17-104197 Mechanical
City of Federal Way Permit #:17-104197-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SOUTHRIDGE HOUSE APARTMENTS-KING COUNTY
Project Address: 30838 14TH AVE S Parcel Number:082104 9231
Project Description: Remove and replace existing rooftop unit,heat pump and associated gas piping.
Owner Applicant Contractor
K C HOUSING AUTHORITY KEN CARLSONGENERAL MECHANICAL GENERAL MECHANICAL INC
600 ANDOVER PARK W INC GENERM*306QF(9/30/18)
TUKWILA WA 98188 2701 S"J"ST 2701 S"J"ST
TACOMA WA 98409
TACOMA WA 98409
I
Additional Permit Information
Mechanical Work Valuation9 50000 Is this an Online or O.T.C.application? No
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Air Handling Units 2 Ducting 1 Gas Piping 1
PERMIT EXPIRES Saturday,21 April,2018
Permit Issued on Monday,October 23,2017
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
ington and the City of Federal Way.
Owner or agent: ` 0 Date: IV//Z-3//7
f
` w THIS CARD IS TO REMAIN ON-SITE J
CITY
°FConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104197 00 Address: 30838 14TH AVE S
Project: K C HOUSING AUTHORITY FEDERAL WAY WA 98003-4763
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.
CC Mechanical Rough-in(4165) 0 Gas Piping(4125) Q Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G.vks-1 Date .y -2,io—I
Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
_ .4,...... PERMIT APPLICATION
CITY OF
Federal Way PERMIT CENTER v ue South + Federal Way,WA 98003-6325
253-835-2607 +permitcentel@cityoffederalway.com
PERMIT NUMBER I _ O l I -Cis 1.4e-- AUG 017 /27/t7_1
— Cffl'QF rtTG�ilANTE
i3OMMUrU1TV-DEVELOPMENT
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#Z' I
$ O ° gi. - I
�c� Ic 8"
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING XMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 4 T V _ - p\�� 0
PROJECT DESCRIPTION 1 l/ a c. '6.,—�� �..00c U n t`
Detailed work t
be included on this permit only �.N✓OJ 1/11)1A-%
1 J -� A2/ c
EI‘W
NAME �1, 4PRIMARY PHONE
PROPERTY OWNER V
1 C��". ( ` S � zoCa- �'y' //d O
MAILING ADDRESS ^ -MAIL
(pyo ��� 1i....14 W
CITY STATEZIP ,p
��ILw, 110 (41!',,I_ q g ( '
NAME PHONE
.....--11"--..--c.-1,..__„.) V\& 2S3 (o Z 7-6. Irr-
MAILING ADDRESS E-MAIL
CONTRACTOR 2-to I 5' -3 S 4- k(h iI„n E'rene...lute.1.44,.uJ ,(.awt
CITY STATE ZIP FAX
1��� Ci/0--- 9'd cf,1 Zs- - Z7L 2 c-4
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
►tile i2 oG c?F cz"1/7o / /8
NAME i j PRIMARY PHONE
MAILING ADDRESS E-MAIL
APPLICANT
27.. I 5' - t- (-cu",.ls�ka .1rn -1& i -J a,,.'
CITY STATE ZIP FAX •C`401
�C.-A c�v�- I.-t- (69,, ,2 4
53 -27Z-270
—
NAME PRIMARY PHONE
PROJECT CONTACT -5- )# 04
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING . 4 R. 0 OWNER-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
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 alises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t e city as a of thi application.
SIGNATURE: DATE �/-S�//7
PRINT NAME: I 6,4_ld,y�
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
$ 5oo, Coca
idicate 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
L 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
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes n 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)
Totals
�/ EXISTING PROPOSED TOTAL
Area L otals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Square Feet1`vr,c Sr„riee
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application