01-101851 City orFede Development Services Way
Community DevelMechanical Permit #:01 - 101851 — 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: ROADRUNNER CHEVRON
Project Address: 2125 SW 356TH 51 Parcel Number: 252103 9011
Project Description: MEC-Install(3)rooftop HVAC units.
Owner Applicant Contractor
Kwang S&Susan So K L ENGINEERING INC K L ENGINEERING INC
2125 SW 356TH ST 4818 147TH PL SW 4818 147TH PL SW
FEDERAL WAY WA EDMONDS WA 98026 EDMONDS WA 98026
98023-3058 (206)605-2256
Mechanical Valuation 17000 Over the Counter Permit No
Mechanical Fixtures
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Air Handling Units 3
PERMIT EXPIRES November 20,2001,IF NO WORK IS STARTED.
Permit issued on May 24,2001
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 a cordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: .110 '1 A Date: ,_.(72.,,177/
rvk . vto'i,L . 4 ' tev,44- o — 424,
mr'l'/4.7d- J l e--0•.(4w £ tot/ 1' — 6-6 - d i
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RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT
CRYOf G CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: 0 I - / >1 ,FS / - /-1 e_
Mai i o zoos
APPLICATION NUMBER: - -
A° 7°
APPLICATION NUMBER: - -
tAp 1 LWAY **The following is required information-Please print(in ink)or type**
ERA
0.0 p D co �? Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: s /v(� �(o 3s(= :� / ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION/
TYPE OF PROJECT(This application): ❑ BUILDING CI PLUMBING LI MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /4/$ (A ,4'a e 70 /1)y 4L MN ,
/3Wo " -- %/N .dD 72/' 61,A,773'
PR9JECT NAME: 4,70 J€ 74/ f6- -;w i,,&N 404',77i -t, ..
• PEOPLE INFORMATION
PROPERTY OWNER' NAME: /�/VIV� -> c� (2 ?PHONE: 7 A6
MAILING ADDRRESSSS(STREET ADDRESS; ,STATE,ZIP): `/-' /�Z',' qf�
'?'1 �t 3s-it,/ � �` Gf,197' 09. /V °X-a
CONTRACTOR: NAME: DAYTIME PHONE:
/C/ ir/ >#t/ 7/1/ _.- (;)-6c) ros- - �›
MAILING ADDRESS(STREET ADDRESS; ,STATE,ZI K � eD�04fD�� ( P9EVENING )PHONE: - ,�
CIi7/ /8
RAL WAY BUSINESS LIIICCE_NSE NUUMMMBBEER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: 4f g 0 EXPIRATION DATE:
(copy of card required) 4 L L N cr.I-X �.' 0 g,s -, 1 .. - / o
APPLICANT' NAME: DAYTIMEPHONE:
7i ei Ai✓ ->E ( ) 62tr- - 77�,
MAILIIINNG`��AttDDD��DRR//EESS(STR ADDRESS;CITY,STATE,ZIP): a / �//� (J JA }/��Jj � EVENING PHONE: �}- ,�-yyy
RELATIOtJSHIP TO ) 7�7 rg FAX
Set erV meNJ c01,, "'V (/0 BER:FAX N ) ley - v" �'
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ,,/1/77,9"-C 74�. ( (t ) 7fr3 - /0
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Iik7ONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
s_ eV
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 7 70(90
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE 0 PRIVATE(SEPTIC)
f
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT 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
3 AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) e' GAS LOG(S) REFRIG.SYSTEMS)
BBQ(S) 2 FAN(S) e- HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
,j COMPRESSOR(S) FURNACE(S)
DUCT(S) -2 GAS PIPE OUTLET(S) HEAT SOURCE: Cl ELECTRIC CIYGAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 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.
r" Alb
NAME/TITLE: Aill— / . i Grit,O A: �A5w 'ATE: //CA/
Cl PROPERTY OWNER APPLICANT LTJ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION Cl 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 El 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