02-103693t
R
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 103693 - 00 - ME
Inspection request line: 253.835.3050
Project Name: WASHINGTON STATE DEPARTMENT OF REVENUE
Project Address: 3455 S 344TH1Suite140 Parcel Number: 222104 9006
Project Description: MECH - Installfsplit cooling system for tele/data room. This permit is seperated from original permit
#02-102561-00. Split ductless HVAC unit deleted from original permit.
Owner
Applicant
Contractor
BEDFORD PROPERTY INVESTORS
SUPERIOR BUILDERS INC
SUPERIOR BUILDERS INC
701 N 34TH ST SUITE 308
PO BOX 1849
PO BOX 1849
SEATTLE WA 98103
MILTON WA 98354
MILTON WA 98354
(253)573-1698
Mechanical Valuation..........................................7500 Over the Counter Permit ...................................... No
Mechanical Fixtures
Description ,: Quaflt #sri"' ,tlon °"" Quantity
Air Handling Units 1 Compressors 1
' PERMIT EXPIRES March 2, 2003, IF NO WORK IS STARTED.
Pe issued on September 3, 2002
I hereby certify that the ov, n ' rre a that the con truction on the above described property and
the occupancy and the 11 in cc a aw , es nd regulations of the State of Was i gton and
the City of Federal Wa
Owner or agent: Date:
(v , 1, Z,3 — oz- c,,C-4)
•
� ED EI�L
VV FiY
RECEIVE®
,CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER:
PPLICATION NUMBER:
APPLICATION NUMBER:
mp11(,e 2 Allo9 wX002 — —
ing is required information - Please print (in ink) or type**
Please note: E'Mgc fP O'Aysystems and Engineering permits may require a separate application.
SITE ADDRESS: `.d LIS5 S'
-�> `i `' 4 , Lk-snX ASSESSOR'S TAX/PARCEL #: —� 2 2 / C) 'I - 10 Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): J4 +-T C -k e j
PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DE RIPTION (Pr ide detaileddes riptio i�✓ �► ,id ((!�%4
PROJECT NAME: " L)
IU7TYOWNER--: NAI -11R -o DAYTIME P110raE:
e N V es t_
MAILING ADDRESS (STRICT ADDRESS. CITY, STAT I. ZIP): IF
NAME:
'S �r I) L 1 � �s
.1"iC_.
DArnME PHONE:
MAIUNG .DDRESS (STREET ADDRESS: CITY, STATE, ZIP):
IIS &e..,34e— Sf, _AC0,-tA.
Lx3/4
g8 BGj
EVENING PHONE:
(A06) Ivo-��Ir
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER:
Fly, NUMBER:
� -�
(.IS3) 573-/747
CONTRACTOR'S REGISTRATION NUr:BER ( /
S
n
�7
EXPIRATION DATE:
(Cony of card ,M.,,cd1. 1
)
1Z
APPLICANT: NAME. DAYTIME PHONE:
.S1✓,--)ec-Jec`5 LCL; ��p. SC,I�e� ✓ (&S-3) -Ilo4$
MAIUNG AIJDRESS (STREET ADDRESS. CITY,. STATE, Zlf y EVENING PHONE:
(.2 06 ratio-94.Ir
RELATIONSHIP TO PROJECT: / _ 1 FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): Cc�-4��+0�� (t,2S 3) S�3 - V7
9 %.
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR SgpCv-I (x `q, 'I-w<1"i
DETAUED BUILDING INFORMATION
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EXISTING USE: V f (E 1 ( e- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ I���7 r LCoo _
• PROPOSED USE: D•� t 1 L c PROPOSED VALUATION FOR IMPROVEMENTS: $ /, SOC
SPRINKLERED BUILDING?YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES NO
WATER SERVICE PROVIDER: I LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: LAKEIIAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
FLOOR
BASEMENT
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
LOT SIZE:
ZONING+DESIGNATION :
FIRST
COMP PLAN DESIGNATION— --_—_
SECTION TOWNSHIP — RANGE—
PLATTED LOT: YES NO
I_) L) -------___
BASIC PLAN? _❑ YES ❑ NO
NEW ADDRESS REQUIRED? I) YES ❑ NO
I CHANGE OF USE? F-) YES L) NO
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SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
jI
DECK
GARAGE
HOW MANY FLOORS?___
TOTAL:
11
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BA'THTU S)
DISHWAS S)
DRINKING FOU (S
GAS PIPE OUT
IN OR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. (_ )
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GAS PIPE OUTLET(S)
FURNACE(S) HEAT SOURCE: E) ELECTRIC �❑
PLUMBING
LAVATORY(S) URINALS) WA
RAIN W ALECTRIC
SHOWERS) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MI5
54J. 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 ie above premises to perform the work for which the permit application is made. I
further agree to id harmless the City of F der I Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and ense of such claim), hich. > lade by any person, including the undersigned, and filed against the City of
Federal Way, but ly he e uc cl m a se of th reh, e of the city, including its officers and empio ccs, upon the accuracy
of the informatio u I t le tyas a. r f thi pli o
NAME/TITLE: DATE:
❑ PROPERTY OWN $R LJ APPLICANT [)k CON1RACI0K
•
FOR OFFICE USE ONLY:
El NEW El ADDITION EJ REPAIR L1 TENANT IMPROVEMENT
`
_❑_ALTERATION
CENSUS CODE:
LOT SIZE:
ZONING+DESIGNATION :
I BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION— --_—_
SECTION TOWNSHIP — RANGE—
PLATTED LOT: YES NO
I_) L) -------___
BASIC PLAN? _❑ YES ❑ NO
NEW ADDRESS REQUIRED? I) YES ❑ NO
I CHANGE OF USE? F-) YES L) NO
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