01-100867 SUBJECT TO FIELD INSPECTION.
City of Federal Way
Community Development Services Mechanical Permit #:01 - 100867 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253 661 4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: LUX&ASSOCIATES
Project Address: 918 S 348TH 54 Vnl} iA Parcel Number: 202104 9101
Project Description: MEC-40'gas piping w/2 outlets for unit heaters
Owner Applicant Contractor
TSS,LLC NONE G V PLUMBING&CONST
345 KNETCHEL WAY NE 141 VALENTINE CT
BAINBRIDGE ISLAND WA 98424 PACIFIC WA 98047
NONE (253)735-1344
Mechanical Valuation 750 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity ''Description liQuantity Description Quantity
I Gas Piping 40
PERMIT EXPIRES September 1,2001,IF NO WORK IS STARTED.
Permit issued on March 5,2001
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: ,8(a Date: 3 SCj )
acs 14' 091/ - i h
3/6 /° 1 Tri
ci
Dt 100 321
cnY« �_ CONSTRUCTION PERMIT APPLICATION
.\>\> APPLICATION NUMBER: 0J - 10 ,0 :M
FEY
APPLICATION NUMBER: -MAR f 5 7 c1 APPLICATION NUMBER: - -
**The following,Fsireguir ctiftfRration-Please print(in ink)or type**
BUILDiNGp T
Please note: Electrical, Fire Prevention Sysfenl5 and Engineering permits may require a separate application.
[` ■ PROPERTY INFORMATION
SITE ADDRESS: "1 I j � "1 Z5 ' S I J 0. ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
:' • PROJECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL` ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1 p 1 ".1
p �+
PROJECT NAME: V 02..0k. LA ILct- i e.Q CLQ-
■ PEOPLE INFORMATION
P• PERTY OWNER: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
G . \1. P t-0,(2, C_.0 ni _T- (2,5 ) .13S -)391
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
J (rvt, cr c)(aC-1 (A.) (2"' )42-3 - 33S91
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
- ( V);S - )34)41
CONTRACTOR'S REGISTRATION NUMBER: z EXPIRATION DATE:
(copy of card required) G v f) L (. 0Z E 7J 1 / I l 0.2—
APPLICANT: NAME: DAYTIME PHONE:
Cc-,A a`-1 OC. i�►2 ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
IL-N1 P c._\F‘i` ,wi)1 G ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ,-.S6 (ienL,jiQ ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
C.'43PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 7S 0
SPRINKLERED BUILDING? ❑ YES El 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)
**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:
• ■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE )
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) 2. GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
�J �r ff
. L LAI CI'H', yr (?tPl J PLUMBING
BATHTUB(S) LAVATORY(S) URINALS)
WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
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 supplied to the city as a part of this application.
NAME/TITLE: (,Q/L/ DATE: .5 I S )
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129