19-100708 b �
Mechanical
City of Federal Way Permit #:19-100708-00-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
Project Name: SOUTHRIDGE HOUSE APARTMENTS
Project Address: 30838 14TH AVE S Parcel Number:082104 9231
Project Description: ALT-Installation of(1)2.5 ton ductless split system heat pump serving the elevator machine
room.
Owner Applicant Contractor
K C HOUSING AUTHORITY WASHINGTON HEATING&A/C INC WASHINGTON HEATING&A/C INC
600 ANDOVER PARK W 13620 1ST AVE S WASHIHA012LQ(6/16/19)
TUKWILA WA 98188 BURIEN WA 98168
13620 1ST AVE S
BURIEN WA 98168
Additional Permit Information
Mechanical Work Valuation? 11000 Is this an Online or O.T.C.application9 Yes
Compressors/Heat Pumps 1
CONDITIONS:
Separate Electrical Permit Required
Subject to field inspection with plans(see 17-105624).
PERMIT EXPIRES Monday, 12 August,2019
Permit Issued on Wednesday,February 13,2019
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: 2 ( 3
OV (
4 4
THIS CARD IS TO REMAIN ON-SITE
""'°� Construction Inspection Record
F@relway
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100708 00 Address: 30838 14TH AVE S
Project: K C HOUSING AUTHORITY FEDERAL WAY WA 98003-4763
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 balk of this card.
El Mechanical Rough-in(4165) El Gas Piping(4125) El Final-Mechanical(4065)
+i Approved Approved to release teat /wApproved
fay Date BY Date B, ,.s Date '-m-A. .`!
0 Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OFFEB 13 2019 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMEN'
PERMIT NUMBER /v/I _ / 0 b 7 0 C� - A
((( ll TARGET DATE
SITE ADDRESS SUITE/UNIT#
30838 14th Ave. South
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 22
$ 11,000 0 l Q y _ 9 J /
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING l MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Southridge House Elevators
Install (1)2.5 ton Ductless Split System Heat Pump serving the elevator Machine Room
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER KCHA Southridge House
MAILING ADDRESS E-MAIL
30838 14th Ave. South
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Washington Heating &A/C Inc. 206-860-3832
MAILING ADDRESS E-MAIL
CONTRACTOR 13620 1st Ave. South mrlong@washingtonheating.com
CITY STATE ZIP FAX
Burien WA 98168 206-860-3799
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY RUSINESS LICENSE N
WASHIHA012LQ 6/ 16 X2019
NAME PRIMARY PHONE
Monte Long 206-396-5528
APPLICANT MAILING ADDRESS E-MAIL
13620 1st Ave. South mrlong@washingtonheating.com
CITY STATE ZIP FAX
Burien WA 98168 206-860-3799
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Requued 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 a part of this application.
SIGNATURE: DATE
2 - 13 — I I
PRINT NAME: Monte Long
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application