03-104485City 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 - 104485 - 00 - ME
Inspection request line: 253.835.3050
Project Name: WASHINGTON MUTUAL
Project Address: 32000 PACIFIC S Parcel Number: 162104 9041
Project Description: Install one new, 1.5 -ton split system A/C unit with associated duct, return grills and diffusers.
Owner
Applicant
Contractor
WASHINGTON MUTUAL *KARL SUEDA *
UNITED SYSTEMS INC
UNITED SYSTEMS INC
WASHINGTON MUTUAL
1021 SW KLICKITAT WAY SUITE 104
1021 SW KLICKITAT WAY SUITE 104
17877 VON KARMAN AVE
SEATTLE WA 98134
SEATTLE WA 98134
lkg Wii;0Na)ggjgn.......................................... 55001
Over the Counter Permit..(.0.654
3340 ........No
Mechanical Fixtures
DescriptionDescription 7 Quanti DescriptionQuanti
Air Handling Units �� Compressors 1 Ducts
PERMIT EXPIRES April 7, 2004.
Permit issued on October 10, 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:DA Date: 16,10,OS
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CONSTRUCTION PERMIT APPLICATION
CITY OF I"�.� PPLICATION NUMBER: - it -Q
RV@WVaY PPLICATION NUMBER: _ _ - _ -
GITY OF FEDERAL WAY PPLICATION NUMBER: - -
X ZOQ3 j � 61NG �E'T,
0 C T **The follo requ information — Please print (in Ink) or type**
CITY OF F tofA-flectrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITEADDRESS: 39000 i is 3'c* 41!�h )3q JOI.cU� ASSESSOR'S TAX/PARCEL#: , b U '1 -
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
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: - DAYTIME PHONE:
�S �� -t ( ) -
UNG STREET ADD SS; CITY, STATE, ZIP):
.6. a
NAME:
L,w\S
Inc.
DAYTIME PHONE:
(gib(f) 511 - 3151
MAILING D (STREET ADD CITY, STATE, ZIP):
�4uy WCC, (, lu ett a
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EVENING PHONE:
c ) -
CITY OF FEDERAL WAY IIUSIN 'SS I KENSE NUMBER:
- L3 D
-QO
FAX NUMBER:
( ) -
CONTRACTORS REGISTRATION NUMBER:
'
EXPI TION / T_ / �g�
(copy of card required)
Y
EVENING PHONE:
( )
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT XONTRACTOR
PROJECT•• •
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $ ,1 Q U
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)
t
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
I■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
MISC. ( 1
= COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
TOTAL'
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(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 penton, 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 supplied to the ty as part of this application. r f �j
NAME/TITLE: ' I DATE: I v �./ J
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION
FIXTURES
Indicate number of each type of fixture
CENSUS CODE:
LOT SIZE:
MECHANICAL
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS)
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)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLETS)
SINKS)
WATER CLOSET(S)
MISC.
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 penton, 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 supplied to the ty as part of this application. r f �j
NAME/TITLE: ' I DATE: I v �./ J
❑ PROPERTY OWNER ❑ 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 D 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.cihroffederalway.com