03-100934City 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 -100934 - 00 - ME
$_= - Inspection request lin
Project Name: CASH AND CARRY --
Project Address: 1628 S 344TH �}=
Project Description: Hang refrigeration coWand�><pe_tb condensing unit
Owner
- - Applicant —
Contractor
SEA -WASH PROPERTIES LLC
SOURCE REFRIGERATION
SOURCE REFRIGERATION/HVAC INC
1628 S 344TH ST
SOURCE REFRIGERATION
800 E ORANGETHORPE AVE
FEDERAL WAY WA
3902 W VALLEY HWY N
ANAHEIM CA 92801
98003-6852
AUBURN WA 98001
(253) 833-9300
Mechanical Valuation..........................................15000 Over the Counter Permit...................................... Yes
Mechanical Fixtures
"art
PERMIT EXPIRES September 3, 2003.
Permit issued on March 7, 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: ei�:
Date: 3'7( U3
1
Btu T_' "
RECEIVEID Kra(
®` MAR `` �L1`�) CONSTRUCTION PERMIT APPLICATION
CITY OF P 1✓� r' �JUJ
TB��p NCS ��PTA�Y APPLICATION NUMBER:
Federal WayO1
CIT OF FEI
BUILDING DP WAY APPLICATION 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.
SITE ADDRESS: 1 to ;n -�>Lj `, ST `03 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBING ?t' MECHANICAL o DEMOLITION
❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PW 4o_ �&y7da i4 L2 1
PROJECT NAME:
PROPERTY OWNER:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR: NAME:
DAYTIME PHONE:
( 253) V3 - 93oo
MAILING ADDRESS STREET ADDRESS; STATE, ZI : EVENING PHONE:
3 o yes V� i ley OWL/ -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 9FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER
1 IXPIRATION DATE:
(ropy of card required)
APPLICANT: NAME:
\ ` , o 0 S� DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STA IP): ( EVENING PHONE:
RELATIONSHIP TO PROJECT: f FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ( I
DETAILED BUILDING•• •
EXISTING USE: 1 EXISTING BUILDING ASSESSED/APPRAISED VALUATION
ter
PROPOSED USE: N x- Cza — PROPOSED VALUATION FOR IMPROVEMENTS: $ /5-
O00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNITS) _EVAPORATIVE COOLER(S)
FIRST
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
SECOND
WOODSTOVE(S)
BOILERS)
FIREPLACEINSERT(S)
THIRD
MISC.(
COMPRESSOR(S)
FURNACE(S)
FOURTH
DUCTS)
GAS PIPE OUTLET(S)
OTHER FLOORS (DESCRIBE)
❑ ELECTRIC ❑ GAS
PLUMBING
DECK
BATHTUB(S)
LAVATORY(S)
GARAGE
HOW MANY FLOORS?
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
TOTAL:
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
DiSCIAIMER/SIGNATURE BLC
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: 61e011 �I. DATE. 3%7��
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.ckyoffederalway.com
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) _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)
DUCTS)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
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)
DiSCIAIMER/SIGNATURE BLC
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: 61e011 �I. DATE. 3%7��
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.ckyoffederalway.com