02-105120• C fj+'of Federal Way
Community Development Services Mechanical Permit #: 02 - 105120 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: FARLEY PRECISION DENTAL CARE
Project Address: 1825 S 324TH f� Parcel Number: 250120 0020
Project Description: MECH - Replacement of rooftop combination HVAC system.
Owner
Applicant
Contractor
F Mike & Cheri Farley
ALL SEASONS INC. - CONST CONT
ALL SEASONS INC. - CONST CONT
1825 S 324TH PL
5118 N HIGHLAND ST
5118 N HIGHLAND ST
FEDERAL WAY WA
TACOMA WA 98407
TACOMA WA 98407
98003-8505
(253)879-9144
Mechanical Valuation..........................................3000
Air Handling U-- 2
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES May 14, 2003, IF NO WORK IS STARTED.
Permit issued on November 15, 2002
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: Date:�"—
SITE ADDRESS:R23 S. 3 Z4�' PL ASSESSOR'S TAX/PARCEL *: 2 s C I 2-0 - v Q 2O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBING VMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Re--Ot.AC& NkC--.k)T- Q kLr-- mak- LA KiE-'-
TO
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k) 6 CODL-(
PROJECT NAME: F � 1 12 ' 1 S I O U eN T-yqZ- CAI AR—
I PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
J DAYTIME PHONE:
NAME: ,kk V-&, �A�L (;2—�) SJS - 2-C)1 b
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
18 25 5 324 t -M PL F& -C) w A-1 q�003
NAME:
DAYTIME PHONE:
IgL.,L
(2s,�s )& 79 " qi l44 -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
51/q iU 1 1 6N LLi /if) ST
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
(25j)a49-91-4-'3
CONTRACTOR'S REGISTRATION NUMBER:
S
EXPIRATION DATE:
/
1 Z (�
(copy of card required) , �— �— `? � T O -2, � � —
APPLICANT: NAM: _...._.._..._.._.
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( )
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER O APPLICANT d CONTRACTOR I
DETAILED BUILDING INFORMATION
EXISTING USE: QA) fm EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:$ �'xx) , OCU
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED QUIRED: ❑ YES
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAIEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
M
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL::
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOGS) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKERS)
WASH MACHINE OUTLET
WATER CLOSET(S)
'iSCLAIMER/SIGNATURE BLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. [
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 supplie a city as a part of this application.
NAME/TITLE://`� DATE:
❑ PROPERTY OWNER ❑ APP NT ertONTRA R
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.dtvoffederalway.com