13-105397 • • , Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-105397-DO-ME
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: NW DENTAL
Project Address: 720 S 348TH ST Suite A-lA Parcel Number: 233145 0010
Project Description: Extend gas piping to add separate meters for RTUs.
Owner Applicant Contractor
720 SOUTH 348TH ST LLC EVERGREEN REFRIGERATION LLC EVERGREEN REFRIGERATION LLC
11409 GRAVELLY LAKE DR SW (GENERAL) (GENERAL)
LAKEWOOD WA 98499 727 S KENYON ST EVERGRL954R2(1/6/14)
SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Monday, June 2, 2014
Permit Issued on Wednesday, December 4, 2013
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: ' _ L�-� Date: l 2_, `-$
-044....._ 0 THIS CARD IS TO '4'MAIN ON-SITE
CITY OF - Construction In ection Record
Federat Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-105397-00-ME Address: 720 S 348TH ST Suite A-1A
Project: 720 SOUTH 348TH ST LLC FEDERAL WAY, WA 98003-7042
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date y
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
111 RFcEI�
CITY OF o f PERMITeiPPLICATION
Federal Way 0 4 2013
OF CliSEDC 11/115Y /
PERMIT NUMBER / 3 _ / 01-
A �1 % - L
.J TARGET DATE
SITE ADDRESS < SUITE/UNIT#
a 5 _
tfk
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
® a 3 3 _ o o /
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT N 1/0 , e,,,u `Ie0
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 7� p S , 3 ( St,
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME (� PHONE
MAILING ADDRESS k_'C �� C�L�'f�C ��(ci�i.il.'� _2n�, `76 - t 11
E-MAIL i_
CONTRACTOR 7 27 e V\ ✓� L j i`��� C=tS a,§ )rtii
CITY STATE ZIP FAX Gci ,Z
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(kl 15 L4 Q.)
NAME PRIMARY PHONE
i _Jr or
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAMEPRIMARY PHONE
PROJECT CONTACT /
(The individual toreceiveand MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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 lied as a partof this application.
�»pp... to the city
SIGNATURE: DATE t 4 k.
PRINT NAME: C �`\ \<v.‘(--ta—V\
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• i
VALUE OF MECHANICAL WORK
MECHANICAL 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_
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
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 ❑ 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 0 CARPORT 0
OTHER(describe)
EffiSTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ __ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application