00-102443l
City ofFederal Way Mechanical Permit #: 00 -102443 - 00 - ME
Community Development Services
33530 1st Way S Inspection request line: 253.661.4140
Federal Way, WA 98003-6210
Ph- 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: CHILDRENS HOSPITAL
Project Address: 34503 9TH S Suite Parcel Number: 7504510050
Proiect Descriution: MECH- Install six new VAV boxes, one new exhaust fan and duct work.
Owner. Applicant Contractor
ST FRANCIS NONE UNITED SYSTEMS INC
1021 SW KLICKrrAT WAY, STE 104
NONE SEATTLE WA 98134
KA—h—;1 VAnntinn..........................................15500 Over the Counter Permit ...................................... No
Mechanical Fixtures
Description Quanti Description uanti Description
Air Handling Units F 66 Fans
PERNIIT EXPIRES October 25, 2000, IF NO WORK IS STARTED.
Permit issued on April 28, 2000
I hereby certify that the above information is correct and that the construction on the above described propeM
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingb
the City of Federal Wf7.
Owner oragent:_ L —iA Date�-?1V
&-1-00 G C.J V'o "S w !NL ec t% . C.+ 5 ..%, sp . e— / ' �"`
eC, 1A C,%J e -o - 2- e) cL..J
SITE LOCATION: r(
Tenant/Owner: ` '1'1 '�<�e® I
Il
Address/City/State/71n:
S`4505 11114
Phone:
qW
00
Nature of work: im-bI( 5 I lieu) V boo ,ow Vyitj e1h A41" &AeAi10 ect Valuation: $ 15 l5 Q °
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
. . .1
Company Name:
Address/City/St/Zip:
M
Se
Fax:
J l�D tV 4Ie, 0 `i/2,f `e3J
�r I I (�� e(� S�c.C� �W 65q 3Lto F%Q k2i 8 09
Contact Person: Phone: ax:
State L & I Contractor Registration #: �`� Exp. Date: 3`l`6P
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
4!M--e6V15T7
Air Handling < = 10,000cfm
Fuel Tanks:
1 t
�
CITY of �a �3i
City of Federal Way
33530 first Way South
Air Handling > = 10,000cfm
Above Ground
Furn <100K BTU's
Federal Way, WA 98003
Unit Heater
�V
Furn >1o0K BTU's
(206)661-4000
f �1,
VV
APPLICATION FOR MECHAN/CAL l�,�RMJIT VVAV
Hood
Boiler BTU/H
Other 5 VAV boges
9U&L®163�a�' ®EP�y
oo��
Duct Work
150q5(_50
Other' t IV%
0
PARCEL AL
AIC TONS
Single Family o
Multi -Family Commercial
SITE LOCATION: r(
Tenant/Owner: ` '1'1 '�<�e® I
Il
Address/City/State/71n:
S`4505 11114
Phone:
qW
00
Nature of work: im-bI( 5 I lieu) V boo ,ow Vyitj e1h A41" &AeAi10 ect Valuation: $ 15 l5 Q °
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
. . .1
Company Name:
Address/City/St/Zip:
M
Se
Fax:
J l�D tV 4Ie, 0 `i/2,f `e3J
�r I I (�� e(� S�c.C� �W 65q 3Lto F%Q k2i 8 09
Contact Person: Phone: ax:
State L & I Contractor Registration #: �`� Exp. Date: 3`l`6P
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10,000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn >1o0K BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other 5 VAV boges
Conv Burner
Duct Work
A/C TONS
Other' t IV%
13SQ's
Wood Stoves
AIC TONS
.1
DISCLAIMER: 1 certify under penalty of perjury that the Information furnished by me is true and correct to the beat of my knowledge and further that 1 am authorized by the owner of the above
premises to perform the work for which permit application is made. 1 further agree to save harmless the City of Federal Way as to any claim (Including costs, expenses and attorneys' fees
incurred in investigation and defense of such claim), which may be made by any parson, including the undersigned, and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City, includi s officers and em IF , upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: Date: