19-103327 Mechanical
City otFederal Way Permit #:19-103327-00-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: CONFLUENT DEVELOPMENT
Project Address: 33650 21ST AVE SW Parcel Number:930100 0020
Project Description: Installation of(2)rooftop HVAC units and gas piping.
Owner Applicant Contractor
PACIFIC RAINIER ALEX BURKHARTEVERGREEN EVERGREEN REFRIGERATION LLC
PO BOX 11628 REFRIGERATION (GENERAL)
TACOMA WA 98411 727 S KENYON ST EVERGRL954R2(1/6/20)
SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Mechanical Work Valuation9 25839 Is this an Online or O.T.C.application? No •
• •1; �s7 �'"µN ••«�� Ya..';`£ ' "z . fix•- � .;'s „
,•_s.-
Gas Piping 1 Gas Pipe Outlets 2 Roof Top Units 2
PERMIT EXPIRES Sunday,2 February,2020
Permit Issued on Tuesday,August 6,2019
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. g
Owner or agent: r Date: 0 (6 it 1-
. .,ATHIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103327 00 Address: 33650 21ST AVE SW
Project: PACIFIC RAINIER FEDERAL WAY WA 98023-7762
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.
El Mechanical Rough-in(4165) 13 Gas Piping(4125) 3❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date g 2' I By ' 0 Date 9 /`i
•
0 Rough Electrical 0 Final Electrical [J Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF jut. 11 2019 PERMIT APPLICATION
Federal Way CITY OF FEDEPAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
GOMMUNI i Y DEVE!OPMENT 253-835-2607+FAX 253-835-2609+permitcenter@cityoffederalway.com
PERMIT NUMBER I' — / // 3 2 G — � CCC��� 0/g/i
QCCC TwRQET Dw?E `
SITE ADDRESS SUITE/UNIT It
33650 21st Ave SW
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL t
$ 25,839.00 9 3 0 1 0 0 _ 0 0 2 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBINGVeMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Confluent Development
Installation of two (2) rooftop units and two (2) gas piping outlets.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME Umpqua Bank PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS RUSD,
20085 NW Tanasbourne Dr.
CI"` Hillsboro OR TE >r 97124
NAME Evergreen Refrigeration SONE 206-763-1744
MAILING ADDRESS 727 S Kenyon St. alexb@evergreenhvac.com
CONTRACTOR
CITY Seattle WA 8108 TE ZIP FAX 206-763-2389
WA STATE CONTRACTOR'S LICENSE t EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE t
EVERGRL954R2 1 6 20 20-06-100781-00-BL
NAS Alex Burkhart RY206 763-1744
APPLICANT 1AILINGADDRESS
727 S Kenyon St. E-MAILlexb@evergreenhvac.com
CITY Seattle WAA ZIPFAXFAX 206-763-2389
PROJECT CONTACT NAME Alex Burkhart PRIMARY PRONE06-763-1744
(The individual to receive and MAILING ADDRESS
727 S Kenyon St. E-MAILlexb@evergreenhvac.com
respond to all correspondence
concerning this application) C1TY Seattle EWA Z> r 98108 FAX 206-763-2389
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 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 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: Ait."---'-..-- DATE
/I ( /1
PRINT NAME: Alex Burkhart
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 25,839.00
Indicate how many of each type of fvcture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
2 AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercio
BOILERS FURNACES HOT WATER TANKS(Gan(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING 2 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 Smks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility( WATER HEATERS(Uectnc(
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(describoi
Area Totals EXISTING PROPOSsa TOTAL
"SSW ROW=oils*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s) Construction M of Additional Information
Square Feet Type Stories
II- ADM
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction M of Additional Information
Square Feet Type Stories
TOTAL SUILDINat
TENANT AREA ONLY
PROJECT AREA CBCT
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application