13-103417City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 w'
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: VALLEY HARVEST NIARKET
Project Address: 28855 MILITARY RD S
•
Methanical
Permit #: 13 -103417 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number. 042104 9037
Project Description: Remove/replace existing gas piping to associated HVAC roof top units
Owner
EXECUTIVE HOUSE INC
ARplican
STAR PLUMBING & MECHANICAL
Contractor
STAR PLUMBING & MECHANICAL
7517 GREENWOOD AVE
3939 S GRAHAM ST
STARPM'994NW (9/19/13)
SEATTLE WA 98103
SEATTLE WA 98118
3939 S GRAHAM ST
SEATTLE WA 98118
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures `.
GasPiping ...................................... 5
PERMIT EXPIRES Wednesday, January 29, 2014
Permit Issued on Friday, August 2, 2013
1 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 of Federal Way.
Owner or agent: Date: 4AI 2 7,E743
FINALED
THIS CARD IS TO IN ON-SITE
C,n� Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103417 -00 -ME Address: 28855 MILITARY RD S
Project: EXECUTIVE HOUSE INC FEDERAL WAY, WA 98003-7912
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)13 Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By (,)A, Date N 1, 21— ` 3 < Date 2V_
Rough Electrical
Approved
Final Electrical
Approved
E]
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OR ...
Federal Way
PERMPT NUMBER ( 3
•
PERM ITWPPLICATION
d TARGET DATE
RECEIVED
AUG 0 2 2013
CITY OF FEDERAL WAY
SITE ADDRESS
SDITt IT a
'rb55 M►uTA� S
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL • �
1 2 o �?
TYPE OF PERMIT
❑ $UILDWG ❑ PLULIBD\G kA MECHANICAL ❑ DEMOLITION ❑ EINmNEEMING ❑ FIRE PRE\ Exriox
NAME OF PROJECT
V Ai Pr�\lF �1T I NT�12 NA l�h►rYL pn}�R'(
C PI FIJv V11- " 8C.4f k- //20,\JP/fE I �l fav .S
PROJECT DESCRIPTION
Detailed descr#ion of work to
ory P of 7NW 200f. A-P-OViv 1) 250" or 2 '' w la- 6c ustp
be included on this permit only
NAIL
PRIMARY PRONE
PROPERTY OWNER
V/A Vfj;T (/ *f-N4ON ILS
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
NAME
PHDNE
�-(s
MAILING ADDR
r- r
EMAIL
CONTRACTOR
CITY,
����� SLG
STATE
ZIP
FAX
VW STATE CONTRACTOR% LICENSE #
;1_ 1 zAk
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 9
NAME _
PRIMARY PHONE
MAILING ADDRESS
EMAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
AAM
PRIMARY PHONE
MAILING ADDRESS
EMAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
xAem
OWNER -FINANCED
Required value of 55,000 or more
(RCW 19.2?.895)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 injbrmatlon 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 Iaws.
I further gree 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 claims 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.
SIGNATURE: �L _� O Cz:� - DATE
PRINT NAME: ✓AM MA32 1108N
BLI11Ctit1#1(M.)—KiIILLU-%' 1. TI:)13 Nagy 1 (+I 3 k:lHatxk)LrtN\1'c snit Aj-pfiratio4i
MECHAMCAL PERMIT
Indicctde how mang of each t
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
YTVx re to be installed or relocated as
FANS _
FIREPLACE INSERTS _
FURNACES _
GAS LOG SETS _
GAS PIPING
VALVE OF MECHAAWAL WORK
$ �I D-ev
(this project. Do not include existingfRures to remain.
GAS PIPE OUTLETS OTHER (Describe)
HOODS;co erd.0
HOT WATER TANKS toftj
REFRIGERATION SYST
WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how mang of each type qfjldure to be installed or relocated as gcul o this project. Do not include e.idstingfUlures to remain.
BATHTUBS wTwsho c=bq LAVS tiiwd ankv TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS jrat&am,,Vtiutvj WATER HEATERS (Elctrtcl
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
VATER PURVEYOR
SEMER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
BASEMENT
Additional InibrInation
NzwBmLDING
FIRST FLOOR (or Mobi7e Home)
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
COVERED ENTRY
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
Additional InibrInation
NzwBmLDING
FIRST FLOOR (or Mobi7e Home)
SECOND FLUOR
ADDITION
COVERED ENTRY
DECK
COMMERCIAL — RENIODEUTENANT IMPROVEMENTS
GARAGE ❑ CARPORT ❑
Ana
in Square Feet
Occupancy Group(*)
OTHER (describo
A of
Stories
Additional InibrInation
Area Tbta is >XISUM
morom
TOTAL
"law Sobs OAMXW'
ESTIMATED SELLING PRICES
# OF BEDROOMS
COMMERCIAL — NEWADDITION
AREA DESCRIPTION
Area
in square Feet
Occupancy Groups)
Construction
of
Stories
Additional InibrInation
NzwBmLDING
ADDITION
COMMERCIAL — RENIODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Ana
in Square Feet
Occupancy Group(*)
Construction
Type
A of
Stories
Additional InibrInation
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#I(M)-,Ianikll'%' 1. -1►13 Page24,+1'3 k;\Haixkxn.\PermitAl-hlicatitai