15-102705Mechanical
Community & Econ. Dev. of Federal Services Permit #: 15 -102705 -00 -ME
33325 8th Ave S FILE
Federal Way, WA 98003 Inspection Request Line: 253 8353050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: CELEBRATION SENIOR LIVING APARTMENTS - COMMUNITY BUILDING
Project Address: 1420 S 328TH ST Parcel Number: 147318 0020
Project Description: Running new gas piping from meter to generator for Community Building
Owner
ARRlican
Contractor
CELEBRATION SENIOR LIVING
TRI-STATE PLUMBING INC
TRI-STATE PLUMBING INC
ASSOCIATES LIMITED PARTNERSHIP
1624 135TH PL NE
TRISTI*245NZ (10/1/16)
201 27TH AVE SE BLDG A-300
BELLEVUE WA 98005
1624 135TH PL NE
PUYALLUP WA 98374
BELLEVUE WA 98005
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Gas Piping ...................................... 1
PERMIT EXPIRES Tuesday, December 1, 2015
Permit Issued on Thursday, June 4, 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 C f Federal Way.
Owner or agent: 4144/ ` Date: � A/
`17
F�Np1.E�
4
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -102705 -00 -ME Address: 1420 S 328TH ST
CELEBRATION SENIOR LIVING AE 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.
Mechanical Rough -in (4165)
Gas Piping (4125)Final
Final Electrical
Approved
- Mechanical (4065)
1:1Approved
Approved
By
Approved to release test
Approved
By
Date
By V-iA
Date (o I f{' 15-
By
VAS Date —7 1 t1t I J 67
Rough Electrical
Approved
F1
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
ANN W
C"'OF ` RBcE= PERMIP APPLICATION
Federal Way JUN 0 4 2015
PERMIT NUMBER CS
� �"% �
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/ PARCEL #
$
Ll
1 _-_
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
A3 e- w cow s mi s ® A3 A4 JL. L Y A 9
be included on this permit only
1�eePC2 '
NAME -
PRIMARY PHONE
PROPERTY OWNER
6-e Le L3 AAn -0N -�epji Lt0i-ab ASS 0C. L. P
MAILING ADDRESS
®1 oZ_r-h e '31 � ®
E-MAIL
CITY
I'2d 44L
STATE
A- I
ZIP
13 371
NAME
VA I � r ,c P c, QtAg 6 P-) 6, 1'4 C..
PHONE 6
L. S- - � / 3 -3
MAILING ADDRESSE-MAIL
/6Z' ® 3,'r1l
SILL 127/ll.SPt-0-
CONTRACTOR
CITY
STATE
ZIP
FAX
lJ a `. �.'��/ (A C
S^ ®
7
t t J a 7Y 10 Lf l
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAMS
r/a.(®,5, Pc crcr
PRIMARY PHONE
yjx- 4q3® -79 c)
MAILING ADDRESS -r
E-MAIL
LL X27 ® e Il t o,041 r
APPLICANT
CCIITY
13-GLrVQe
®STATE
W �
ZIP
)7800 ��
FAX y Q,
45.r^ 7v> -30V
NAME
PRIMARY PHONE
PROJECT CONTACT
I L t- i *wl
V l- a -
MAILING ADDRESS
3S-' h VPL N
/6x,( l
E-MAIL
(The individual receive and
respond to all correspondence
CITY
ae t u-v"t
STATE
LA VA.
ZIP
95aox-
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
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 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 apart of this application.
Y �DATE ��/®`y
SIGNATURE:
PRINT NAME: (fir tc--e -! ® i ®�
Bulletin #100 - January I, 2013 Page I of 3 01-landouts\Permit Application
Em
I
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
ECHANICAL PERMIT
# of
Stories
Additional Information
00
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$ /000
Indicate how many of each type offzxture
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 (Commemia )
OTHER (Describe)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
TOTAL BUILDING
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
TOTAL FIXTURES
PROJECT AREA ONLY
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# 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 existmg fixtures to remain.
BATHTUBS oiTub/Shower Combo)
LAVS (HoodShiks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
TOTAL BUILDING
DRINKING FOUNTAINS
SINKS )KitcbeniuciHry)
WATER HEATERS (E)ec[rlc)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# 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)
.. _.... .. ............. . ............... ...__.............
....._............
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY*
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEU ENANT 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:AHandouts\Permit Application