08-105813 w
• Mechanical
City of Federal Way •
Community Development Services Permit #: 08-105813-00-ME
1
P 0 Box 9718 _.,
Federal-260,wa3-9718
(25
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line (253) 835-3050
1,3 Li. �-•--�: =- -,...44
Project Name: AVALON CARE CENTER
Project Address: 135 S 336TH ST Parcel Number: 926504 0110
Project Description: Installation of 12" exhaust fan in Physical Therapy area.
`
Owner Applicant Contractor
135 SOUTH 336TH STREET LL RANDY FRIES FRIES COMMERCIAL HEATING
6380 WILSHIRE BLVD#1106 FRIES COMMERCIAL HEATING FRIESCH077MB(12/17/08)
LOS ANGELES CA 2022 SW 325TH PL 2022 SW 325TH PL
90048-5019 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
AddRiiiitil Permit's tfam iatl i . '- i-';''' '
Mechanical Valuation 2000 Is this an Online or O.T.C.application? Yes
e�, - ,y Mec �t� "' . r. ' ��. �v, r. .t»»• - ',• •i
Fans 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, June 6, 2009
Permit Issued on Monday, December 8, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use •I be in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way. ,p
Owner or agent:pi 7�ir^__ Date: /�_69`o 6
Au �
THIS CARD IS TO ,MAIN ON-SITE
CITY OF tY p Inspection Develo m nt Ins ection Record
• Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105813-00-ME
Owner:
Address: 135 S 336TH ST
•
FEDERAL WAY, WA 98003-6601
This card is part of your required inspection documents. 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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
•
By Date By Date By 01/Pate VZ0,4
•
•
For inspector reference only _
D Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
arfaA ECE.I - _ os 3
Federal ` `
3a.i2 MIT SF MF C 1 E ' L PL DE EN FP
3332S�AVENUX PME•PO 9718D EC 0 8 20 8
?EWA LWAY,WA 91063.9711 A.PPLICATION
rii _ e ji
4534352607•PAX 253435-2609
' Ekaa1( OF FEDERAL WAY
The following is required mon-an incomplete application will not be • . , • •-•- print legibly(in ink)or type.
• PROPERTY INFORMATION
36r......_,
SITE ADDRESS 7 SUITE/UNIT t
ASSESSOR'S TAX/PARCEL 5 9 L S U .! - O / /
—_ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1)
(AMA.�u•gsMePrimed.MeddwatideN
• PROJECT INFORMATION
TYPE-OP PERMIT O BUILDING 0 PLUMBING 741ECHANICAL
CI DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
7-PRO4ECT DESCRIPTION(Provide detailed description of work included on alis aerm vph,t . _ " .-. -
.JJS . ter, / C /% '&7 �%
I.-PROJECT NAME(Name ofd or Owner Last Name) 41, 11-6-XJ &I--,-...i....-
MI PEOPLE INFORMATION
( NAMEA 046-0") 006& � �!J i 'i)S7ZERPERTY c -8e
MAILING /"" ,771 rE-5 CITY,STATE,ZIP //j E-MAIL ADDRESS
L:
CONTRACTOR
-74 /6SW4/ /17= .01 �
MAIIdNGADDRESS A 1�� % GS (�5 , O,� - 7
Saar kzJ 3 Pi.. STATE,tt?�i oaa woz3 c,119Z/ - 47M
QTY OF FEDERAL WAY HUENEME LICENSE NUMBER EKPBCCIYON DATE FAX NUMBER
DATE E-MAIL ADMIRE
t /677144 /6/r7eg
APPLICANTr APPLICANT NAME OFFICE PHONE
MAIUNO ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect o Tenant a Agent a Other ( ) -
ECTNAME PROMARTPHONE - E-MAIL ADDRESS
CONTACT ( )
LENDER NAME Per 1RCW19.277.096:
Lender it :wtttation —r:r• , - value e:oeMd.CI:000--......N........._
• 4.STATE,ZIP i'i[ONE
U DETAILED BUILDING INFORMATION
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE$ - VALUE OF PROPOSED WORE
SP am -7 uERED BUILDING? a YES a NO ' ' - . : .1 ON SYSTEM PROPOSED/REQUIRED? a YES " a Na
WATER SERVIC$PROVIDER a LAt{EIIAVEN a BIGHLINE a COMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAREHA ; a IUGBLINE a . . , (SEPTIC)
a PROJECT FLOOR AREAS
. ' . ..
AREA DESC• r '4 ON EXISTING PROPOSED " ' TOTAL
SQ.FT. .FT. SQ.FT.
BASEMENT •
FIRST
_: VSECOND•"'2' -'. : "": _. „., . .. .. . _ _ . ,.
THIRD
ADDITIONAL FLOORS(DESCRIBE)
--
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 - .
.,'
_-- f
'-17Vracilosar— ' TOTAL - - " real Itisteta sr __ routractrisaisb Tomcat in''
NUMBER OF FLOORS .
_**16W fICMES ONLY" MR OF BEDROOMS ESTIMATED SELUNG PRICE $
-- - -
a FIXTURES
. ,
. . .
Indicate number... of_eaclitmuuAgobe installed or relocated as part of this project. Do not include existing fixtures to remain.
MISCHAlCAL • .
"
Value of Mechanical Work$.94-- SL,e2 I e'.° (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATI
Indicate
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
— BBQS I FANS GAS WATER HEATERS MISC(DeecrOre)
'.• -•• :
BOSZRS- : ' -- : . • .,1?-*,:*004 INSERTS , 1 • -- , HOODSFdol,
COMPRESSORS - FURNACES RANGES
DUCtS - GAS LOG SETS REFRIG.SYSTEMS
p .11 1: 1 't
- :• rwishwar caw.) LAVS manoss wan URINALS
• D-: "ASH'-•.•#;• 'I, '."ATER SYST VAC 0 i• BREAKERS
,RINKING FO AIMS SHO• ••,-,= WATER * 'ETS(run)
ELECTRIC WA r TE-,•-• SINKS WASHING MA
_ HOSE HIBBS SUMPS
4•••: • , :
SIGNATURE
I cawt4fy under passes of perjury that I an the properly ouster or authorised agent of the property owner.I carte,that to the best of my
lawathadra,the information submitted in support of this permit application is true and correct.I cordly that I will amply with all applicable
City isf Federal Wig-regulations pertaining to the Were risithorixed by the issuance of a permit.I understand that the issuance of this permit
does not reawve the owner's responsibility for csmpliance with local,state,or federal laws regulathey construction or estriromnastal laws.
I farther woe to hold harmless-the City of Federal Way sat.any claim(including costs,expenses, and attonuoyse fees incurred in the
investigation and defense of such claire), which may be made by any person, including due undersigned, and filed agabast the city, bat only
where such claim arises out of the reliance of the city, • ••r! its officers and employees,upon the accuracy of the information supplied to
the airs as apart of this application.
) 11GIATURE: --‘ .
DATE 1
Property Owner and/or Authorized Agent
• ...._, , , , _
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
-SWILDING alit drat 010 . - _ BASIo PLAN? • — - - ciTHS 'a NO
ZONING DESIGNATION CHANGE OF USE? a TICS a NO
NEW ADDRESS REQUIRED? -. a YES o NO UP/SEPA/SU? , a YES .o NO.
PLATTED LOT?. _ a YES )?NO ,DEMO PERMIT REQUIRED? . a TES a NO
. , .
Bulletin#100-January 1,2008 Page 2 of 4 lcUlandouts\Pemit Application