18-104068 Mechanical
City of Federal Way Permit #:18-104068-00-ME
Con mmny 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: FEDERAL WAY SELF STORAGE-BUILDING 1
Project Address: 33620 21ST AVE SW Parcel Number:242103 9001
Project Description: Installation of(5)gas furnaces,(5)gas piping outlets,(3)split system heat pumps,(1)energy
recovery ventilator,(3)electric wall heaters,(2)exhaust fans,(9)louvers,ductwork and
grilles/diffusers.
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Owner Applicant Contractor
CH REALTY V1I-WSP I SEATTLE FEDERAL ALEX BURKHARTEVERGREEN EVERGREEN REFRIGERATION LLC
WAY SELF STORAGE LLC REFRIGERATION (GENERAL)
131 S 700TH E SUITE 102 727 S KENYON ST EVERGRL954R2(1/6/20)
AMERICAN FORK UT 84003 SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Mechanical Work Valuation? 39965 Is this an Online or O.T.C.application's No
Air Handling Units 3 Compressors/Heat Pumps 3 Ducting . 1
Fans 3 Furnaces 8 Gas Pipe Outlets 5
PERMIT EXPIRES Monday,3 June,2019
Permit Issued on Wednesday,December 5,2018
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
Washin ton and the Ci of Federal Way.
Owner or agent I L Date:
THIS CARD IS TO REMAIN ON-SITE
°� Construction Inspection Record
F U tTh Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 104068 00 Address: 33620 21ST AVE SW
Project: CH REALTY VII-WSP I SEATTLE F FEDERAL WAY WA 98023-7761
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) 0 Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved q
By a a Date U 1 By j4,J Date 11 1 - By ' Date i 2 -
0 Rough Electrical 0 Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED 1
CITY OP -.
AUG 31 2018 PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
COMMUNITY DEVELOPMENT 253-835-2607+ FAX 253-835-2609+ permitcenter(icitvoffederalway.com
_ �j� 6 11/4) ,
1 U
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PERMIT NUMBER ' �(/
TARGET DATE
SITE ADDRESS SUITE/UNIT#
33620 21st Ave SW Building 1
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 39,965.00 2 4 2 1 0 3 _ 9 0 0 1
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBINGVMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Federal Way Self Storage
PROJECT DESCRIPTION Installation of five (5) gas furnaces, fivel5) gas piping outlets.
Detailed description of work to three (3) split system heat pumps, one (1) energy recovery ventilator,
be included on this permit only three (3) electric wall heaters, two (2) exhaust fans, nine (9) louvers,
ductwork, and grilles/diffusers.
NAME PRIMARY PHONE
CH Realty VII-WSP I Seattle
PROPERTY OWNER MAILING ADDRESS E-MAIL
131 S 700 E #102
CIS American Fork STATE ZIP
UT 98023
NAME Evergreen Refrigeration PHONE 206-763-1744
MAILING ADDRESS 727 S Kenyon St. E-MAIL
CONTRACTOR y alexb@evergreenhvac.com
CITY
Seattle STATE
IP 98108 FAX 206-763-2389
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
EVERGRL954R2 1 6 / 20 20-06-100781-00-BL
NAME Alex Burkhart PRIMARY PHONE
206-763-1744
MAILING AILING ADDRESS E-MAIL
727 S Kenyon St. alexb@evergreenhvac.com
CITY Seattle STATE
IP 98108 FAX 206-763-2389
NAME Alex Burkhart PRIMARY PHONE
PROJECT CONTACT 206-763-1744
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 727 S Kenyon St. alexb@evergreenhvac.com
concerning this application) CITY Seattle STATE ZIP 98108 FAX
WA 206-763-2389
NAME
PROJECT FINANCING ❑ 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 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: I DATE 0 ( 3 i hr
PRINT NAME: Alex Burkhart
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 139,862.00
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.
3 AIR HANDLING UNITS 3 FANS 5 GAS PIPE OUTLETS 9 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) Louvers
BOILERS 8 FURNACES HOT WATER TANKS(Gas)
3 COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 DUCTING 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(Nana sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
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, .,, i , ,
FIRST FLOOR(or Mobile Home)
` . FLOOR. 3
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
• 1�
(clesa,rthei *4„
EXISTING PROPOSED TOTAL
Area Totals
rt, : HMIS oNLY" ❑
ESTIMATED SELLING PRICE$ _ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
i:. a
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application