14-102305 • Mechanical
City Federal way
Communiy&Econ.Dev.Services Permit #: 14-102305-00-M E
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax (253)835-2609FILE
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Project Name: LIFE CARE CENTER
Project Address: 1045 S 308TH ST Parcel Number: 082104 9042
Project Description: Replace 5-ton condensing unit and indoor coil.Install new economizer controls.
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(2/1/16)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
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Additional Permit Information
Is this an Online or O.T.C.application? No
Mechanical Fixtures
Ducting 1 Roof Top Units 1
PERMIT EXPIRES Sunday, December 7, 2014
Permit Issued on Tuesday, June 10, 2014
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
Nand t e Ci off Federal Way.
Owner or agent: 1)(f)(\-M, 1� .J 1_ Date: -J o'I(`I
THIS CARD IS TO IN ON-SITE
CITY OOP Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-102305-00-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.
0 Mechanical Rough-in(4165) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Csd.bp— Date✓ \ l
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❑ Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY OF . PERMIIIIMPLICATION
Federal Way
MAY 19 2014
PERMIT NUMBER 1
_ 10 z O CITY OF FEDERAL W49 Z3/14-
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TA1CQSISDATE
SITE ADDRESS ' SUITE/UNIT#
PROJECT VALUATION J • ING
i•►� ASSESSOR'S �TAX/PARCEL# 6 4 _
TYPE OF PERMIT Rren
❑ BUILDING ❑ PLUMBING XMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT )4 c LOL Ct 4-
PROJECT DESCRIPTION Pp I^et , ` i' -11 c G 11 'I^l-f cur)d r
Detailed description of work to Ln KJr / i 1 ' �1/► J+ I Y`RA I" '0m( �/UI
be included on this permit only , XLj�p( `
NAME J 9 • � /.3 I � PRIMARY PHONE -
PRIMARY
... ,
PROPERTY OWNER i�`��(��,JI. � V Uel,
MAILING ADDRESS ^ i g / a. ;/')(A) . E-MAIL
CITY/r enfe J �I V�i1T� 7l (J ZIP�( � ` _
s";,.. .. NAME�./1 / L 1/ /1 U� c/ a I q, v�
ONE
MAILING-ADDRESS IleUU E-MAIL
CONTRACTOR /� �j
CITY T&W I / .6/L aril ZIP C V V ?.a^��-. V✓ - lY g i
WA STATE C CTS k-11E1LP�TIION TTFEDERAL WAY BUSINESS LICENSE#
NAME^ / /^l/I V 4 E l L1 Ie . Ln<9 PRIMA YE3i�i 3_14
L4
APPLICANT MAILING ADDRESS E-MAIL
CIT KJ 4 Y6k, (T3 ZIPq/ Vgr g V `tY•
33-7/-
PROJECT CONTACT NAME U666 I Liti„, PRIMMARYPHONE
(The individual to receive and MAILING ADDRESS /) 1 P� l E-MAIL
respond to all correspondence L/J) �l-J1 '�J Y lll/�J
concerning this application) CITY--y.� �4 jIFn mpg J q q FAX
NAME 1�• 1 (J< Ci, 1<.11 (J
PROJECT FINANCING �/ ✓�) OWNER-FINANCED
Required value of$5,000 or more MAILING ADD$ESS CITY, /l f , "T�. 1 _ _ HOrNE
(RCW 19.27.095) o 5 v ATE, P 9‘53
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 part of this application.1 %'tiI
C�
SIGNATURE: `' 611(1 I i ---DATE �/ I(J I L
PRINT NAME: CJ ✓ S i
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF ME-HANICAL ORK
MECHANICAL PERMIT $ 11),1 g
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 I OTHE (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
Ca-1-
1A,
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
V $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
o urr e, ll 6 m �1 , Li- --7 ❑Yes ❑ No C Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
f
s3ea
COVERED ENTRY
F nty ami z E� w �'� f 3 p �) ......_.............. ................. .................. .._..........._........ .._.
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g' `�,zY ,.,.,, I".il,atili•w'a� fi •i., „n� .,,, ,3i.zi v. • ,.4 .a0.,_ •A, ..3. .................. ............................................ ....................................................... ......._.....................
GARAGE ❑ CARPORT ❑
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ril,•' 4 ;� II* L > ,,VV1 1+ �. a- r e ........................................................ ................................_............................................... ............
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS_
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTIONFINN' Occupancy Group(s) Construction Stories Additional Information
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet .e Stories
a. 9a3vi : I�1�3���� s�
�� tlSva s &toompsounisatai��' � . imikaF _ � iI kY' '
alislT3 � a _
TENANT AREA ONLY
3 :3?�i "i . x�,. a n .wee. ,u I, i3„ . i ,% ''ittlitS1.. 1.1 . .
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application