15-104758 • • Mechpini al
City of Federal Way Permit #: 15-104758-00-M E
Community 8 Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: PACIFIC VASCULAR
Project Address: 32014 32ND AVE S Unit 102 Parcel Number: 215480 0020
Project Description: Install(2) exhaust fans,ductwork,dampers and grilles/diffusers for associated tenant
improvement.
•
Owner Applicant Contractor
SOUND VASCULAR&VEIN EVERGREEN REFRIGERATION LLC EVERGREEN REFRIGERATION LLC
32014 32ND AVE S (GENERAL) • (GENERAL)
FEDERAL WAY WA 98001 727 S KENYON ST EVERGRL954R2(1/6/16)
SEATTLE WA 98108 • 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Ducting 1 Fans 2
PERMIT EXPIRES Wednesday, March 16, 2016
Permit Issued on Friday, September 18, 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
and the City of Federal Way. a
Owner or agent: G �' Date: I /
DATE INSPECTOR, AREA AND TYPE O' SPECTION
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CITY Cr- -.'A: Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-104758-00-ME Address: 32014 32ND AVE S Unit 102
Project: SOUND VASCULAR & VEIN FEDERAL WAY, WA 98003
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.
'El Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By t4.4 Date to I Lu((t/ By Date Byc Date / _
•
------ Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
. .......... .
„YoF • PERMIT PPLI9�ATION
Federal Way
IVED
0 3
_ SEP 18 2015
1,./ePERMIT NUMBER \ _ -
TARGET DATE CITY OF FEDERAL WAY
— — — — CDS
SITE ADDRESS ..-7^ ti-L' SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
( 7 /CAA) ,CSL 2 i ;� 3 U - ( OCi
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 4d MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ��P i` 1 f��• VNCti 6-r-
AMES.PJwLvt,r i eF ..C.t^,r.i ri Z.,c6=1,6+ -FA 5 evc'+ ✓k , thurret5 /
PROJECT DESCRIPTION
Detailed description of work to l�✓1'l� ��'` 145 /� rE� �)
be included on this permit only
NAME , PRIMARY PHONE
PROPERTY OWNER >!11/V. 1, Veil, �- l- rbrei l t
MAILING ADDRESSli 7.:2_ 1 /, Si-
CITY
i- E-MAIL
CITY f ' STATE ZIP 4 rV
NAME - .”' in to rt nt; PHONE
2-�
1 1
i-t4 4
MAILING ADDRESS _ ,- E-MAIL
CONTRACTOR
CITY e ATATEZIP i FAX 7 3 ;,y
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
p.- �- i r 1.--C. LO-c, f --i ra�Z -v ci -1Z
U G[ C.-I:1_41:1_d1 S
NAME PRIMARY PHONE
MAILING ADDRESSE-MAIL
APPLICANT 1 v-, _5,-:'t7141 1 01i,=:-✓1 5t-, L LeA. (..t C I'lth)llvx'[-G ,11
CITY STATE ZIP FAX Zi
��� � � CAS -1-6 - �, �,
'
1 PRIMARY PHONE
NAME
PROJECT CONTACT A;
�� is 1Jtrti Ilfa- `- a
MAILING ADDRESSE- AIL
(The individual to receive andI �I tiVnti4-1 1- 4..0 ¢ (�
� c v-c-ty,eivl li✓ ,,r„.
respond to all correspondence
concerningthis application) CITY STATE ZIP FAX
Pp ) ;rte -t_ U,ld`r G'� f ?,, 4 - 14 3 2.35°`i
NAME
FINANCING
Required value of$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
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 arty 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
totothe city as a part of this application. `
SIGNATURE: / �" DATE / It / I a
PRINT NAME: .eke x �Ldr�
Bulletin#100-January 1,2013 Page 1 of 3 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ (3l 600 ` cc
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 FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial(
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
T
I 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 nb/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
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
- 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)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION A!eflConstruction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January I,2013 Pagc 2 of 3 k:AHandouts'Permit Application