03-103249ti
1k
City 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 -103249 - 00 - ME
Inspection request line: 253.835.3050
Project Name: TWIN LAKES SHOPPING CENTER
Project Address: 1905 SW CAMPUS'Dr - Parcel Number: 242103 9113
Project Description: Replace (9) rooftop HVAC units with similarly sized units, in same locations.
Owner
Applicant
Contractor
Lakes Retail Llc Twin
HOLADAY - PARKS, INC.
HOLADAY - PARKS, INC.
2132 SW 336TH ST
4600 S 134TH PL
4600 S 134TH PL
FEDERAL WAY WA
SEATTLE WA 98168
SEATTLE WA 98168
98023-2883
(206) 248-9700
Mechanical Valuation..........................................25000
Over the Counter Pen -nit ......................................No
Mechanical Fixtures
Ur
...
Air Handling Units
PERMIT EXPIRES February 10, 2004.
Permit issued on August 14, 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 accordanc the laws, rules and regulations of the State of Washington and
the City of Fede ay.
Owner or agent: Date:
0
CITY of
Federal Way
RECEIVED
AUG 0 8 200:
CITY OF FEDERAL WAY
BUILDING DEPT,
k4�-
CONSTRUCTION PERMIT APPLICATION
**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.. •
SITE ADDRESS: f qo•'s �� A • ASSESSOR'S TAX/ PARCEL #:'2 -1Z ig 1 3 - Q t L z-0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
t
DAYTIME PHONE: -
MAILING ADD (STREET DRE . CITY, TE, ZIP .
l fe 7 -- IA/
NAME:
DAYTIME PHONE:
(ao&) A 44 -
MAILING ADDRESS (STRE DRESS; QTY, STATE, ZIP):
EVENING PHONE:
0o S. 1311-x i
OF FEDERAL WAY BUSINESS LICENSE NUMBEft:
o20 -D! /0 -3,9,5-- aO-SBL _ _ _ _
FAX NUMBER:
(zoo) .zfeV-8 as
CONTRACTOR'S REGISTRATION NUMBER: T
L D 1^ Z Q
EXPIRATION DATE:
l e9l'!�) 3
(copy of card required)
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
k CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENT � S ').l X
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
.15C.
C a rv%
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
,.... ■ PR07ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
S 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)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 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)
1TSCLAIMERISTGNATURE BLC
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 wheresuch claim arises out of the reliance of the city, including Its officers and employees, upon the accuracy
to bt
of the Info; n suppligd 4the cityps a part of this application.
DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOK 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
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