03-103031City of Federal Way Mechanical Permit #: 03 -103031 - 00 - ME
Community Development Services
33530 lst Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Pax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: K -IMPORTS
Project Address: 33703 9TH s. A-Je- S
Parcel Number: 926480 0190
Project Description: Install compressor in connection with the installation of a walk-in cooler for wholesale flower storage.
Owner
Applicant
Contractor
MORRIS PIIIA MANGMNT GRP, INC.
K -IMPORTS, INC
K -IMPORTS, INC
14100 SE 36TH ST SW SUITE 200
33703 9TH AVE S
33703 9TH AVE S
BELLEVUE WA 98015
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
(206)228-1578
Mechanical Valuation..........................................850 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description FQ—ua-n7fijJ I Description Quantity Description Quanti
Refrigeration Systems
PERMIT EXPIRES January 19, 2004.
Permit issued on July 23, 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: Z-11
9
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CONSTRUCTION PERMIT APPLICATI N
CITY of �� PPLICATION NUMBER: - Q -
Federal Way PPLICATION NUMBER:
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.
.C• • •
SITE ADDRESS: ���7pa 9-" Ayr- .. S ' ASSESSOR'S TAX/PARCEL #: -
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
CID
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PROJECT DESCRIPTION (Provide detailed description): CID T't-Q Z 1\j C 47-1 �
Ft ---36Q & WAIII:-4t-- - r&) o��-g�
PROJECT NAME:
PROPERTY OWNER: NAME:` DAYTIME PHONE:
A44 ��i� 1E-'7—
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
L
14 ion S� 3C�;' S-t-yqW sr� _2 �e�@e�L�� Ls.", �So�S-3z9
CONTRACTOR: I NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
APPLICANT: NAME.
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
.337 0 3 �`�-`� A -ye S
RELATIONSHIP TO PROJECT::
❑ ARCHITECT LV TENANT ❑ OTHER ( DESCRIBE):
DAYTIME PHONE:
)
EVENING PHONE:
)
FAX NUMBER:
EXPIRATION DATE:
(Lo,c ) 2 2!F- I S %�
EVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
EXISTING USE: 'W ``A 1? {(-.7,,.,0S(Z EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
W
PROPOSED USE: � Q E40(l `71l' PROPOSED VALUATION FOR IMPROVEMENTS: $ S s
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
F1
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"NEW RESIDENTIAL CONSTRUCTION ONLY" •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FAN(S)
HOOD(S)
WOODSTOVE(S)
FIRST
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
SECOND
FURNACE(S)
THIRD
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
FOURTH
PLUMBING
OTHER FLOORS (DESCRIBE)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DECK
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
GARAGE
HOW MANY FLOORS?
SHOWER(S)
WASH MACHINE OUTLET
TOTAL:
SINKS)
WATER CLOSET(S)
MISC. ( )
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)
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 supplied to the city as a part of this application.
NAME/TITLE: _ {2 2 '%52 I �� K sQ L I C ( / cta N e4
❑ PROPERTY OWNER S APPLICANT ❑ CONTRACTOR
DATE: 2 3
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