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03-101130City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Mechanical Permit #:03 -101130 - 00 - ME Inspection request line: 253.835.3050 Project Name: ST FRANCIS MEDICAL OFFICE BUILDING Project Address: 34509 9THIS -G Parcel Number: 750451 0010 Project Description: HVAC retro It in 1st floor (VAV boxes and associated ductwork) Owner Applicant Contractor Hospital Bsp StFrancis AIR SYSTEMS ENGINEERING INC. AIR SYSTEMS ENGINEERING INC. 2002 ADV DEP PD #5282869 909 S 28TH ST 909 S 28TH ST TACOMA WA 98409 TACOMA WA 98409 (253) 572-9484 Mechanical Valuation..........................................105269 Over the Counter Permit ...................................... No Mechanical Fixtures f, Air Handling Units T-171 Ducts 8 Fans PERMIT EXPIRES October 4, 2003. Permit issued on April 7, 2003 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: }2n9-cn Per i.�SYV�im 5 �� " Date: `03 Y ED CONSTRUCTION PERMIT APPLICATION c ry of ; 1-1 Y OF FCDLRAL WA� PPLICATI N NUMBER: - - �DTll{k -P�E� AL WAY 0 - - Federal ' O BUiLDJNG DEPT APPLICATION NUMBER: PPLICATION NUMBER: - **The following is required information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: 3455 I th2jt Q S ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): +CJ-� C3 s P as Qac 2-r A rCc # 2-Q0 i 0-7 a (,o 005 i 3 Lind TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING )(MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): • ♦ e• cczW&C-0 ■ PROJECT INFORMATION PROPERTY OWNER: CONTRACTOR: NAME: DAYTIME PHONE: F�6S can Wec K S41, � rn-% If INGAgByE55 (STFEET ADDRESS, CITY, WA q R 401 NAME: , DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, 0 2 P WA `aQ�4 0(i EVENING PHONE: ( ) r�Lsz am �Sa CIT' OF FEDERAL WAY BUSINESS LICENSE NUMBER: - 4 00 - ©O FAX NUMBER: (263) 38 3- b 33 7 CONTRACTOR'S REGISTRATION NUMBER: n t'EXPIRATION & I Q S Z -L �j DATE: [j i / 0 (copy of card required) F— T APPLICANT: NA � DAYTIME PHONE: p-r�cm `'0 �'� (Zs3) 57a - 48� MAILING ADDRESS (S ET ADDRESS; CITY, STATE, IIP): EVENING PHONE: 300 a S 91 f� 7-orama W R 9g401 ( ) saw RELATIONSHIP TO PROJECT: � - L ,- FAX NUMBER: ❑ ARCHITECT ❑ TENANT JX OTHER( DESCRIBE): C=V,�.C�c�'� (Z63) 3g3 - 6 33-i 1�eevp(pqseal'ws. E-MAIL ADDR S: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR EXISTING USE: ayA , Qtk�C0 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ -3, L'I $S t 160o, 00 PROPOSED USE: _SGl IYU— PROPOSED VALUATION FOR IMPROVEMENTS: $ 16 5 � X09 . 0 a SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION '' REFRIG. SYSTEM(S) FIRST JJ / -7 iC�10 ` GLII 1Z WOODSTOVE(S) SECOND FIREPLACE INSERT(S) RANGE(S) MISC. (VA VS ) THIRD FURNACE(S) FOURTH GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS OTHER FLOORS (DESCRIBE) PLUMBING DECK LAVATORY(S) URINAL(S) WATER HEATER(S) GARAGE HOW MANY FLOORS? RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS TOTAL: SHOWER(S) WASH MACHINE OUTLET Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION '' REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. (VA VS ) COMPRESSOR(S) FURNACE(S) DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( 1 INTERCEPTORS) SUMP(S) I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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. NAME/TITLE- -20VJ U 96J.J�Q/I.I�L� ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: DATE: 3 (L4 /0.3 o NEW o ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION '' BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.caW2ffederalway.com