04-100172City of Federal Way
Community Development Services
335301st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: SALMOLUX WAREHOUSE
Project Address: 34100 9TH S AV e- S 151 .10 e
Mechanical Permit #:04 -100172 - 00 - ME
Project Description: Install gas hot water tank and gas piping.
Inspection request line: 253.835.3050
Parcel Number: 132180 0020
Owner
Applicant
Contractor
SALMOLUX INC
SALMOLUX INC
SALMOLUX INC
POB 23910
POB 23910
POB 23910
FEDERAL WAY, WA
FEDERAL WAY, WA
FEDERAL WAY, WA
98093-0910
98093-0910
1 (253)874-2026
Mechanical Valuation..........................................750 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti Description Quanti Description Qlaanti
Gas Piping I
PERMIT EXPIRES July 18, 2004.
Permit issued on January 26, 2004
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 ---
Owner or agent: Date: O`v
U" L
COMMUNITY DEVELOPMENT sERvicEg-
33S30 FIRST WA Y SO
cm of �� FEDERAL WAY, WA98063-�I 9778
Federal way PERMIT APPLICATION
253-661-4115--.cmffede d5 q. 14129
www.atuo%Pdernlwa . rom
For Office Ua Only: / TD:
FW File Number: (D -1 O 0
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or tope.
ml -
SITE ADDRESS: `3QZC) 0 `-9z% /4-w S • SUITE/Ph E'V D
ASSESSOR'S TAX/PARCEL #: _ — _ _ — _ - _ _ _ _ SQUARE FOOTAGE OF LOT: JAN 2 O 2004
LEGAL DESCRIPTION (eg: Acme Estates, Lot 1)OF
DERAL WAY
(Attach separate page for lengthy legal de crz M DING DEPT
PROJECT•• •
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING A__MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only).
PROJECT NAME
PROPERTY
OWNER:
CONTRACTOR
LENDER:
(If Pmpwed V-1— > ts.wol
APPLICANT:
Owner Last
NAME, /� 4>1 L PRIMARY4^�� PHONE:
/
MAILING ADDRE NET R -): CITY E IP Q �•�p
3/Co -t .._! 6�0
NAME
COMPANYOFFICE
PHONE:
MAILING ADDRESS (STREET ADDRESS;):
CITY, STATE, ZIP
CELL PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of cud required with each application) —
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): 7��P
NAM •
COMPANY
OFFICE PHONE:
( -
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
❑ Architect ❑ Tenant ❑ Other (Describer
FAX NUMBER:
( -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner ❑ Contractor ❑ 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 ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
DRINKING FOUNTAINS
SECOND
HOSE BIBBS
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL MSTING
TOTAL PROPOSED
TOTAL E)OSTING 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.
Value of Mechanical Work $ 2
. _AIR HANDLING UNITS EVAPORATIVE COOLERS
`_BBOS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS �_ GAS PIPE OUTLETS
PLUMBING
_ BATHTUBS IorTub/Shoe Combos
SHOWERS
_ DISHWASHERS
SINKS
_ GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
_ LAVS (BathromnSink
VACUUM BREAKERS
QAS LOGS
REFRIG. SYSTEMS
HOODS (cm—ercia4
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS Troukq
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
7TBCT,ATMFR/gM,NATTTRF, RLC
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 ctaimh 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 an�ipinpioyer�s, 'pon the accuracy of the informgtion supplied to the city as apart of this application.
NAME/TITLE:1&,7;4e4/ DATE:
(Signature) (Title)
RELATIONSHIP TO PROJECT: operty Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
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