03-102327City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: FRANK'S MEATS
Project Address: 29500 PACIFIC S SuiteI
Project Description: Installing new refrigeration units
a- T
Mechanical Permit #:03 -102327 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 304020 0093
Owner
Applicant
Contractor
DAVID RHODES
WEISLAW & KRYSTYNA BRODA
NONE
29500 PACIFIC HWY S
29500 PACIFIC HWY S SUITE I
Compressors
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
3 1
Mechanical Valuation..........................................3000 Over the Counter Permit ...................................... No
Mechanical Fixtures
Desai tion
Quare,-,,;
,Description
Quantity(�escwon
_ -aa
Cuanti
Boilers �
1
Compressors
Refrigeration Systems
3 1
Evaporative Coolers
PERMIT EXPIRES December 13, 2003.
Permit issued on June 16, 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: 4�'— l,!5-" --c? c3
q1,
17 1
RECEIVED
"�► ' - JUN 03 CONSTRUCTION PERMIT APPLICATION ,, //
CITY of �� Q 5 20 PPLICATION NUMBER: - _ - _ _ !qC
Federal Way CITY OF FEDERAL WA PPLICATIONNUMBER: _ _ - _ _ _ _ _ _ -
BUILDING DEPT, 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.
PROPERTY• •
!�
SITE ADDRESS: 2 7 500 ?A L J�� � ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PhO3ECT. INFORMAT1614
TYPE OF PROJECT (This application): o BUILDING PLUMBING MECHANICAL ❑DEMOLITION
(ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): I NSrA-L *riO it/ OF j /' p k MC LA4 -W7- / AIAr *P4 P9R4-:/,0A1
6WK i ^,0;7 5zAlK 4AID h'AilPW16-4//Av6- tijZff , RVAI C-C&P &Ael ZI-9— W*r- ZR P1 PCS ro LoA„vEGT
lydrEQ T- 12 ALL R'r?1A-A/C' c. 4 4A/V k h7- P 'RVA/ L/A�C T'O &:/-1-
490245- Al vti7-1 pAILV�P? LiH A� C i' � !A/STA L �4 J"/ D jj/ '� G00f4Z.!�s 0,4 4 Det/ r!f- c AQ
PROJECT NAME: �> / / �_ ; M
PEOPLE• •
PROPERTY OWNER• NAME: i DAYTIME PHONE:
cf
�O MAILING A E (SIRE AD ESS; ST
3r 00 of
CONTRACTOR: NAME: ( DAYTIME PHONE:
j MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP): I EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- -1CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
(roPY of card required) -
APPLICANT: NAME: 81AYIIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):/, EVENI PHONE:
RELATIONSHIP TO PROJECT:. 4 G✓ �0 03 t FAX UMBER:
( o ARCHITECTTENANT ❑ OTHER ( DESCRIBE):
E-MAIL ADDRESS:
I �
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
DEtAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $1 C—
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROTECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S) �/�
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: kf ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS)
DISHWASHER(S) 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, induding 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: �C.SGL?Gt/ ��F1f�� Da/"? DATE:
❑ PROPERTY OWNER VAPPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
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