15-103377City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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1
Project Name: PAVILIONS CENTER II
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Mechanical
Permit #: 15 -103377 -00 -ME
Inspection Request Line: (253) 835-3050
Project Address- AL3" -PACIFIC HWY S Parcel Number: 082104 9181
Project Description: Remove rooftop AC Unit & Replace w/same size new unit. Install Adapter curb as
required. Connect required gas lines.
Owner
Aoulicant
Contractor
KIMCO REALTY CORP
KEVIN HAYES
SUPERIOR HVAC & ELECTRICAL
3333 NEW HYDE RD
SUPERIOR HVAC & ELECTRICAL
(GENERAL)
NEW HYDE PARK, NY 11042
14900 INTERURBAN AVE S
SUPERES885133 (3/23/16)
SEATTLE WA 98168
14900 INTERURBAN AVE S
TUKWILA WA 98168
Additional Permit Information
Is this an Online or O.T.C. application?.................No
Mechanical Fixtures
Air Conditioners - Stand Alone Un 1 Gas Pipe Outlets ............................. 1
PERMIT EXPIRES Monday, February 1, 2016
Permit Issued on Wednesday, August 5, 2015
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
the City of Federal Way.
Owner or agent: Date:
�`Np�EV
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO ON-SITE -
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
15 -103377 -00 -ME Address: 31319 PACIFIC HWY S
Project: KIMCO REALTY CORP FEDERAL WAY, WA 98003-5427
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.
Mechanical Rough -in (4165)11
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By �j Date CI l 3 19—By
VA Date r1 l � [ lis
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way —^
By
Date
By
Date
By
Date
CITY OF A
Federal Way
3uL 13 2015
0
PERMIT APPLICATION
CIV OF FEDERAL. WAY
PERMIT NUMBER5- '
-iZ?�_J 7 -L-
TARGET DATE
(15 -
SITE ADS
l� � �/
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL # y1 y
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBIIN/NG'�G ECHANICAL ❑, DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
V% L.` O AJ
PROJECT DESCRIPTION
Detailed description of work to
/ d
/ v� / r
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
j et
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME �"'� 4G f -
U r
PHONE
MAILING ADDRESS
r l �.
E-MAIL
CONTRACTOR
CITY
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/ U- 1e -'6J Q0.(., f l-
JS/TJATE
✓'�
ZIP
FAX
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CWA
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STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
- a
FEDERAL WAY BUSINESS LICENSE #
7b --/z - GLzO3 -gx -
NAM&,,, �
PRIMARY PHONE
MAILING ADDRESS
40
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAM�E,J
/v/ l
PRIMARY PHONE
Y} CI
/MAD.DIG ADDRESS
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E-MAIL
(The individual to receive and
respond to all correspondence
I1-4-Vf.Z,4 `(/ srA7� ZIP
C,7—"//4 -V, *
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
(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 rt of this a plication.
Q r
SIGNATU DATE
PRINT NAME: V O d
Bulletin #100 —January 1, 2013
Page 1 of 3
k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures, to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS commercist)
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Construction
a
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
�
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existin fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAIN A R S EMS
URINALS
OTHER (Describe)
DRAINS
SHO � _
VACUUM BREAKERS
Additional Information
DRINKING FOUNTAINS
SIN (K; /Uttflity
WATER HEATERS (eteoviq
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Construction
a
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
....................................................................................................................................................................
BASEMENT
.......... ................................... ............. ........ ..... .... .................. ........ .... ............................... ,........... ,........ ,....... ,.....................
.
FIRST FLOOR (or Mobile Home)
..................................
SECOND FLOOR
COVERED ENTRY
...............................................
DECK
.............. ...............................
GARAGE ❑ CARPORT ❑
...............................................................................................................................
OTHER (describe)
............... .......................... ......... ..... ................. ............................... .................................. ..................................... ..................
Area Totals raasrWa exorosm Toa�Ac
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
is Square Feet
Occupancy Groups)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application