01-102855 City of Federal Way
Community Development Services Mechanical Permit #:01 - 102855 - 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: BLACKSTONE'S COLLISION ONE
Project Address: 35620 ENCHANTED S. PK Wy S Parcel Number: 282104 9077
Project Description: HVAC-Installing 1 blowtherm Prep station fan
Owner Applicant Contractor
Robert K&Sandra Blackstone WESCO CONSTRUCTION DIVISION WESCO CONSTRUCTION DIVISION
35620 KIT CORNER RD S PO BOX 5003 PO BOX 5003
FEDERAL WAY WA LYNNWOOD WA 98046 LYNNWOOD WA 98046
98003 (425)771-0926
Mechanical Valuation 7950 Over the Counter Permit Yes
Mechanical Fixtures
`! ;Description,, ,, Quantity -Description ;1Quantity1p,4Description IQuantityl
Fans 1
PERMIT EXPIRES January 16,2002,IF NO WORK IS STARTED.
Permit issued on July 20,2001
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: t(77Aa - Date: 7/lei(ci
G11e_GA._ :.n. c, k. 0 K C1 -/c - dl GW
Cn•°F =fEEMEMCONSTRUCTION PERMIT APPLICATION
R APPLICATION NUMBER: Q - L Q a Q 5 J- QQ
APPLICATION NUMBER:
juts2 7@9/1 APPLICATION NUMBER: - - ti
j VI I v r"L:u::'-'14- QYollowing is required information-Please print(in ink)or type**
BUiLDiNu DEP
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
IN PROPERTY INFORMATION •
•
•
SITE ADDRESS: 56-620 aLICA FED { WA� C, ASSESSOR'S TAX/PARCEL #: Z' Z j QLI - _107 `-0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•
■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 'MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL El ENGINEERING0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): iksVeli4 ,E3tzQ 776 y141 Prcp 5r40L,p,J
•
•f
PROJECT NAME: 1 ( CLCr s7'Z)>`I 'e-s _rjj(-31
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
�� �
/c c -rotJ (ZS 3) ,-1y - 472-2-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
PO box Zeg / rel2-A�- l v A . 9806 3
CONTRACTOR: NAME: DAYTIME PHONE:
Y101\�S� r, i1V s u o --t-o (4-2,S ) -t i - ai 2.4
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Po. K coo 3 L.uN N V JCZ)b IUl Q 04-6.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
(4-as-)
CONTRACTOR'S REGISTRATION NUMBER: 1nf C EXPIRATION DATE:
(copy of card required) r I �J G C) C) 1 -1 I( / i / Zee,
APPLICANT: NAME: DAYTIME PHONE:
16 �(�D►✓tf'�o•., (4zc) -1/ I - OR7
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
FX 'crx- L'yNN Woos ('VA 98 ( ) -
RELATIONSHIP TO PROD CT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE): ((j/4-412 t.P3 zy. — (42.S) 7(0 - /9/7
1 E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT PA1 CONTRACTOR ( TlhA \A
vv1..
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ �7 ,�Db
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ /
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 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.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) / MISC. (�iQC—�
COMPRESSOR(S) _ FURNACE(S) svtJ
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 information supplied to the city as a part of this application.
NAME/TITLE: , . ,4714___-- DATE: 7/ZC)//
�J
❑ PROPERTY OWNER iL APPLICANT ❑ CONTRACTOR l
FOR OFFICE USE ONLY:
❑ NEW LI 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
COMMI INITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX: 253-661-4129