02-100263City of Federal Way
Comrnunity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: AT&T WIRELESS SERVICES
Project Address: 2424 S 320TH 5-t
T. lechanical Permit #:02 -100263 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 092104 9172
Project Description: MEC - Selective mechanical demolition, ductwork, and accessories, duct insulation, air balance, 3
exhaust fans, GRD's, 2 fire smoke detectors.
Owner
Applicant
Contractor
John C Baxter
JOHANSEN MECHANICAL
JOHANSEN MECHANICAL
8802 28TH AVE NW
PO BOX 1768
PO BOX 1768
SEATTLE WA
WOODINVILLE WA 98072
WOODINVILLE WA 98072
98117-3819
(425)481-2266
Mechanical Valuation..........................................12500
Over the Counter Permit......................................No
Mechanical Fixtures
Description Qtirrti Cescription Qiaanti
Ducts ir-10
Fans
PERMIT EXPIRES November 6, 2002, IF NO WORK IS STARTED.
Permit issued on May 10, 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 W /
Owner or agent: _ Date:` ` `J
�,.o. CONS_TR_UCTION PERMIT APPLICATION_
APPLICATION NUMBER: O).- -
vv � �_ iAN 16 ���i�n� — —
PPLICATION NUMBER:
PPLICATION NUMBER:
UILa�IN� C3Ep7'. — —
**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.
ERTY INFORMATION
�1
c O.
SITE ADDRESS: 24)0 SOU7"N �2DTN S%yz�c-T� ASSESSOR'S TAX/PARCEL #: Q 1 L - L 1
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
ACCF_CSfl
D_/ES;
. DICT TWoLATIOAJ.
6motec iETECTog 5• -
PROJECT NAME: ATC T 0I2CLE55 FODUAL 04y
PEOPLE• •
PROPERTY OWNER:
CONTRACTOR:
NAMt: / DAYTIME PHONE:
T T /QEIc S (4) f") 66 5�
MAILING ADDRESS (STREET ADDRESS; STATE, STATE, ZII
MO&IT� VILLI L? ( `'rtiELL . 0
NAME:
DAYTIME PHONE:
LAMA EGNAti1l «G
(Q,5-)
/'
- 66
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
Aug.
'7
EVENING PHONE:
(4��r q
-,3266
a lOq /44w AIF—D,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
qq—l0r76
7—L
FAX NUMBER:
(q�)48 6
g33
CONTRACTOR'S REGISTRATION NUMBER: JJ
1`
EXPIRATION DATE:
(copy of card required)
APPLICANT: I NAME:
tl,41.t N 1-m5 ,
MAILING ADDRESS (STREET ADD R S; CITY,
110 9 1 44-r;4 )E -
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT
fE, ZIP):
If- L,6--ozNtjIt-1,E GC 1,4 /9'8 D'07c),gr OTHER ( DESCRIBE):/ ,UTECH, 60AJT/lAGiQ/L
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT eCONTRACTOR
EXISTING USE:
ROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
■ DETAILED BUILDING INFORMATION
EVENING PHONE:
FAX NUMBER:
(4) h) 48G - 69
AISG" !KI ll
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
FIRST
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
SECOND
CHANGE OF USE? ❑ YES ❑ NO
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
Imo-
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
BLOCK
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 informatioyr¢upplied to the city_ as a part of this application.
fl
NAME/TITLE:/%.��1�- DATE:
❑ PROPERTY OWNER V❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ 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
rnmm', irry nnici non rprr cFovirFC . ZZC7(1 FIgCT WAY Cn'rrH . P n RnX Q71 . FF0FRA1 WAY. WA 98063-9718 • 253-661-4000 • FAX: 253.661-4129
•