, 22
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ RM2400 -7— —9- —7. _8_ _8_ _0_ - _O__ _4_ _6_ 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING X MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Evergreen Court Apartments
Install ERV &controls in units 19, 20, 21, 22 in building G
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
King County Housing Authority 206-612-0062
PROPERTY OWNER MAILING ADDRESS E-MAIL
600 Andover Park W Ste D dana(@kcha.com
CITukwila STATE
T 98188
NAME PHONE
UCONS LLC 425-576-8728
MAILING ADDRESS E-MAIL
CONTRACTOR 10612 NE 46th St grace@ucons.com
CITY STATE ZIP FAX
Kirkland WA 98033 425-827-2489
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
UCONSL*962RZ 03, 01 ,17 20-11-103704-00-BL
NAME PRIMARY PHONE
UCONS LLC 425-576-8728
APPLICANT MAILING ADDRESS E-MAIL
10612 NE 46th St grace@ucons.com
CITY STATE ZIP FAX
Kirkland WA 98033 425-827-2489
NAME PRIMARY PHONE
PROJECT CONTACT Grace Garland 425-466-1536
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 10612 NE 46th St grace@ucons.com
concerning this application) CITY STATE ZIP FAX
Kirkland WA 98033 425-827-2489
NAME
PROJECT FINANCING XOWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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
ail 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.
SIGNATURE: DATE
PRINT NAME:
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Pernlit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 3,000.00
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 4 FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commemiaq
BOILERS FURNACES HOT WATER TANKS(Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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
No Water District Public $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes® No ❑Yes E No
Multi-family Dwelling 113,603
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
\ r 5 y ii/rY� *.,.\�� _:,\r/3 C� •' y/ l ` '•
COVERED ENTRY
GARAGE 0 CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals
ry\\.. .,<„r'..,�2i�\\� :: 9,jr „. ' J�l�l'r.,CZ,. ,; � �, ice.� ;14W
_.
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Square Feet Type Stories
I�EW kjl wry 3`' >, . °'0 x,z . ;r• �•
T` ��, r a, �... \,r,...... ,rrs .�,...\�x�., .�,�.. � ......,�r� �.
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Groups) Construction #of I Additional Information
Square Feet Type Stories
TENANT AREA ONLY
s\1 .� t -x \\\\\\-6 <,4 mac a _ r 3 3 _< r y� 3 a i
Asa ck£°.
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
`
City of Federal Way • Mechanical
Community&Econ.Dev.Services Permit #: 16-103837-00-ME
33325 8th Ave S
Federal Way,WA 98003 Request Inspection Line:
Ph:(253)835-2607 Fax:(253)835-2609 p (253)835-3050
Project Name: EVERGREEN COURT APARTMENTS BUILDING G
Project Address: 33004 19TH LN S Bldg G Parcel Number: 797880 0460
Project Description: Installation of ERV&controls in units 19,20,21,&22.
•
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY UCONS LLC UCONS LLC
600 ANDOVER PARK W 10612 NE 46TH ST UCONSL*962RZ(3/1/17)
TUKWILA WA 98188-3326 KIRKLAND WA 98033 10612 NE 46TH ST
KIRKLAND WA 98033
Additional Permit information
Mechanical Work Valuation 3000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Fans 4
PERMIT EXPIRES Monday, February 6, 2017
Permit Issued on Wednesday,August 10, 2016
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
and the Ci of Federal Way.
Owner or agent F I L,
Date:
FINALE D
• THIS CARD IS TO IN ON-SITE
CITY OF Construction In r ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-103837-00-ME Address: 33004 19TH LN S Bldg G
Project: KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA
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.
o Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date BBQ j� Date -n_ (G
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date