18-104454 - r
Mechanical
City of Federal Way Permit #:18-104454-00-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: MIRROR LAKE VILLAGE SENIOR HOUSING DUPLEX(R-3)
Project Address: 910-912 SW 310TH CT Parcel Number:072104 9087
Project Description: Mechanical system for new duplex.
Owner Applicant Contractor
MIRROR LAKE VILLAGE LLC ALEX BURKHARTEVERGREEN EVERGREEN REFRIGERATION LLC
PO BOX 6961 REFRIGERATION (GENERAL)
BELLEVUE WA 98008 727 S KENYON ST EVERGRL954R2(1/6/20)
SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Mechanical Work Valuation? 27206 Is this an Online or O.T.C.application? No
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Air Handling Units 6 Compressors/Heat Pumps 2 Ducting 4
Fans 2
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
Wash' Let f Federal Way.
Owner or agent: Date:
•
10A‘ THIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 104454 00 Address: 910-912 SW 310TH CT
Project: MIRROR LAKE VILLAGE LLC FEDERAL WAY WA 98023
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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El Mechanical Rough-in(4165) Gas Piping(4125) al Final-Mechanical(4065)
Approved Approved to release test Approved
By /IA Date 5 By Date By a i Date 9- 3
/AA/
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0 Rough Electrical E3 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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RECEIVED _ 7° 6) R- 3
�►► SEP 2 0 2018 PERMIT APPLICATION
CITY OF
Federal Way CITY OF FEDERAL WAY PEST CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
"1'.ti''Y DEVELOPMENT 253-835-2607+FAX 253-835-2609+permitcenter( cityoffederalway.com
PERMIT NUMBER I a( - J ±L �j _ /1 2_0) l r
v sL v TARGET DATE " 00
SITE ADDRESS SUITE/UNIT#
910 - 912 SW 311th Ct. Duplex R-3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 27,206.00 0 7 2 1 0 4 _ 9 0 8 7
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBINGGMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Mirror Lake Village Senior Housing - Duplex R-3
Installation of two (2) ductless split system heat pump outdoor units, six (6)
PROJECT DESCRIPTION
Detailed description of work to ductless split system indoor units, one (1) electric wall heater, two (2)
be included on this permit only exhaust fans, venting of two (2) ranges, venting of two (2) dryers, and
refrigeration piping.
NAME PRIMARY PHONE
Mirror Lake Village LLC
PROPERTY OWNERMAD DIG ADDRESS EMAIL
570 150th PI. NE
CITY Bellevue STATE ZIP 98007
NAS Evergreen Refrigeration PHONE 206-763-1744
E-MAILING ADDRESS 727 S Kenyon St. alexb@evergreenhvac.com
CONTRACTOR
CITY Seattle WA 98108 ZIP FAX 206-763-2389
WA STATE CONTRACTOR'S LICENSE Y EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y
EVERGRL954R2 1 / 6 / 20 20-06-100781-00-BL
NAME ONE
Alex Burkhart PRIMARY 206 763-1744
APPLICANT MAILING ADDRESS E-MAIL
727 S Kenyon St. alexb@evergreenhvac.com
CITY Seattle WA 8108 TE ZIP FAX 206-763-2389
PROJECT CONTACT NAME Alex Burkhart
PRIMARY PHONE06- 763-1744
(The individual to receive and MAILING"DDS 727 S Kenyon St. E-MAILlexb@evergreenhvac.com
respond to all correspondence
concerning this application) CITY Seattle SWAP 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 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 9/17/18
PRINT NAME: Alex Burkhart
Bulletin#100—January 29,2016 Page 1 of 2 k:\I-Iandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $27,206.00
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
6 AIR HANDLING UNITS 2 FANS GAS PIPE OUTLETS 1 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) Electric wall
BOILERS FURNACES HOT WATER TANKS(Gas) heater
2 COMPRESSORS GAS LOG SETS REFRIGERATION SYST
4 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/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FDCTURES
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)
COVERED ENTRY
1C ,
GARAGE 0 CARPORT 0
Area Totals EXISTING PROPOSED TOTAL
**Z(EW MOMS WW1
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
!OIs Banana
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
P AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application