18-105063 Mechanical
City of Federal Way Permit #:18-105063-00-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: STATE FARM INSURANCE
Project Address: 31817 GATEWAY CTR BLVD S Parcel Number:092104 9137
Project Description: Installation of gas meter,running 140'of 1"line from meter to the rooftop HVAC unit.
Owner Applicant Contractor
ANS L L C JAMES DAI-ILENK&D MECHANICAL INC K&D MECHANICAL(GENERAL)
PO BOX 1941 33530 1ST WAY S SUITE 102 KDMECI'008CJ(2/21/20)
AUBURN WA FEDERAL WAY WA 98003 33530 1ST WAY S SUITE 102
98071
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Work Valuation'? 1500 Is this an 0,0414. ..lication9 Yes
Gas Piping 1
P - I EXPIR Wedn, i ay, • 4,2019
'ermi'Issue' i , pi' •,Oct` 1,2018
/ ' 1
I hereby certify that the •o - form- i• .;Z •rr• a at the •nstruction on the above described property
and the occupancy u - ' .41 , - •rdanc •• the laws, rules and regulations of the State of
, ,'. , i and the i of Federal Way.
Owner or agent: 4 �l'4 Date:wir , NI? / g-l
i
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tog iik,
(II
•
larL THIS CARD IS TO REMAIN ON-SITE • •
cove. Construction Inspection Record
Federal VVay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 105063 00 Address: 31817 GATEWAY CTR BLVD S
Project: ANS L L C 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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date ByI 1 Date 1 o ` • By Date
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
®` 2418 PERMIT APPLICATION
ivE.D
CITY OF �""'�/ OC 1 2
Federal Way CITY PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
OF F FED
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
COMMUNITY
PERMIT NUMBER 1 gN
_ ) 0 5 LJ _ G W-
- - TARGET DATE / ,
SITE ADDRESS SUITE/UNIT#
3fSi7 G.a-rCw4 CCrt7"rc $4r S.
PROJECT VALUATION ZONING / /PA
ASSESSOR'S TARRCEL#
$ /S'0 0 o 9 Z I _ `f _ q / 3 7
TYPE OF PERMIT ❑ BUILDING Atititlitall4 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT c79 re FA c ilk -TN Su r4✓c e TUL,'G. 'vcl vls2.A/
6-71S Cont -47 ?v Ser Nn-,) 6As Al(1 r -
PROJECT DESCRIPTION
Detailed description of work to t4)C LV If Tun) pia' Q 7 r
/' A ,'✓<< rJ NL
be included on this permit only /14 r rrr' r At go D f/bP f1V.4e o rl 1°7:
NAME �/ ctn,C�- / PRIMARY PHONE
PROPERTY OWNER �� k�1/ ��-2 k-'/-.,fl .Zz. 360-20- 50s/
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAMEg • N /Yt echGMzA. J•N 6 PHONE2.5-3- ! 5- 154/
MAILING ADDRESS E-MAIL
CONTRACTOR 33530 / 5 (/ IA �,
A. y SO. /0 KOAleGi et)CO� /V
r+I ii
(
CITX., /
Q im ( W' V A ZIP L F o 0 3 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
k D Ade G 1 ile 06 PCZ
NAME .. _-._._._....-... - PRIMARY PHONE
.44
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
_ .. NAMESki/1PRIMARY 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 N/74
/7 ❑ 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,urther agree to hold less the of F ••er• ay as to any claim(including costs,expenses,and attorneys'fees incurred in
Vie investigation and de e of such • , h y be made by any person,including the undersigned,and filed against the city,
but only where such im arises o •f t • l • ce of the city, including its officers and employees, upon the accuracy of the
information supplie the
city • of ••lication.
SIGNATURE: ���%�r/ A / DATE /O --A 1— I e-
PRINT NAME: ,4'14 cS D G k l fA/
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Pennit Application
VALUE OF MECHANICAL WORK
MECHANICAL 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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
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(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/uwity) 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
'4;7411 { "... vy:44,%!: ,•,;(4s ,.�;4.,. ��''.a�
FIRST FLOOR(or Mobile Home)
'��`�,,�t,�51t........_......................._....._................._...._.__.......____...._._.._..........__._._._..._.__....—___.
„g-IL
COVERED ENTRY
GARAGE ❑ CARPORT 0
OTHE1 (Y $` 6f fr'f 1
EXISTING PROPOSED TOTAL
Area Totals
>� Q U' . ..
ESTIMATED SELLING PRICE$ I # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION IMEII Occupancy Group(s) Construction St i s Additional Information
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of> Additional Information
S.uare Feet y. Sterile".
4a St
xek- • a..
TENANT AREA ONLY
�?^' '<y 7�F+.`:aC"...PI`ki'v'°„wy . !!.'/y' F✓' ,
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Q qa' a-b• e ay R 'ef> , f^>� r hr • p- z;74;t4""•,:�
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application