03-104613City of Federal Way
Community Development Services
33530 lst Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: YAMAKI OFFICE RENOVATION
Project Address: 2319 SW 320TH Q'
Mechanical Permit #:03 -104613 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 132103 9033
Project Description: Install (4) ventilation fans in restrooms and exam room. Permit is for mechanical only - electrical to be
on separate permit.
Owner
Applicant
Contractor
TWIN LAKES PROF PARK
T I NORTHWEST CORP
T I NORTHWEST CORP
2317 S 320TH ST
121 23RD ST SE
121 23RD ST SE
FEDERAL WAY WA
PUYALLUP WA 98372-4117
PUYALLUP WA 98372-4117
INgOWF�A 1Valuation..........................................1926
Over the Counter Permit..
(253).445.4104. . . . . . . • • Yes
Mechanical Fixtures
r Description_' _�Quan#i Description — ,Quantity I Descri #ion JQuantityl
Fans
PERMIT EXPIRES April 5, 2004.
Permit issued on October 8, 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
Owner or age Date: �W(03
4
TOTAL PROPOSED NON-EXEMPT LIGHTING LOAD
NOTE: EX = EXISTING LIGHT FIXTURE
N = NEW LIGHT FIXTURE
R = RELOCATED LIGHT FIXTURE
ALL ROOMS TO BE SWITCHED SEPARATELY.
CONTRACTOR TO REUSE EXISTING SWITCHING WHENEVER POSSIBLE.
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CITY OF FEDERAL WAY"
BUILDING DEPT,
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CONSTRUCTION PERMIT APPLICATION
CITY OF 7 03 APPLICATION NUMBER: C� - Q j0 -
j� _
Federal Way v ` APPLICATION NUMBER: _ - _ _ _ - _
�IJY Oi= FEDERAL WAY APPI iCATION NUMBER:
BUILDING DEPT. — — — — — — — — — —
**The following is required infonma6m - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS !LLQ �o`t�' S+— ASSESSORS TAX/PARCEL #: L32-1 ()3-'1055
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): W 4)hn Pr cy E
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
L
PROJECT DESCRIPTION (Provide detailed description): I L4 e_rh a u sl A "'G
PROJECT NAME: a!,/`l
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
CCiCQs Pry 0Ra_Q � ( ) -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
xN5 S—:W ; �) 5-t— RYkta( COM a C.tA q�__3
NAME:
- 11 r
•
hlt
DAYTIME PHONE:
) - �l
101 IADDLE (,STR^E _T ,Cif Y, SPATE, IIP)
���
(ENING NE: -
CITYY OFFEDERAL WAY BUSINESS LICENSE NUMBER: I.
O -
0
FAX NUMBER -
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(cDpyofcard mquired)
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
EX S77NG USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
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)
'C61 m
**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
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. SYSTEM(S)
BBQ(S) � FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACEINSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC ❑ 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 had harmless the City of Federal Way as to any claim (including cosh, 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 where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of tate information pplied to the city ps a part of this
NAME/TITLE. �-� V�Ita Aa � DATE: I� L/
❑ PROPERTY OWNER )A�LICANT") 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.cityoffederalway.com