05-100805 City of Federal Way Mechanical Permit #: 05 - 100805 - 00 - ME
Community Development Services -
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
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Project Name: TUESDAY MORNING
Project Address: A00 S 314TH 51' Parcel Number: 092104 9053
Project Description: Install new,3-ton rooftop gas-package AC unit to serve TI space(no air distribution)Install three
exhaust fans.Add new duct run and diffuser from existing HVAC system to serve office.
Owner Applicant Contractor
HILLSIDE PLAZA ASSOCIATES PERFORMANCE HEATING&A/C INC PERFORMANCE HEATING&A/C INC
PO Box 5003 7649 S 180TH ST 7649 S 180TH ST
KENT WA 98032 KENT WA 98032
PO Box 5003 !Bellevue,WA 98009-5003 (425)251-0356
Mechanical Valuation 9000 Over the Counter Permit No
Mechanical Fixtures
Description jiQuantity '[ Description 'Quantity),- Description 1Quantiti
Air Handling Units 1 Ducts 1 11 Fans �j 3
PERMIT EXPIRES August 23,2005.
Permit issued on February 24,2005
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.
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Owner or agent: Date:
1)0561P1011 F W6
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THIS CARD IS TO REMAIN ON-SITE
CITY OF � - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100805-00-ME
Owner:
Address: 2000 S 314TH ST
FEDERAL WAY, WA 98003-5475
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Mechanical Rough-in (4165) ❑ Gas Piping (4125) Final-Mechanical (4065)
Approved Approved to release test / Approved
By Date By Date By ,tl Date 3 �-�
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Federal Way PERMIT ISG
COMMUNITY DEVELOPMENTS ,, SF MF CO�EL PL DE EN FP
33325 R W.4 SWATH•POSez 8 200,-,
00 APPLICATION TD
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609 /�
Wtt,.',li,rrr ae,aell ,SOF FEDERAL WAY Q3 `/
BUILDIN3 SEPT
The ollowin. is re.uire in ormation-an incom•lete a••lication will not be acce.ted. Please .rint le•ibl 'in ink)or t .e.
/�j • PROPERTY INFORMATION
SITE ADDRESS aa0° 5. ,2//--"' S+ „„�� SUITE/UNIT# �Cle ��c {y�i{�
2 �/
ASSESSOR'S TAX/PARCEL# 0 9 . 1 0 I. - 9 5 LOT SIZE(sJ) e5,0/8
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) /ee T(at-s
(Attach separate page for lengthy legal ttescnpnani
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING LA'MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desc ption of work included on this permit(wnly)
1/11.7d n 3.0-1 1 roo f 9Q5-peec 9e . Lilo►+ io 5er'✓e- -av
T Sp -For s e(( on(7(M9 a/eici-fikAfi9,0.); /vl5f4II (3) e-VIA,�.s'-s. /le ki Dur /'kvl , (4 t er Al e),,s-{t-14 #vim 5 y51' Ao
terve o ce,
PROJECT NAME(Name of Business or Owner Last Name) T14°7,4 t POr 6(h 5
• • PEOPLE INFORMATION
PROPERTY NAMEM / J� t ' 7�,, n PRIMARYRIPHONE
OWNER 1{r((5fde 7)l4ZCf �SSodc e5 �fO s''eel prope4 e5 ( ,5 ) -1(7-i - ,bit
MAILING ADDRESS ((II CITY,STATE,ZIP
P.o. bc4, 5003 , e`levee,u'A- geo-04
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
PeYir • ( *c. /Aari Sime(fer- (429 ) 25( - 035,6
MAILING ADDRESS CI STATE,ZIP CELL PHONE
161 S• (gOti S i .%1o3z (mss) s5( - 1I64
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
± 9 -55 - 00 o 017-.- B L / /3 ( los (`05)o2,51 -oz8o
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
E ER o If L _,e5) g-T 1..9 )CS
APPLICANT COMP NAME ' APPLIC NT NAME OFFICE PHONE
per-6( 14-ea�i 1 z ,C. i4r--- 6'u{et ( 1(25)„.q / - 03� .
M1AI 9G AD DRESS S. 1 5-• ' S , ZIP) 9go3Z CELL )N 5( ((61
RELATIONSHIPTO PROJECT
{/.�, FAX NUMBER
�Ot /
0 Architect 0 Tenant 0 Agent T
her(Describe) Coo-frac-1c)r (��5 )p.51 -Dago
CONTACT NAME , PRIMARY PHONE E-MAIL ADDRESS
,(Qrk Sleefaer ; (15)cq5-¢--x.200 a, er+„,». ekaillj.00r
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 N A-
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION u /
EXISTING USE Xe ( PROPOSED USE Tr t r(
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ / Ood.-
SPRINKLERED BUILDING? D' ES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES _ NO
WATER SERVICE PROVIDER E LAKEHAVEN 0 HIGHLINE ❑ TACOMA _ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0, PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED Sr TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL ..
Value of Mechanical Work $ 000
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS ICommcrooali WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
' A f ft,DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(To7eti MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS IBothroomsioks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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
91444DATE
Signature) Irate)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? n YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application