03-102235City 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 -102235 - 00 - ME
Inspection request line: 253.835.3050
Project Name: AAA WASHINGTON
Project Address: 2122 S 314TH S4' Parcel Number: 092104 9053
Project Description: Install (9) diffusers and associated duct work, subject to field inspection.
Owner
Applicant
Contractor
ROSEN PROPERTIES
ELECTROMATIC SALES & SERVICE INC *D
ELECTROMATIC SALES & SERVICE INC *D
PO BOX 5003
2791 152ND AVE NE BLDG 7E
2791 152ND AVE NE BLDG 7E
BELLEVUE WA 98009
REDMOND WA 98052
REDMOND WA 98052
(425) 216-1601
Mechanical Valuation..........................................3000 Over the Counter Permit ...................................... Yes
M h . IF'
Air HandlingiUnits
ec a" %10 IxtUlu*
PERMIT EXPIRES November 26, 2003.
Permit issued on May 30, 2003
I ht!reby 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: 5-'�!" 03
6-/z-o3L
RECEIVED CONSTRUCTION PERMIT APPLICATION
cl�yol PPLICATION NUMBER:
Federal Way2003
MAY 8 PPLICATION NUMBER:
PPLICATION NUMBER: - -
CITY OF FEDERAL WAY
"The foskV+PquP ed information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
2122 2i ,c�
SITE ADDRESS: Jl
_ �. q� V
ASSESSOR'S TAX/PARCEL #: L Q - C-5 5
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING o PLUMBING MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIION (Provide detailed description):
lid Ctkmn,
� / f
PROJECT NAME:
i
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME,
DAYTIME PHONE:
MAILING �((ADDR � (STREET CITY, STATE. ZIP):
22��11// 5
� EVENING PHONE: -
`J
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
I EXPIRATION DATE:
r L ' 2 N E 06 / 23 / O�
(aW of card rte)
-3
NAME: 1 DAYTIME PHONE:
��e mulnc��iY f�a1lt5 ( (006) W2l -
MAILING ADDRESS (STREET AD RESS; JITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT:/' FAX NUMBER:
I o ARCHITECT o TENANT `OTHER ( DESCRIBE): l W� rt Ar AeZ j ) 016 - llpc�o j
E-MAIL ADDRESS:
?(CONTRACTOR I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT j� CONTRACTOR
• • • • ' •`
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $ bow .(
90
o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES o NO
o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
o LAKEHAVEN o HIGHLINE 0 PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MEECk"WAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTO S)
FIREPLACE INSERTS) RANGE(S) _ ` MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
BLOCK
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 su plied to the city as a part o(ff this application. [,
NAME/TITLE: qqq1 i b` DATE: _ ✓^ 03
❑ PROPERTY OWNER ❑ APPLICANT XICONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.ctvoffederalway.com