02-101035City unity Developnxnt Services Federal Way
CommunMechanical Permit #: 02 - 101035 - 00 - ME
33530 1st Way S
Federal Way, WA 95003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.31550
Project Name: PUGET SOUND PLASTIC SURGERY
Project Address: 918 S 348TH"Suite2 Parcel Number: 114040 0010
Project Description: MECH - Install split a/c units and attic mounted gas fired furnaces. Furnish & install a complete HVAC
system with 4 zones.
Owner
Applicant
Contractor
MONA C/LAURENCE A LUX
ENVIROMECH
ENVIROMECH
909 S 336TH ST
ENVIROMECH
ENVIROMECH
KIRKLAND WA 98083
4735 EAST MARGINAL WAY S
4735 EAST MARGINAL WAY S
BLDG 1202, SPACE B-2
(206) 762-1960
Mechanical Valuation..........................................45000 Over the Counter Permit ...................................... No
Mechanical Fixtures
Description QuantrtW
s Desc"ription ., ,,„ &m w,,;
Quantity
:r , : m Description 11 :Quantity
Air i4andling Units 3 1
Refrigeration Systems
Number of Gas Outlets
Gas Piping 1
161IN17I I [IN&I
Per FWt:C, Sec. 22-1565, Type I solid sight barrier is required around outdoor mechanical equipment. A mechanical
screening inspection is required prior to final. Please call Heather Smith at (253)661-1594 twenty-four hours in advance
to schedule the screening inspection.
PERMIT EXPIRES September 30, 2002, IF NO WORK IS STARTED.
Permit issued on April 3, 2002
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: Date:
POST THIS CARD ON THE FRONT OF BUILDING
«nor G
m�
VV FIY
PERMIT #: 02 -101035 -00 -ME
OWNER'S NAME: MONA C/LAURENCE A LUX
SITE ADDRESS: 918 S 348TH Suite2
BUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL,
"O NOT POUROlCRETE UNTIL THE ABOVE -IS APPRO,VEb'
( ) DRAINAGE: Line
( ) Connection
DO NOT �O n�LAB UNTIL THE ABOVE IS APPROVED 14'
sem_ : .. aY .
( ) UNDERFLOOR FRAMING,
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL.
( ) SHEATHING
() SHEAR WALLS
() ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
Roof
Water
Gas piping I;-- / — G L L .,/
Ditch Cover
Floor
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING
' . THE ABOVE ,Mi1ST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ;.
( ) INSULATION: Floors
Walls
Attic
THE ABOVE MUST BE APPROVED"PRIOR TO APPLYING SHEETROCK
( ) WALLBOARD NAILING
( ) SUSPENDED CEILING
THE ABOVE_MIDST BE �iPPROVED", PRIOR,T0 TAPING OR INSTALLING CEILING TILE u
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
O BUILDING FINAL Q -Z C --CJ ljjj dr c.A„
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
INSPECTION LOG
DATE INSPECTOR OK I CORR/REJ I AREA AND TYPE OF INSPECTION
0
A�ec�
prof G RECEIVED CONSTRUCTION PERMIT APPLICATION
uV ��L APPLICATION NUMBER: ��
MAR O 8 202 APPLICATION NUMBER: -
APPLICATION NUMBER: - — - — —
CITY OF FEDERAL WAY—
**The follo k"Ka Tiformatiori — Please print (iA ink) br .type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: ��� S• 34 S L .Sal71C .Z ASSESSOR'S TAX/PARCEL #: / / Q 0 4 O - 0, D
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1—i1/S7Nz-Z- SPG/T �g�Vo 9777C
NIOUA.1rE47 �WsFr,� . zfpn/,9G,E_s �ue,v�s.y :.��ssrsx�L 4
Sys 2 ---AA w /
PROJECT NAME: / UGET SOU NO 04-19S77G G,E SRV
PROPERTY OWNER: NAME: DAYTIME PHONE:
10"'VA * .LuX ( ) -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
9D9 S 6 rte' sr. A/ kl'-,4AJO
CONTRACTOR:
NAME:
V11ft4Ec.1f
DAYTIME PHONE:
76z -196o
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE: I
47.55 EAST At17A,e6-w q4
A/V
(,10b ) 7(o2
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
A/
/� /� �I �/
V K V 8 8
EXPIRATION DATE:
$ 2—l
(copy of tad required)
F7 IC
APPLICANT: NAME: DAYTIME PHONE:
4V44,E,
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): Pl�0.7FCT /Vida (� ✓� ) �U -1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED ISED VALUATION $
PROPOSED USE: ROPOSED VALUATION FOR IMPROVEMENTS•
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRM OSED/REQUIRED:
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
/: (o
**(SEW RESIDENTIAL CONSTRUCTION ONLY**
c
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROSECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TO
BASEMENT
- -- .
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (D IBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
3 AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
_ GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate
of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACE INSERTS)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVEtN)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAn
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) misc.( )
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: 111E/L /744E/V / d MC -7r N%4"04A5R DATE: 3'8—
❑ PROPERTY OWNER R APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www,citwfTederalway.com