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99-104764C11'Y OF FFDERAI- WAY 33,530 First Way '.1"outh Federal. Way, WA 98003 Mechat)lcal Inspection Reqt.jests 253-661-4140 253-661--4000 11DDRESS.-35454 1S -T AVE S NO.: 2"92104-9076 PRO,I'ECT DES(,RTPT1ON:HVA( - REPLACE AND ADD ADDITONAt DUCT RORK FOR BASEMENT AREA OWNER ot WEST 35454 IST AVE S FEDERAL WAY WA 90003 206-354-4646 PROJECT VALUATION FUEL TYPIc..:GAS GAS PIPING.: 0 FURN,,IOOK..: 0 GAS HNT....: 0 CONY MAKER: 0 BBQ......... 0 GAS DRYER..: 0 RANGE.....,. 0 GAS LOGS.,.: 0 CONTRACTOR-------- JOHANSEN MECHANICAL PO Box 1768 WOODINVILLE WA 98072 425-481-2266 JOHAN1173PK LENDER, CONIRAC10b, P(UtSt VIA tKA110# (OU li32 WfiLN 4X*11% ShLb TAX IL* PROJILIS VIININ TOE CITY Of FEDERAL MAY. -=— .... .it- - ., -- , - r s..- -'- - : I I.. : - V..Wm ..... =.= .. -4 ... *=..= .... Z� CHI vq PERMIf NO: MEC99-043r BY: FC EXPIRES: 06/10/00 TAX RATE : 8.25 8*2 15000 FEES: M FANS.... 0 Av**111111*M 1P �%' -v' MCCH PLAN CHECK FEE ft HOOD.. . 0 r " 0 0% 1 40� 40 - FEE W, DUCT, M— 3- 1', 104, gg ", AU FuRN) .......... 50 felf . . AIR HANDLING UNIT'S FUEL 1AMS--- <-10,000 CFO: 0 ABOVE MIND: 10 > 10,O00 (FM: 0 UNDIRGROt"P.: 0 TOTAL FEES Does the water supply system contain a Devi<e !%' rhr -1- —0-10 f I 'Inc 62.81 251,25 $ 314.06 i; required on Not Water Tank) Inspection Record: Mechanical Rough -in Date S -3 -OJ <, 'ipia 0 Date _ �/�Z/� �C G t'd`i � P � i"�L� Pf"ITS UPIRE 180 DAYS AIIFR ISSUANCE It 90 WORt IS STARTED. I CLItlify Tmt 1*00ATION fiftswo by RE is TRA AND CORRECT To INE REST Of NY CNS 06t A0 TNF APOU CABLE CITY Of FEDERAL WAY RIQUIRLOLHIS WItt 9 NU. 0 OWRIP OR AGENT FIELD COPY DA I f *-ITY OF FEDERAL WAY i 33530 F.rs t Way South �,�; ,; q'; . tl F1 P4 :;�I:;: +. ;'." ?"I 0L., F."' M. P1 1',' ,,,�.,. Federal Way, WA 98003 Mechanical Inspectic>di Regtjesfs52,1-66-6--4140 253-661-4000 ADDRESS:354.54 1ST AVE S NO.: 292104-9076 PROJECT DESCRIPTION :HVAC - REPLACE AND ADD ADDTIONAL DUCT WORK FOR BASEMENT AREA OWNER=___:._________________==_=___==_=_=__________=__=__-- CONTRACTOR ==______________==___________________________= LENDER US WEST` JOHANSEN MECHANICAL 35454 1ST AVE S PO BOX 1768 FEDERAL WAY WA 98003 WOODINVILLE WA 98072 3 206-354-4696 ttt CONTRACTORS, 425-481-2266 JOHANMI173PK r s IDE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY _.----------------_. PERMIT NO: MEC99-0432 ISSUED: 12/14/99 BY FC EXPIRES: 06/10/001 . TAX RATE = 8.25 ttt PROJECT VALUATION 15000 } FEES: FUEL TYPES.:GAS GAS FANS..........: 0 BOIL =.S/COM"PRESSORS MECH PLAN CHECK FEE $ 62.81 GAS PIPING.: 0 ft HOOD..........: 0 C__ TO;;.....:u,1 E4ECH PERMIT FEE $ 251.25 FURN<100K... 0 DUCT WORK...... 2.5 3-15 TCN..... 0 GAS HWT....: 0 WOOD STOVES...: 3 15 BO u...: O s CONY BURNER: 0 0 30-50 ;'...: C j BBQ......... 0 MISC........... 3 50+ TCi,...... 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANG --------- RANGE ...... : 0 <:10,300 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 C:M: 0 UNDERGROUND.: 0 TOTAL FEES $ 314.06 Does the water supply system contain a Pressure Reduction Device or Check valve? (} Yes (} No (If "Yes" then water expansion tank is required on Hot Water Tank) Inspection Record: Mechanical Rough -in ________________ Date ---------- Gas Piping MECHANICAL FINAL Date Date PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THE INFORMATION F RNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT — ----------------------------- DATE ----- — --__ FILE COPY City of Federal Way 33530 First Way South Federal Way, WA 98003-600 (253)661-4000QTY of: APPL/CA TION FOR MECHA&66* _ U'1/T M'Ec'n - / 9 --->, ? PARCEL #- Single Family ❑ Multi -Family ❑ Commercial bi SITE LOCATION: Tenant/Owner: Lt s We 6 fi— Phone: �06 Address/City/State/Zip: ��/ S`I Nature of work: p�`� f �- IPc,-' O'C".,s Project Valuation: APPLICANT: Name: _ 5""_ '4 C /0 Address/City/St/Zip: Contact Person: Phone: ;CHANICAL CONTRACTOR: Company Name:�� #A Fax: Address/City/St/Zip: 2G` (©C( /-i —Y f ✓ U? X JC._ Ct) - Contact Person: A S Ccf-,4 Phone: y i <� Fax: State L & I Contractor Registration #: 5� 7 3 Ok Exp. Date: (Card must be presented) MECHANICAL UNIT COUNT: OISCLA MER: 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 1 am authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any dalm (including coats, experwas and anomeys• fees btcurred in imestlgation and deferee of such claim), which may be made by any Person. Including the undersigned, and riled against the City of Federsy Way but only where such claim arises out of the reliance of the City, including ib offican employees, upon the accuracy of the Information supplied to the City se a part of this application. Owner/Agent: Date- /,2 - L{ — 7