03-103330City 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 -103330 - 00 - ME
Inspection request. line: 253.835.3050
Project Name: WASHINGTON MUTUAL TWIN LAKES BRANCH
Project Address: 33601 21ST'SW Parcel Number: 873217 0010
Project Description: Replacing existing rooftop split system condenser with new like for like, including gas-fired duct heater
Owner
Applicant
Contractor
WASHINGTON MUTUAL BANK
MACDONALD MILLER FAC SOL INC
MACDONALD MILLER FAC SOL INC
MACDONALD MILLER FAC SOL INC
MACDONALD MILLER FAC SOL INC
PO BOX 47983
PO BOX 47983
SEATTLE WA 98146
(206) 7684258
Mechanical Valuation..........................................45000
Over the Counter Permit......................................No
Mechanical Fixtures
£S tia.. Quanit
. n
Air Handling Units
PERMIT EXPIRES February 17, 2004.
Permit issued on August 21, 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.
Owner or agent: Date:
Rec_�\ �. F___ , - VNIC-- ( (!)
cmor G Sece ED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: 015 - IQ 6 -33D-
LTY OF FEDERAL -WAY PPLICATION NUMBER: 03 - _-3
Q 3 1 -
DEPT APPLICATION NUMBER:
�' IaUILDING - - - - - - - - - -
**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 INFORMATION
SITE ADDRESS: 3"I 2157T A CA-- GE tASSESSOR'S TAX/PARCEL #: e Z Z, Z 1 Z - Q .0 L 0 -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):_,{ /
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 044ECHANICAL ❑ DEMOLITION
,11_ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
1 i l 1 2 ,7 Py U i✓ M P,i L' bra 1- LJ q t3lol
NAME:
DAYTIME PHONE:
I
- 2
(ZGYo )'(off -Z174D
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP):
EVENING PHONE:
-771-7 )>UT7 zv I T
14 v EN LTE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
'2 o -
0 3 1 C,D 3 `zj ZDu l3L_
( ) -
CONTRACTOR'S REGISTRATION NUMBER:
DATE:
(Dopy of card required) In A)�
s Q
rEXPIRATION
Z / 31 105
NAME:
r tTa (7z6 ) 76
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
771-7 E ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT )! Elt ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
EXISTING USE:
❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION '
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ Q IRED: ti YES ❑ NO
WATER SERVICE PROVIDER: .�AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
*NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
,,� o
l V
' �A
C� f`I
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) / REFRIG. SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( 1
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. [ 1
INTERCEPTORS) SUMP(S)
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 whrit such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information sutt ty as a part of this application.
DATE: '6-71 - d3
❑ PROPERTY OWN ❑ 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
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661.4000 • FAX: 253-661-4129
www.citvoffederalway.com