04-100443V.ttzy of Fe feral Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 -100443 - 00 - ME
Project Name: EAGLE MORTGAGE
Project Address: 34709 9TH S AIJe s Unit k" 9 Vo
Inspection request line: 253.835.3050
Project Description: Installation of (3) new S/A diffusers and (5) new R/A diffusers.
Parcel Number: 926480 0015
Owner
Applicant
Contractor
CCD ENTERPRISES
HEATTRANSFER CO
HEATTRANSFER CO
CCD ENTERPRISES
P.O. BOX 1268
P.O. BOX 1268
1601 5TH AVE SUITE 105
FEDERAL WAY WA
\CARNATION WA 98014
(425) 885-3247
Mechanical Valuation..........................................1500 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti Description Quantity Description Quanti
Ducts 1
PERMIT EXPIRES August 4, 2004.
Pertna<at issued an February 6, 2004
V/1
RECEIVED I pie-
COMMi1MTY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BOX 9718
AY, WA
Federalay PERMIT APPLICATION ��� �0°� tmuw �im/fedc,rJu,01-9718
i'mmIY9
For Offi« Um Only. I O _ L f 'L � - � � vU 11 j NM DEPT.
FW File Number: L
The following is required information -an incomplete application will not be accepted. Please
SITE ADDRESS: 9 riC —.5 SUITE/APT # _
ASSESSOR'S TAX/PARCEL #: , z '0 Y B d - 49 en % SQUARE FOOTAGE OF LOT:
or
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECTMFORMATION
TYPE OF PERMIT (This application): o BUILDING ❑ PLUMBING 'MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onluh.®7-
PROJECT NAME (Name of Business/Owner Last Name):
a
PEOPLE1 • - •
PROPERTY
OWNER
140344 R.10 Eel tr.
LENDER:
(If Proposed Vsloe > $5,000)
NAME: PRIMARY PHONE:
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME
COMPANY
OFFICE PHONE:
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
/EVENING PHONE:
l )
MAILING ADDRESS (STREET ADDRESS;):
CITY, STATE, ZIP
CELL PHONE:
.9o>< /268
"_
( ) -
CITY OF FEDERAL WAY BUSINESS L19NS NUMBER: EXPIRATION DATE:
FAX NUMBER: -
bo
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of cud required with eaeh application) _
NAME: (DAYTIME PHONE:
l )
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME: -
COMPANY
OFFICE PHONE:
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
/EVENING PHONE:
l )
RELATIONSHIP TO PROJECT:
❑ Architect ❑ Tenant ❑ Other (Describef.
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: $ %Sdo "P-�
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
CHANGE OF USE?
SECOND
o NO
NEW ADDRESS REQUIRED?
o YES o NO
THIRD
o YES
o NO
PLATTED' LOT?
FOURTH
DEMO PERMIT REQUIRED?
❑ YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
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.
JESCUAAYCAL
Value of Mechanical Work
- AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
J— DUCTS
PLUMBING
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
BATHTUBS (or rub/Shower combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (sathroom sink
VACUUM BREAKERS
GAS LOGS
HOODS (Cumene claw)
RANGES
GAS WATER HEATERS
WATER CLOSETS (Toilet) _
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
DISCLAIMER /SIGNATURE BLC
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 employee, upon the/accuracy of the information supplied to the city as apart of this application.
NAME/TITLE: ` DATE: 2 �Y
tsionart�� (Title)
RELATIONSHIP TO PROJECT:' ❑ Property Owner ❑ Applicant PrContractor ❑ Architect ❑
❑ NEW o ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES o NO
BASIC PLAN?
OYES
o NO
ZONING DESIGNATION:
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED' LOT?
o YES o NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
(-lLIItCI1Fl '±10"; - „<i :!..e \ i . ..,(;i3,_(
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