00-104306City of Federal Way
Conammity Development Services
33530 Ist Way S
Federal Way, WA 99003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address:
DSHS OFFICE
616 S 348TH
Mechanical Permit #:00 -104306 - 00 - ME
Project Description: MEC - HVAC modifications for additions
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 926480 0020
Owner
Applicant
Contractor
STATE FARM MUTUAL AUTOMOB
DEPT OF SOCIAL HEALTH SERVICES
JOHANSEN MECHANICAL
I STATE FARM PLZ
616 S 348TH ST
BLOOMINGTON IL
FEDERAL WAY WA 98003
PO BOX 1768
61710-0001
WOODINVILLE WA 98072
Mechanical Valuation..........................................80000
Over the Counter Permit ..................................... No
Mechanical Fixtures
Descri tit�ln ' ''t:iunti Dscri tion
Air Handling Units 4 Fans 3
CONDITIONS:
1)Per FWZC Sec. 22-1565, Type I solid sight barrier is required around outdoor mechanical equipment.
2)Per FWZC Sec. 22-960, Mechanical vents, penthouses, or equipment that extend above the roofline must be surrounded
by a solid sight -obscuring screen that meets the following criteria: a. The screen must be integrated into the
architecture of the building. b. The screen must obscure the view of the appurtenances from adjacent streets and
properties.
PERMIT EXPIRES March 11, 2001, IF NO WORK IS STARTED.
Permit issued on September 12, 2000
I hereby certify that the above information is correct and that the construction on the above described propert;
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washing
the City of Federal Wa
Owner or agent: Date:
SSG 1� 5 �G.l c9 •� of c�. �-T"S O +�. % _ �� — d c7 C CA/
A /I- 2.'2-- c;pOc,Li
City of Federal Way
E' 33530 First Way South
Federal Way, WA 98003-6210
NO, (253)661-4000
A -
;,J.,,,',',,ARPf1CAT10N FOR MECHANICAL PERMIT
PARCEL #--- 2 6 9 "60 -00 Single Family ❑ Multi -Family ❑ Commercial,
SITE LOCATION:
Tenant/Owner: D69-<2 / M7'S �LCL Phone:
Address/City/State/Zip: 616 S ° 3''y if�"-e e F� es' WA A -
Nature of work: H U A C- "ad.t''c.cProject Valuation: $ 60��_
APPLICANT:
Name:
r Address/City/St/Zip: - (®�1 �Ct �f ✓�'- E- W "Ay, le 1 04 Wj072
p L°i I C k KeG/`
Contact Person: —,-- Phone: �) ^aZoFax: VYZ
* CHANICAL CONTRACTOR:
Company Name:
Address/City/St/2
Contact Person:
State L cit I Contractor Registration #: 7:S----li�FnJM -rnp1 Exp. Date: - - l"• o�D
(Card must be presented)
MECHANICAL UNIT COUNT:
'Fuel Type fgalinaC =
Tanks:
Furn <100Ko i a-Underaround
Furn >100KBoiler t glias
H t Hood Boiler BTUM Oth
C v u Duct Work C T0NS 'qO he
:.�i•`F?�::::`:cis':<`••:'s,'s,:�:`•" .. f:.y..:
DISCLAIMER I certify under pertelty of penury that the information hxr;ahod by me is true and corral: to the beat of my knowledgo arxt fwdw that I am a dwited by the owner of the above
Prange" to perform the work for which pumit apprteadon Is made. I ftxther agree to save harmless the City of Federal Way as to any ddm tindudiM costa, expmm and attorneys• fees h erred
In Investigation and defense of such daiml. which may be made by any person, ktdWing the undersigned, and filed against the Cky of Federay Way but only where sudr daim arisso out of the
of the City. Induding its cera and amploysss, upon acasacy of the Information supplied to tie Cky as a pat of ttrs application.
07
Owner/Agent: Date
9