04-100276City 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 #:04 — 100276 — 00 — ME
Project Name: WEYERHAEUSER BETA LAB
Prk f" 8. It Yol}: s
Inspection request line: 253.835.3050
Project Address: 32901 WEYERHAEUSER 4 %Ioq 3 Parcel Number: 162104 9013
Project Description: Installing 15 single natural gas lab outlets in second floor Beta Lab
Owner
Applicant
Contractor
WEYERHAUESER (R&D TECH CTR)
ENVIROMECH
ENVIROMECH
32901 WEYERHAUESER WAY S
4735 E MARGINAL WAY S
4735 E MARGINAL WAY S
BLDG 1202 SPACE B-2
BLDG 1202 SPACE B-2
FEDERAL WAY WA 98023
SEATTLE WA 98134
(206) 762-1960
Mechanical Valuation..........................................5000 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quanti
Number of Gas Outlets 15
PERMIT EXPIRES July 25, 2004.
Permit issued on. January 27, 2004
I hereby certify that the above information is correct and t the construction on the above described property and
the occupancy and the use will be in accordance�th the s, ru and regulations of the State of Washington' and
the City of Federal Way.
Owner or agent:
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
Date: -1 )L? q
Date
YZ y
ate
Z.—
Date
s
iarr Of*
Federal Way
03`10518'.
The IbUowina is
?nm
`RMIT
- an
APPLICATION
COMMUMTY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-661-4115• FAX: 253-6614129
www. atuotiederalwa u. com
SITE ADDRESS: 32— clo I 32—'o D2w z- S. ,,) -Tat SUITE/APT #
ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _ _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
or
TYPE OF PERMIT (This application): ❑ BUILDING VPLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlyk '2- 5 It -A S
1 T'o gF-� IA LLEo 8q Col. -rT ACroR . r�E'v �I ►Jc'4LE
L-A B k) 624-- 0 Q -r I-- TO gtr— I P.,1 STA A-- "F -
PROJECT NAME (Name of Business/Owner Last Name): W o Y c v— E ► Q V gE g E -T Q_ L Q e
PROPERTY
OWNER.-
CONTRACTOR.
WNER:
CONTRACTOR:
LENDER:
(If Proposed Value > $6,000)
APPLICANT:
NAME: PRIMARY PHONE:
E V ( )
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME �HIaE� T
ngt�/lonlS
COMPANY
�-►.lJ +R -o tJI� N
OFFICE PHONE:
(2a(a) -7!0 2
- 14 !o O
MAILING ADDRESS (STREET ADDRESS;): 8.,� Pnka I Zp
CITY, STATE, ZIP
MAILING ADDRESS (STREET ADDRESS):
CELL PHONE:
EVENING PHONE:
4-735 E, S. '`*14eE
5 E -rs�t`
' `
W` 18134
(2o&) 39 t
- q 51y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
EXPIRATION
DATE:
FAX NUMBER:
Z O -D -z- - I _D b 8 O 1 -
M/
31 / Z 103
(Zpra)-7(02
- 19A36
0 o L3 L. — Cl,J2 '12Agj0
iE
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION
DATE:
G
(copy of card required with each applim los) E
.
(� p�
,� C✓ V )L-:( 2J 3 1
V
/ '2-00 q
NAME: DAYTIME PHONE:
MA=SS (STREET ADDRESS;): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
L AES �. �r�w.SS
E ►�1 L H
(20cQ)
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
35 E S 4 1102 Sv-19-2
5 F 61? "
(20�a ) 391 - (R
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ Architect ❑ Tenant q/bther (Describe): Go►,1 T2 AC rat
(2ola )1&-L -
CONTACT PSN FOR THIS PROJECT, ctFm a t' Cot�iractor O� A"Heant ALTi1RESS:
it. r,wuce(sccra
EXISTING USE:
EXISTING ASSESSED/APPRAISED VALUE $.
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE:
VALUE OF PROPOSED WORK:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
X&CHAMCAL
Value of Mechanical Work $ S; 0 G O
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
BATHTUBS (or Tub/shower combo(
SHOWERS
-� DISHWASHERS
Z SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (sathroomsink
VACUUM BREAKERS
GAS LOGS
HOODS (commercial(
RANGES
GAB WATER HEATERS
WATER CLOSETS (Toilet)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVy 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 tide accuracy of the information supplied to the city as a part of this application.
NAME/TITLE:
RELATIONSHIP TO
❑ Property Owner ❑ Applicant
(Title)
t"Contractor ❑ Architect ❑
t /27-101
Bulletin #100 - January 13, 2004 Page 2 of 4 Ul landouts - Revised\Permit Application