16-105799 w•eat�.
Mechanical
City of Federal Way Permit #:16-105799-00-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 'W f
_.
Project Name: VILLAGE GREEN HEA HSI
TI E AND GARDENS
Project Address: 35419 1ST AVE S Parc, N t tt :302104 9024
Project Description: Reroute(4)ducts and install(2)residential kitchen hoods.
Owner Applicant (,..4.0ractor
VILLAGE GREEN LLC FIVE STAR MECHANICAL(GENERAL) F I • r HANICAL(GENERAL)
35419 1ST AVE S 109 WASHINGTON BLVD SUITE B SM*010JT(5/1/18)
FEDERAL WAY WA 98003 ALGONA WA 98001 11' ` HINGTON BLVD SUITE B
ALGONA WA 98001
Additional Permit Informa 'o r
Mechanical Work Valuation 11000 Is this. 4 ' O.T.C.application Yes
lir
C 0 II, i)1 4 N5(17
Subject to field inspection w/plans. •
PERMIT E ` daQJune,2017
Permit Issu s i \�' i d , ecember 7,2016
I hereby certify that the above inf. ion is •rre and t the construction on the above described property
and the occupancy and the us- II be' accordance with the laws, rules and regulations of the State of
W- •' • on and the City of Federal Way.
/ �f2��
Owner or agent: ��,/,, ,_ � ��/�-P-C, � ate: a— of 0 -/-6
0
THIS CARD IS TO REMAIN ON-SITE
urr40
ciwo a� Construction Inspection Record
os
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105799 00 Address: 35419 1ST AVE S
Project: VILLAGE GREEN FEDERAL WAY 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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 3❑ Final-Mechanical(4065)
Approved Approved to release test Approved
.By Q.4Date %1..,1,b .wi By Date By Date
•
El Rough Electrical CI Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
#ECEIVED 0
CITY OFVA�AL DEC 07 2016 PERMIT APPLICATION
Federal Way CM OF FEDERAL WAY PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
ODS 253-835-2607 + FAX 253-835-2609 + permitcenter(a4eitvoffederalway.com
PERMIT NUMBER / _ / _05-2`7
5j?9 q2_ - A�� TARGET DATE f) —f
F /
SITE ADDRESS SUITE/UNIT •
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL i
$ 1\)000.00 10- ' o z
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING XMECHtNICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
\6L Y
PROJECT DESCRIPTION
Detailed description of work to
r
be included on this permit only
PROPERTY OWNER
NAMB
X11 a
PRIMARY PRONE
z S -838-3 7U
To
mr
STATEZIP
D
NAME ( .` t 0
PRS — 12 -1;,2.?
MAILING ADDRESS
E-MAIL
oH1 �1 Ut
CONTRACTOR
CITY
STATE
ZIP
FAX
STAT CTOR'S LI ENS
EXPIRATION DATE
FEDERAL WAY BUS S LICENSE M
-Q
NAME �" 1 � . n
PRffiARY PRONE
,.
APPLICANT
rrAILINGG ADDRESSI+Vn,
W a KV
E•MAIL
J a►W Q�
C GNM
rti
STATE
e
FAX
PROJECT CONTACT
NAME
✓L-
PRIMARYPRoxE / 7
Gc
G D
't V si^'t BJQ1411
(The individual to receive and
respond to all correspondence
CITY ,^
STATE.
I ZIP OD
FAX
concerning this application)
PROJECT FINANCING
NAMEI/
OWNER -FINANCED
When value is $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PRONE
I cert(jy under penalty of perjury that I am the property owner or authorised 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 authorised 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 clam, 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 gpicers and employees, upon the accuracy ,f It
information supplied to the city apart of thisappli ation.
SIGNATURE ` DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
GO/K
VA
MECHANICAL PERMIT LUE OF MECHANICAL WORK
Indicate how many of each type offiwWre to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (c—miai(
BOILERS FURNACES HOT WATER TANKS (cas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VA LUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
4—
s-iJ4
EXISTING/PREVIOUS USE
Lot SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
iiXNED FIRE SUPPRESSION SYSTEM?
ADDITION
Indicate how many of each type o
re to be installed or relocated as
art o this project. Do not include exis
' res to remain.
BATHTUBS (or Tub/Shower Combo(
LAVS (Hand Sin")
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Fitehen/U6hty(
WATER HEATERS (Eteetrie
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EBISTINO IMPROVEMENTS
# of
Stories
Additional Information
4—
s-iJ4
EXISTING/PREVIOUS USE
Lot SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
iiXNED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
E
FIRST FLOOR (or Mobile Home)
". �. :f', ..� ` '. ; 4� r 1`•"'• r' 3,,yic ',, 4 .............. .............................. -..-..—...................................--.—.
COVERED ENTRY
r r�
... -.......... -----............................... ----..................... ..........
GARAGE ❑ CARPORT ❑
............ -............................................
OMER (desaim
:,..
Area Totals IMSTIeyo PROPOSED 70TAL
_. ,MfaO�I 4V1A�i WWi -.
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NSW BUa,Dnio
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Groups)
Construction
a
# of
Stories
Additional Information
TOTAL Runo NQ
TENANT AREA ONLY
PRoaimcT AREA ONLY
^
�j voef
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application