19-102296 RECEIVED PERMIT APPLICATION
CITY OF
Fe d e ra I Way MAY 1 0 2019 PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 +FAX 253-835-2609 +permitcentee0cityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY Dy!LT-MEtiT �nA
PERMIT NUMBER _ 1 0 2 L `Z 1p _ /'"` / /
TARGET DATE /
SITE ADDRESS SUITE/UNIT#
1520 S 348th Street,Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ See Mech Valuation CE 8897000115
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING El MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Jacksons 636-Convenience Store Building
Mechanical work for Jacksons 636-New Convenience Store Building
PROJECT DESCRIPTION \\ ,,`' d r 1 /, /+/' 1 1
Detailed description of work to , air h*n kI111� lA tt5 -1-'145 L- dif(1 j Id- `lin5 G l ln<{ ua
be included on this permit only CondNsr's 'lid, 1/44010 � I l b lgrea r�ft f crafrufor,
Sep�,ra� �vml �'T► /�T
NAME PRIMARY PHONE
PacWest Energy LLC -Jack Davis (208)888-6061
PROPERTY OWNER MAILING ADDRESS E-MAIL
3450 E Commercial Court jack.davis@jacksons.com
CITY STATE ZIP
Meridian ID 83642
NAME PHONE
AMS Mechanical (HVAC) - Scott Burrows 909-571-1584
MAILING ADDRESS E-MAIL
CONTRACTOR Advancemechanical0@gmail.com
CITY STATE ZIP FAX
4
`Contractor info&FW business
license to be provided prior WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
to permit issuance
NAME PRIMARY
Barghausen Consulting Engineers Inc. - Pat Hopper ( PHONE
25)251--6222
APPLICANT MAILING ADDRESS E-MAIL
18215 72nd Ave South phopper@barghausen.com
CITY STATE ZIP FAX
Kent WA 98032
NAME PRIMARY PHONE
PROJECT CONTACT Barghausen Consulting Engineers Inc. -Pat Hopper (425)251-6222
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 18215 72nd Ave South phopper@barghausen.com
concerning this application) CITY STATE ZIP FAX
Kent WA 98032
NAME
PROJECT FINANCING ® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
- L
SIGNATURE: W / DATE 5111(p.0!“
PRINT NAME: Pat Hopper- Barghausen Consult7471'11-
'ng Engineers, Inc.
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
Wai
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 45,000
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
2 AIR HANDLING UNITS 4 FANS GAS PIPE OUTLETS X OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial(
BOILERS FURNACES HOT WATER TANKS(Gas( 12 Diffusers
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
12 runs DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
(�A PLUMBING PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility( WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Yes Lakehaven Lakehaven $ 665,000.00
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
n Yes xi No 7 Yes Xi No
Vehicle Service Station 45,699 sf
1/A RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
/A COMMERCIAL—NEW/ADDITION
Area in Construction # of
AREA DESCRIPTION Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
/A Co IMERCIJ L—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Construction # of
Occupancy Group(s) Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application