09-104641 City of Federal Way • • Mechanical
Permit #: 09-104641 -00-ME
Community Development Services
P.O.Box 9718 FILE
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: COMFORT INN& SUITES
Project Address: 31622 PACIFIC HWY S Parcel Number: 092104 9146
Project Description: Replace(2)existing boilers with new condensing boilers& associated gas pipe outlets
Owner Applicant Contractor
SANG K YIM BRIAN SKINNER MCKINSTRY ELECTRIC
4817 S 183RD PL MCKINSTRY ELECTRICAL MCKINE*982KG(5/8/10)
AUBURN WA 98001 5005 3RD AVE S PO BOX 24567
SEATTLE WA 98134 SEATTLE WA 98124
Additional Permit Information
Mechanical Valuation 48525 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Boilers 2 Gas Pipe Outlets 2
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Sunday, May 23, 2010
Permit Issued on Tuesday, November 24, 2009
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.
Owner or agent: 1/A-14i),4...-7.1---
Date: ///:,21//69
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• aiv*„ • THIS CARD IS TO AIN ON-SITE .
CITY OF Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104641-00-ME Address: 31622 PACIFIC HWY S
Owner: SANG K YIM FEDERAL WAY, WA 98003-5439
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) ❑ Gas Piping(4125) 0 Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By ` Date l 2,1,3_(-�
❑ Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
4110
II \
PCITYoF � EVEIM 09- O4 6 4/
Federal Way PERMIT — —
COMMUNITY DEVELOPMENT SERVI40 V'2 4 2009 SF MF CO dall L PL DE EN FP
333258DrR SOUTH•PO 9718 LI CATI O N
FEDERALLWAY,WA 98063-9719718 1D / /
253-835-2607•- F FE D E A L l
u•uxr.ci�no( 1 ai cor
The following is requirecirRStation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3110 `i pl �C-L k C.C I-1--v,,_) , �T) TtkeJ G;, L�•�4Ll,Q SUITE/UNIT# /
ASSESSOR'S TAX/PARCEL# ID-/0 vy_L ,4 _J_[ J LOT SIZE (s)) / 7,n 6 o
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 5*e'C 4 II G C.�b1ti'v...-�
(Amar))separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
-- --2e- lace p (-1 Vel1e.S L) i V\e Co�'k�1e.,�,� lop, )-e.�Y-
PROJECT NAME(Name of Business or Owner Last Name) a it L( 1 ) Ti---.:A--0--
.
L✓--(/L-• PEOPLE INFORMATION
PROPERTY NAME �� PRIMARY PHONE
OWNER 1/L J V t --Ivl v — (X3)�3 - a t o l
MAILING ADDRESS X-C-(` ^`� 4�,) S C7}t e E./`Z1 06 i W.�1�#I E-MAIL ADDRESS
CONTRACTOR COMPPAANY N E j1 ee �I A.Fe--4e-.74,1
/-P CANT N J/ OFFICE PHONE
Y�1 1 11 ,-�r ( • LA.4 ,Eti t`w.— (74 ) 7(,Y - /(,7C
*( coos CITY.V/,1 c�ZIp V' ei t 3L( ( 4, )CELL PHONE
- (/S�ti' 7
CITY OF FF FRAL AY BUSINESS LICENSE NUMBER EVXPI TION ATE FAX NUMBER
r 9-I O -00006-3 -06-EL 1 - 3/�y ( (264,) -2 4, 3 -
CONTRA OR'S REGTSTRATION NUMBER EXPIRATIO DATE E-MAIL ADDRESS
0 NAC:•,--S4 °CSL. CI a`D(A--.) 3116, it L.-A,00 ,s Ay.c e...
APPLICANT COMP NAME APPLICANT NAME OFFICE PHONE
AING + � _ ...4-4- ' --�� - ( cr) '76,11 - r� x-
ADORES CI STATE.ZIP CELL PHONE
5oc, 3��" A.)c S . i, iIle ( Ii14 `i 03 Y aew ' G- - 4.-141
RELATIONSHIP TO PROJECT // FAX NUMBER
0 Architect 0 Tenant 0 Agent �.O her [,0vU4fzC, TL '' ( ) -
PROJECT NAME/ PRIMARY PHONE i E-MAIL ADDRESSL, SS
CONTACT _.,1 A,(4-. Lr)C.-C�` v - (AL ) `7V( - I L7� K1..-4-'t `- ,,i ie:i; 4,/y404,�
LENDERNAME Per RCW 19.27.095:
Nn
/�,ii 5 d'r cie f fA Lender information is required if project value exceeds$5,000
LI G ADDRES ('.HY.STATE.ZIP PHONE
cos de .K.2-te a,00 ScediieI w4 9g/or (20.4)386 - /eid
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER II LAKEHAVEN El HIGHLINE ❑ PRIVATE(SEPTIC)
i
• PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. Sg. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE S
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL '�['�
l'alue of Mechanical Work$ O i SQ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS ---GAS PIPE OUTLETS WOODSTOVES
BBQS FANS _ GAS WATER HEATERS MISC(Describe)
4(71- BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(ormb/shower Combo) _ LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rano
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 tit' application.
SIGNATURE: DATE /041 kre
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
NEW ADDITION ALTERATION REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? YES NO BASIC PLAN? YES NO
ZONING DESIGNATION CHANGE OF USE? c YES NO
NEW ADDRESS REQUIRED? YES NO UP/SEPA/SU? EYES NO
PLATTED LOT? YES NO DEMO PERMIT REQUIRED? YES NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application