03-103274City 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 -103274 - 00 - ME
Inspection request line: 253.835.3050
Project Name: LO .J&
Project Address: 28619 9TH S Parcel Number: 515296 0180
Project Description: Install air conditioning system
Owner
Applicant
Contractor
EDDIE T LO & NATALIE T LO
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
28619 9TH AVE S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-3127
(206) 282-4700
Mechanical Valuation..........................................5567
Over the Counter Permit......................................Yes
Mechanical Fixtures
Description Quantify E Description
Air Handling Units
PERMIT EXPIRES February 8, 2004.
Permit issued on August 12, 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. l /'02
Owner or agent �� 4 Date: J! ��
PECEIVED
A OF �
CONSTRUCTION PERMIT APPLICATION
CITY AUG 1 1 zoos
PPLICATION NUMBER:
Federal Way — = — _
CITY OF FEDERAL WAY [APPLICATION NUMBER:
BUILDING DEPT, 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.
SITE ADDRESS: I / V �SO ASSESSOR'S TAX/PARCEL 7t: 5! 5Z91p - p 1 a
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): O BUILDING O PLUMBING MECHANICAL O DEMOLITION
0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT--
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
DAYTIME PHONE'
MAILING ADDRESS (STREET A SS: CITY, STATE, ZIP):
NAME: / Jn (��
DAYTIME PHONE:
MAILINGADDRE55 ($TR_ EETADD0.�� TTY„SCA�ZIP�
C''�,
EVENING PHONE.
-
CnY OF FEDERAL WAY BUSINESS LICENSE MBER:
FAX NUMBER:
_ —
CONTRACTOR'S REGISTRATION NUMBER:
uJ
EXPIRATION DATE:
I 2— / OSS
(copy or oro required)
i
APPLICANT: NAME:/� DAYTIME PHONE•
wI
es Lo candCC.e C �-� � !o&) ZS'�Z- �
MAILING ADDRESS (STREQ�DDRCI'IY, STATE. IPS ): (EVENING PHONE' -
RELATIONSHIP TO PROJECT: FAX NUMBER:
O ARCHITECT O TENANT 0 OTHER ( DESCRIBE):
(, E-MAIL ADDRESS:
]� -)
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER O APPLICANT CONTRACTOR
• • • • ` `•
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
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**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS �7
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? C) YES ❑ NO
COMPPLAN DESIGNATION
BASIC PLAN? ❑ YES o NO
FIRST
NEW ADDRESS REQUIRED?- o. YES ❑ NO
PLATTED LOT? o YES ❑ NO:
CHANGE OF USE? ❑ YES ❑ NO
SECOND
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)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCEVELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
■ DISCLAIMER/ SIGNATURE BLOCK
WATER HEATERS)
o ELECTRIC o GAS
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 uppliefto the city as a part of this application. /0_3 NAME/TITLE: CtldvDATE: 4
❑ PROPERTY
Fnit NFFTrF I ICG f1N1 V.
❑ CONTRACTOR
,5SLp 7, ecrD_11
❑;NEW ❑ ADDITION o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? C) YES ❑ NO
COMPPLAN DESIGNATION
BASIC PLAN? ❑ YES o NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?- o. YES ❑ NO
PLATTED LOT? o YES ❑ NO:
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 - FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.ciMffederatwU.com
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