01-104549 i ity of Federal Way Mechanical Permit #:01 - 104549 -00 - ME
Community Development Services
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: PIER 1 IMPORTS
Project Address: 2424 S 320TH 5f Parcel Number: 092104 9172
Project Description: MECH-Replace like for like existing rooftop unit(combination 120k btu gas/electric).
i
Owner Applicant Contractor
John C Baxter TRI MECHANICAL INC TRI MECHANICAL INC
t 8802 28TH AVE NW PO BOX 444 PO BOX 444
SEATTLE WA REDMOND WA 98073-0444 REDMOND WA 98073-0444
98117-3819 (425)391-6016
l e_hanical Valuation 10885.8 Over the Counter Permit Yes
Mechanical Fixtures
".. .'' , Pescriptiol .,-._IQuantity Description _ ' ° JQuentity .uhf a.V�4:1e'Description � iQuantityl
Air Handling Units 1
PERMIT EXPIRES May 27,2002,IF NO WORK IS STARTED.
Permit issued on November 28,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w' be '• accordance with the laws,rules and regulations of the State of Washington and
the City of Fede - aye d p
Owner or agent —/-� Date: r//7P�D/
MecAA .-T,, v., a, ‘ 0 (G ( Z — ( cc — 0 1 Gc-j
,
• • 7
G " EIVE® CONSTRUC ION PERMIT APPLICATION
.\>-\) APPLICATION NUMBER: layl -
, �®�FEY
APPLICATION NUMBER: - _ _
MOVAPPLICATION NUMBER: _ -
-
Cl YBUILO OF FgD R L .Ayy -
wing 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: O�J7 46 7 cS% -520' ASSESSOR'S TAX/PARCEL#: 0 qZ 1 0 1-/- (J 'L
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■_-PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT ESCRIPTION(Provide detailed des 'ption): il ,X/ 771X 4/� ,�1-770 .'
GLA-,
s OtiVanc/ ' Oki .,�/J) /p ,04 4) O,' L
4 iv Ste* L-rXeco
PROJECT NAME: l fr - _Z;(-32 '44
• ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE.
/3/1xr#4, ( (004)‘1L - /370
MAILING ADDRESS(STREETDRESS;QTY,STATE ZIP):
5-66— A-4/
CONTRACTOR: NAME: A E PHONE:G
`
/yam « � Z`' (D� L -CaO/(�
G ADDRESS WREET ADDRESS;QTY,STATE,ZIP EVENING PHONE:
k vQ
. 0, / 9 144 i) 2,ZuX 9yeff5 coin 3q/ Zo,a16
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 6624,
CONTRACTOR'S REGISTRATION NUMBERQ f ,w � � � �� ��- `EXPy7•-
IRA7TON/DATE: � /Q
(copy a card required) /� / /�1
APPLICANT: NAM = DAMME PHONE:
NG DG A°VOX(STREE / lt/ /�DDRESS;CITY, f;,7m)- w/ /�_ ,�,/ ,(?6 1, EVENING PHON..rE.:�/�,' �67
RELATIONSHIP TO PROJECT: /� FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRI I (� vl 392--O6
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT %,LJ`�ONTRACTOR
•;:DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ /O
SPRINKLERED BUILDING? EYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO4
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
+► L
•
11
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
IIPROSECT 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 tyof fixture
MECHANICAL
1_ AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOGS) REFRIG.SYSTEMS)
BBQ(S) FANS) HOOD(S) WOODSTOVE(S�)
BOILERS) FIREPLACE INSERTS) RANGE(S) misc.( )
COMPRESSORS) FURNACES)
DUCTS) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINALS) WATER HEATERS)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSETS) 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 daim(inducting costs,expenses,and attorneys'fees incurred in the
investigation and defers of such daim),which may be made by any person,inducting the undersigned,and filed against the Cityof
Federal Way,but only ere such daim arises out of the reliance of the city,inducting its officers and employees,upon the accuracy
of the information s- • •li e :ty as a part of this application.
//Aj1/4/
NAME/TITL /
`i • DATE:
CI OWNER I=1 APPLICANT CONTRACTOR
FOR OFFICE USE.ONLY:
a` 4 NEW .0ADDITION ❑ ALTERATION
LI,REPAIR . ... El TENANT IMPROVEMENT
CENSUS'CODE LOT SIZE:
' ZONING�DESIGNATION , . BUILDING SHELL ONLY? ❑YES _❑ NO
y
iCOMPPLAN DESIGNATION . NEWAP,.LAN� �(E8 ar ❑!IVO
.SECTION _ ,TOWNSHIP RANGE NEW ADDRESS REQUIRED? :❑'YES ❑NO
PLATTE!)LOP' ❑:YES. NO CHANGE OF USE?= ❑ YES • ❑ NO.,....,.4.:,'::',:'...:-.,:....
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718••FEDERAL •WAY,WA 98063 9718•253-661-4000•FAX:253-661-4129