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13-102194 t0 • E Mechanical City of Federal Way Community&Econ.Dev.ServicesPermit #: 13-102194-00-M E 33325 8th Ave S F F 7 a Federal Way,WA 98003 ; i{ Ph:(253)835-2607 Fax:(253)835-2609 l i Inspection Request Line: (253)835-3050 Project Name: LIFE CARE CENTER Project Address: 1045 S 308TH ST Parcel Number. 082104 9042 Project Description: Replace rooftop HVAC unit. Owner Applicant Contractor FEDERAL WAY CONVALESCENT CENTER JESSICA BRUCE AIR SYSTEMS ENGINEERING INC 3001 KEITH ST NW AIR SYSTEMS ENGINEERING (GENERAL) CLEVELAND TN 37312 3602 S PINE ST AIRSYE*229KN(2/1/14) TACOMA WA 98409 3602 S PINE ST TACOMA WA 98409 Additional Permit information Is this an Online or O.T.C.application? No Mechanical Fixtures Ducting 1 Roof Top Units I PERMIT EXPIRES Sunday, December 1, 2013 Permit Issued on Tuesday, June 4, 2013 I hereby certify tha he above information is correct and that the construction on the above described property and the occupancy a • the use will be in accordance with the laws, rules and regulations of the State of Washington A :4d thg i of Federal Way. Owner or agent. `' / i p Date: C(;1/4/13 ttlii/i3 c '' c r THIS CARD IS TO ON-SITE CITY OF Construction In ection Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 13-102194-00-ME Address: 1045 S 308TH ST Project: FEDERAL WAY CONVALESCENT ( FEDERAL WAY, WA 98003-4706 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) El Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By sato,..._".+ Date ❑ Rough Electrical ElFinal Electrical El Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CITY OF A PERMIlk APPLICATION Federal Way MAy 17 201P CITY OF FEDERA/LWAY PERMIT NUMBER / _CD ( / / _ f 5— 3 LLL i TARGET DATE SITE ADDRESS SUITE/UNIT# 13% 5. 3O - . $ PROJECTVALUATION ZONING I 6 O ASSESSOR'S TAX/PARCEL# I 6 U- - q 6 4 TYPE OF PERMIT n/ 0 BUILDING 0 PLUMBING XMECCHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT DR, 604e. &,-k o-(" V�"e-x.x,l ak U f leiu. enc i S-f-tn (661' ux l+u ,--vi In PROJECT DESCRIPTION ( U1 u I 'ef6(-66-c----fo � t ' r d ' ,1,�1.1t,Detailed description of work to �� lJvl1 W 6 ► Ibe included on this permit only �116 i wn�nVLSI eix 15��K NAME'(Jr��t r �41�` �+-`- g �- PRI Y PHONE PROPERTY OWNER • WICLq n Val CR0f 'r• 2 -q LI 6-OLt' C9 MAILING ADDRESS , G c), , .. „ +101 5.� . -^ �� F-NfAIL CITY a�-I ci'w� STATE T� ZIP / V Vim. NAME ,/� r 5 5 S O1 9 ,n -(Ln l.( PHONEg. �1( � 1 vL MAILING ADDRESS La y� / 1o ) ,^ GI J E-MAIL3s ����..16 Uµ.J CONTRACTOR U CJI /N J ' CITY 'Tic a Olt ZIPq c 4©q FAX^ ' 4/� /1 ✓) ' L 7 3✓J WA �TE CO 1.A R'S LICE3�],�E#_ v....11 EXPIRATION TION FEDERAL WAY BUSINESS LLICCEJNSE M a NAmtill r 5t4 iLI ! 6 1 t,tc) ( % PRJ /Y5 N� -1 MAILING ADDRESS J E-MAIL APPLICANT1-9-6` C�• �' �� v� • a�1` i n O i$ /t 6�,� '1C, CITY_Tau) cJ $]'IATA ZIP g�O ci FAXC�SZ C��--[�� 1 w- `-/ NAME""(' V 1 O1 Lice, PRIMARY 2,PHONE -144,4 PROJECT CONTACT (J 5!MAR (The individual to receive and MAILING ADDRESS.. T / pi e i , E-MAIL( I _ ,� respond to all correspondence U l�/f `y�1�' %� C/J/""1 //�[ \ ' concerning this application) CITY+r" rr� s_TATE zips / 16,4 FAX/►3 0 J( 3 31 u )s PROJECT FINANCING NAME 11( • ,(04e, / )+ 1 1 6 gyp( OWNER-FINANCEDIN `/ Required value of$5,000 or more MAILINGGADDCI,SS,, I/�Y,,SATE,CZ`�}}i�C�f l 7/l��f7��//J� �P�, //�� (/_Py�H}O,N�E (j�J (RC W 19.27.095) I a 45 C./' I O v 1 ..�/�- ��+iJ ✓fq-1 (j''v LI I 6 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 theacity as a part of this application. �j +`� f �j SIGNATURE: `' . Q1� ( iikcDtDATE '� -1 I ✓ 1 ✓ PRINT NAME: �J e..,e6 t a)-- Of UIL 'a( EL Bulletin*100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application i • • VALU OF MECHANICAL WORK MECHANICAL PERMIT $ I) 6196 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) 164 am.,4 BOILERS FURNACES HOT WATER TANKS(Gas) �w. -►r• COMPRESSORS GAS LOG SETS REFRIGERATION SYST , I DUCTING GAS PIPING WOODSTOVES PIMI I�/► VALUE OF PLUMBING WORK PLUMBING PERMIT $ Indicate how many of each type of fixture to be installed or relocated as part ofTthis 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 1a ,gg6 EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? 0 11(6 1n6 ..6-1 1 560 60 Yes ❑ No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE � N r teiggi ( '. _'i-,,,e,14-N15 . FIRST FLOOR(or Mobile Home) ,,,,.�.W .,e ,. ,.; �'' ,a r. f-- L� K `ate • ,, i,t 3 . COVERED ENTRY GARAGE ❑ CARPORT ❑ 5 70:1;01.;,:i0 P ^ '1,•, :;;;f*; L'I33 3 EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ I # OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTIONINSMIll Occupancy Group(s) Construction Stores Additional Information DIG ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS Area Construction #of AREA DESCRIPTION in ware Feet Occupancy Group(s) a Stories Additional Information k $ ! qY _ , s+1 a * _ , deg> i11r �t _x ih 6 £: . �„ -� `Itv`,.;ti. .., • X & ,i uW � .o ‘,..1,>.� tilit 4,4E4 mrki k,..., �_..d TENANT AREA ONLY I / O1 I I Ill 3 l; "% ,3,f•i S,y+ •': ''7,:,, tj� _ tl,. b§ w_a g ,y" '' }i.g 43 e � 3Li 7! 4. frr4s: gym'-17,4?."-, -.,: Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application