04-100055City of eWay
Communitynity Development Services Mechanical ermit #: 04 -100055 - 00 - ME
Development
33530 1st Way S
Federal Way, WA 99003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: CENTER PLAZA
Project Address: 2020 S 320THIUNITA Parcel Number: 092104 9297
Project Description: Remove and replace roof -top heat pump (like for like 310lbs.)
Owner
Applicant
Contractor
CRATSENBERG COMPANIES
ADVANCED FILTER AND MECHANICAL
ADVANCED FILTER AND MECHANICAL
2020 S 320TH ST
418 VALLEY AVE NW UNIT B115
418 VALLEY AVE NW UNIT B115
FEDERAL WAY WA 98003
PUYALLUP WA 98371
PUYALLUP WA 98371
(253) 770-2440
Mechanical Valuation..........................................3900 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description lQuantityl I Description pQuantityI Description lQuantity�
Air Handling Units 1
PERNUT EXPIRES July 5, 2004.
Permit issued on January 7, 2004
I hereby certify that the ove �M'
tion i o ect and ' the construction on the above described property and
the occupancy and use willco an with t ws, piles and regulations of the State of Washington and
the City of Federal
Owner or agent:
Date: /--I
RECEIVED
OOMMUMIYDEYEGOPMEATSERVICES
cffy CW 33530 FIRST WAY SOM • PO BOX 9718
Federal Way JAN 7 2004 �.. 253 WAY, WA 9800,9718
-661-441FED6S-FAX 253-6614129
PERMIT APPLICATION—.atifflffederalwallrom
F-od«oa<o,CIT OF FERAL r: `1 i Vyt� V/ ]- 0 D C) .�/ 5- S/ D ^J
1 � �
The following is required information - an incomplete application will not be accepted.Please print legibly (in ink) or tune.
SITE ADDRESS: �� 2� G��''7-�'t �7 �_� ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ -
LEGAL DESCRIPTION (eg: Acme Estates, Lot 1)
SQUARE FOOTAGE OF LOT: (Attach separate page for lengthy legal description)
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBINGMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed djscnptzon of work included on thi&Dermit o
NAME (Na— Of Business/Owner Last Name):
PROPERTY
OWNER.-
CONTRACTOR.
WNER
CONTRACTOR
LENDER
(if P—p«ea Vane > •s,0001
APPLICANT:
NAME: PRIMARY PHONE:
MAI ADDRESS REET ADDRESS;(: CITY, STATE, ZIP �,� - 3�
o w � � Z
NAME COMPANY
E:
OFFICE PHO7
�CEPHOCNN
- a't{t
MAILING ADDR�\EET A ;�: Z
J
r
ELL PHONE:
MAILING ADDRESS (STREET ADDRESS):
-
CITY OF FEDERAL WAY URZ!r LICENSE NUMBER: EXPIRATION DATE:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER�/(1
(copy of card required with each D P-61F(�
EXPIRATION DATE:
applicatioa("1rJ
NAME: • DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME-
COMPANY
OFFICE PHO7
-Z� 9(
MAILING ADDRESS (STREET ADDRESS):
STATEP
EVENING P •
RELATIONSHIP TOP E :
FAX NUMBER
❑' Architect ❑ enant ❑ Other (Describe):
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner 910&ntractor ❑ Applicant E MAIL ADDRESS:
DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE O PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
GAS LOGS
REFRIG. SYSTEMS
_
BBQS FANS
FIRST
WOODSTOVES
BOILERS FIREPLACE INSERTS
RANGES
SECOND
COMPRESSORS FURNACES
GAS WATER HEATERS
o YES o NO ''
THIRD
❑ YES
❑ NO
PLUMBING
FOURTH
DEMO PERMIT REQUIRED?
BATHTUBS (or Tub/sho—r combo) SHOWERS
WATER CLOSETS Qoikq
ADDITIONAL FLOORS (DESCRIBE)
DISHWASHERS SINES
DRINKING FOUNTAINS
DECK(COVERED?)
RAINWATER SYS
WASHING MACHINES URINALS
GARAGE/CARPORT
LAVS (Batboomsink VACUUM BREAKERS
ELECTRIC WATER HEATERS
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL .�
Value of Mechanical Work $
❑ REPAIR o TENANT IMPROVEMENT
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
_
BBQS FANS
MOODS (com ,a isq
WOODSTOVES
BOILERS FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS FURNACES
GAS WATER HEATERS
o YES o NO ''
DUCTS GAS PIPE OUTLETS
❑ YES
❑ NO
PLUMBING
o YES o NO
DEMO PERMIT REQUIRED?
BATHTUBS (or Tub/sho—r combo) SHOWERS
WATER CLOSETS Qoikq
MISC (Describe)
DISHWASHERS SINES
DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS
RAINWATER SYS
WASHING MACHINES URINALS
HOSE BIBBS
LAVS (Batboomsink VACUUM BREAKERS
ELECTRIC WATER HEATERS
,-)TSCT.ATMER /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 authorize
A by the owner of the above premises to perform the work for which the permit
application is made. I fu r ree to d; :dffk!fj
the City of Federal Way as to any claim (including costs, expenses, and
attorneys' fees incurre the ves atio se of such clainq, which may be made by any person, including the
undersigned, and fi d agains the, ty of ey, but only where such claim s out of the reliance of the city,
including its offi rs a loyees, up they the information supplied the city as agpart of this application.
NAME/TITLE: DATE: (^ 2-,D
(Signature► (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
o NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
,BUILDING SHELL.:ONLY? `
❑ YES o NO ''
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION:
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED?
o YES o NO ''
UP/SEPA/SII?
❑ YES
❑ NO
PLATTED'LOT'>
o YES o NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Payr