01-102134 City amity y Development Services DeWay
m�m
ComMechanical Permit#:01 - 102134 - 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: // BRANTLEY JANSEN
Pro ect Addr 325TH Parcel Number: 162104 9052
Project Description: HVAC-Replacing existing heat pumps with same size gas&electric A/C units-2 6.25-ton units and 2
5-ton units. Gas piping is included.
Owner Applicant Contractor
BBSG INVESTMENTS LLC AMBIENT CONTROL CO INC AMBIENT CONTROL CO INC
33530 1ST WAY S#200 1020 S 344TH STE 203 1020 S 344TH STE 203
FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
98003-6210 (253)661-5844
Mechanical Valuation 25000 Over the Counter Permit No
Mechanical Fixtures
wiwiDe4crifitl6IrMitAQOntibf 'Mantity d uD'escriptlon Quantity
Air Handling Units 4
PERMIT EXPIRES November 27,2001,IF NO WORK IS STARTED.
Permit issued on May 31,2001
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 acc• dance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: / l/ � Date:
-6r/ C") IS..S-cI --
Mechanical rough-in: Date:
Gas pipe: a Date:7-S"`c7
FINAL MECHANIC - Date:
�.YOF s CONSTRUCTION PERMIT APPLICATION
\)\> L APPLICATION NUMBER: Q I - I Q oZ L 3 1 - oa
AY 3 p1 APPLICATION NUMBER: - -
LA
I U, r v�.t-a, rvAY APPLICATION NUMBER: - -
BUILDiING DEPT.
**The following is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• • PROPERTY INFORMATION
SITE ADDRESS: (V II
.X' ✓Z-.� 5T ASSESSOR'S TAX/PARCEL #: I 6Z i C 4 - q C' `.7 Z-
LLi
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): I ( 1, I-C 4 (c,`/2 I i,`5 i 6 LI
I-C" Z LC ac, i,'Q/ i 14C F 1 1(r ud je, I5; C%I' Ni C L7:)C'c="'; P. .:'C "( Z
`2,) ')r' 1)Al= , , I/z -- Ni I/Z 1-- ) Vit (, - t\ �,U `�4 LE'-›S �C R_S i_..;' w'i fit IN
"'RC? _�-ei Al RLS:a
Y. ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ECHANICAL ❑ DEMOLITION
El ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): tPeplaC d►'t G<, `0)(1iS�fh �C�� Ll✓✓11 S
Lt) `f 1 g vn�? ci�-� as e lL-l`�ri c_ J a tV" ro,-kd 1-1v�ei-_ 1/i. , GSC 1 ,
- (�.7c ; 2 - 5 -I-0-vi ° ) d
PRDJECT NAME: / t - ttill5'l,Y I
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
f?IS S(-- 1 N V?=5;k,t E ti i LLC_. (2_53 ) ti-t. - .'-sit 7
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
l(- 17 SC 4. ,z,--; S l FT UU',-1.% / wA c C 3
CONTRACTOR: NAME: �A{ /_ '7 DAYTIME PHO(,-.-c/
NE:/ I
11'I t5 I CL":__ 1-
,Q. ( 1 .( 'i a s�/ ( 4-.J 3) Y:Y / 4J S (I t I
MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP): P.0.D���,;'�. L_ EVENING PHONE:
tLC, S / , }r Ste 2c3 w'A; ( c)) ‘6 / -sem ' ;/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
z - Yc' - L O6 -872 ( ) 66' 5-eyr
CONTRACTOR'S REGISTRATION NUMBER: A '''{� --09--FL-- EXPIRATION DATE:
(copy of card required) AMR•-f• c f O I ? /�f/0 / /� / 1� /
APPLICANT: NAME: DAYTIME PHONE:
R \v.e.r`'r wc''1 l (,,,-3) e67 ---'yam/
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): re C✓e,, t, EVENING PHONE:
I o a 0 S. 3 y-c/ = S7` Sie ,., )3/ 7 / -3 ) 66 / -SIS S�%
RELATIONSHIP TO PROJECT: `` FAX NUMBER:
LI ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): (cAte c` ,,— ( ) 66/ - S c'r
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Pi-CONTRACTOR iRt,t.) t1 SR 6,--{iZfmul'.CU+'
• DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ,'', ? '/4 , (7O()
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ L •Da
•
SPRINKLERED BUILDING? ❑ YES .0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES A,NO
WATER SERVICE PROVIDER: PKI LAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ,J LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
4
**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:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS)
BBQ(S)
FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
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 informationsup lied to the c- as a part of this application.
NAME TITLE: 4 DATE: 5--.36-7--
❑ PROPERTY OWNER ❑ APPLICANT 1D-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? 0 YES 0 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