15-102704TM
Aq Lin cant
City of Federal Way
CELEBRATION SENIOR LIVING
Community & Econ. Dev. Services
FILE
33325 8th Ave S
1624 135TH PL NE
Federal Way, WA 98003
20127TH AVE SE BLDG A-300
Ph: (253) 835-2607 Fax: (253) 835-2609
1624 135TH PL NE
•
Mechanical
Permit #: 15 -102704 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: CELEBRATION SENIOR LIVING APARTMENTS - EAST TOWER
Project Address: 1420 S 328TH ST Parcel Number: 147318 0020
Project Description: Running new gas piping from meter to generator for East Tower Building
Owner
Aq Lin cant
Contractor
CELEBRATION SENIOR LIVING
TRI-STATE PLUMBING INC
TRI-STATE PLUMBING INC
ASSOCIATES LIMITED PARTNERSHIP
1624 135TH PL NE
TRISTI*245NZ (10/1/16)
20127TH AVE SE BLDG A-300
BELLEVUE WA 98005
1624 135TH PL NE
PUYALLUP WA 98374
BELLEVUE WA 98005
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 City of Federal Way. /
Owner or agent: Date: 6 At I ��
7r -
�,Np�ED
• THIS CARD IS TOMAIN ON-SITE
C,roF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -102704 -00 -ME Address: 1420 S 328TH ST
Project: 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 - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By M Date t/ g I is
By V -U4 Date 't1 I IS (S�
Rough Electrical Final Electrical Right of Way -
Approved Approved Approved
By Date By Date By Date
w
C"OF PER TPA A PPLICATION
Federal Way
JUN 0 4 2015
PERMIT NUMBER _ x _ JIN OF F ®ERAbA'1'E -i i
SITE ADDRES SUITE/UNIT #
st
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ify •
RO ECT VALUATION ZONING ASSESSOR'S TAX/ PARCEL #
$ 1 7 Z t o y- o
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
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NAME
PRIMARY PHONE
PROPERTY OWNER
6-e(,c A.. P1aAJ 60j 016 ASS OC • L P
MAILING ADDRESS
20( ;?-P' A-Je ,S E 3t.ZG• -3b0
E-MAIL
CITY
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STATE I
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ZIP
7 817 [
NAME
T','t. I- S t-eK-c P L Q 0
PHONE
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MAILING ADDRESS 11
162 Y � 34- l- NE
E-MAIL
is, tz_ e-r-/Z1SrAR ft,'kQ
CONTRACTOR
CITY
STATE
ZIP
FAX
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WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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NAME
(�.)tLLt�►' JlorttCe�i3a1►f Tett- Stylfc Pt.Qv
PRIMARY PHONE
013-793C7
MAILING ADDRESS1
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E-MAIL
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APPLICANT
CITY
9,(,Lcyt c-
STATE
Li A-
ZIP
FAX (, U
tics- 7Y} 30Yl
NAME
PRIMARY PHONE
PROJECT CONTACT
f Li -i *M1 J✓ C44r J9Ud,t
°t Z— - 6Y3- 3930
MAILING ADDRESS
d 2. `f l 3 S IP L .N C � [
E-MAIL
fR ( 5 MS". PL v ►M Q, Haji . t u
(The individual to receive and
respond to all correspondence
CITY
STATE ZIP
FAX
concerning this application)
etLev ttc
95c)os-'
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or ntore
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 a part of this application.
DATE bey h
SIGNATURE:
PRINT NAME: �[ LC, Kiuy tGlc-t til D /f
Bulletin #100 -January 1, 2013 Page I of 3 k:AHandouts\Permit Application
46.
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ /oo o v
Indicate how many of each type offixture 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 (c..- i)
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
AREA DESCRIPTION
VALUE OF PLUMBING WORK
$
Indicate how many of each type offixture to be installed or relocated as part
of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Sh-11 Comb.) LAVS (H—a Sink;a
DISHWASHERS RAINWATER SYSTEMS
DRAINS SHOWERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility)
HOSE BIBBS SUMPS
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (El -ti,)
WASHING MACHINES
WATER PIPING
OTHER (Describe)
TOTAL FIXTURES
GENERAL INFORMATION
ADDITION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes ❑ No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
Occupancy Group(s)
Construction
a
# of
Stories
RESIDENTIAL -NEW OR ADDITION
TOTAL BUILDING
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
............. I ....
FOR OFFICE USE
...... .... ...._...................
BASEMENT
PROJECT AREA ONLY
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
........... ..............
COVERED ENTRY
...........
..............................
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
......... ..............
Area Totals
EXISTING
PROPOSED
TOTAL
.........
"NEW HOMES
ONLY"'
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/DDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Groups)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT 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