02-102806r'c
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 102806 - 00 - ME
Inspection request line: 253.835.3050
Project Name: SPRING VALLEY MONTESSORI SCHOOL
Project Address: 36605 PACIFIC S Parcel Number: 292104 9074
Project Description: MECH - Installation of 2.5 ton heat pump system including duct work
Owner
Applicant
Contractor
George R Credit Justus
WILSON'S AIR TECHNOLOGIES INC
WILSON'S AIR TECHNOLOGIES INC
36475 PACIFIC HWY S
WILSON'S AIR TECHNOLOGIES INC
WILSON'S AIR TECHNOLOGIES INC
FEDERAL WAY WA
5045 S YAKIMA AVE
5045 S YAKIMA AVE
98003
TACOMA WA 98408
(253) 474-9928
Mechanical Valuation..........................................7500
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description �, Cititescrlption Qi sari,#
Air Handling Units
-—�� Compressors ---
PERMIT EXPIRES December 30, 2002, IF NO WORK IS STARTED.
Permit issued on July 3, 2002
I hereby certify that the above information is correct and that the
the occupancy and the use will be in cordance with thus, n
the City of Federal Way. �
Owner or agent,
AI&- c -'k , 1v Y� D
on the above described property and
ations of the State of Washington and
Date:
%— /0 — o Z
6
tRECEIVED A7e<f
'- Ab�.. Of G CONSTRUCTION PERMIT APPLICA ON
-1V> W- JUL 0 3 2002 APPLICATION NUMBER: ��-
PPLICATION NUMBER:
CITY OF FEDERAL WAY APPLICATION NUMBER:
BUILDING DEPT. - - - - - - - -
a
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: v(p(p� G ��tj • ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING XMECHANICAL ❑ DEMOLITION
[--]ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): /NS cC45/704/ 0,1;7
cL D/.rJ� ' U67- 4j0'el
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
Y� /no.rrr�sso,�� Sc/ i )
MAILING ADDRESS (STREET ADDRESS, CIN, STATE, IIP). Q 9z 7 zs5�7
3�GoS /?fftla Al/ wArl s 0
NAME: I
/.jcSo�vs/E3 �N cs
5.�C
DAYTIME PHONE:
MA��ILIN[[G ADDRESS (STREET ADDRESS; CITY, STATE, ZIP`
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: —
( of card required)( 0
�
EXPIRATION DATE:
DAYTIME PHONE: -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): G EVENING PHONE:
RELATIONSHIP TO PROJECT: NUMBER
11 ARCHITECT ❑TENANT 11 OTHER (DESCRIBE);�!%�i(&A- 7-- FAX ( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT )K CONTRACTOR I I
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION _
PROPOSED USE:- PROPOSED VALUATION FOR IMPROVEMENTS: s—���5�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 11 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS I
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)*
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
MISC. ( )
Z COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
]iSCLATMER/SIGNATURE BLC
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 attomeys' 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: Allllof-&2 g!: A/�/��)� ;2
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DATE: Z—.3-0 Z1
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
www.ctvoffederalway.com
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)*
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
Z COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
]iSCLATMER/SIGNATURE BLC
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 attomeys' 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: Allllof-&2 g!: A/�/��)� ;2
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DATE: Z—.3-0 Z1
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
www.ctvoffederalway.com