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05-104047 N City of Federal Way ' Mechanical Permit #: 05 - 104047 - 00 - ME Community Development Services P.O.Box 9718 • Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: FEDERAL WAY SCHOOL DISTRICT Project Address: 31405 18TH*Pie 5 Parcel Number: 092104 9233 Project Description: Replace HVAC system with like and add curb adapter Owner Applicant Contractor FEDERAL WAY SCHOOL DIST#210 WILSON AIR TECH WILSON AIR TECH 31405 18TH AVE S 5045 S YAKIMA 5045 S YAKIMA TACOMA WA 98408 TACOMA WA 98408 \FEDERAL WAY WA 98003 (253)474-9928 Mechanical Valuation 8500 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description Quantity Description Quantity Air Handling Units 1 PERMIT EXPIRES February 7,2006. Permit issued on August 11,2005 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws,rules and regulations of theState of Washington and the City of Federal Way. Owner or agent: Date: ll'--d.5"--- CITY OF 1101 Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-104047-00-ME Owner: FEDERAL WAY SCHOOL DIST #210 Address: 31405 18TH AVE S FEDERAL WAY, WA This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. 0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By C ems/1 Date 6- ( 7. 6 1 qtr of A `��9 — Fed o f -� 'I -S 7 eral Way PERMII �Oa SF MFC 'ME LPL DE E ' FP COMMUNITYDBVEWPME, sERVKES 1 (� JJJTSlMRALWA,WA9•rOBOX l7Td APPLICATION FEDERAL WAY,WA 53435-60 / / 25J-dJ5-Y607•FAX 2SJiJS-T60, y'ww4tyoffederGiwap.corn ' G0 The ollowi • is re• fired in or:nation-an Inco •Tete a••licattifn tai[not be acce•ted Please •tint le,ibi n in or j•-. MI PROPERTY INFORMATION SITE ADDRESS 3/'lQc / 74'1-7 .4t1,Q_ SC) . SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Mach a ft Partfc'ignathir kcal daaipNun) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING ' ,MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this remit only) 1RemC1opw h✓A , 12 f Ac-i-) (urh ac_c i-elf j o�o s,J K VAC G in a/d e r b . PROJECT NAME(Name of Business or Owner Last Name) / t Q r0,.I (A)c r Sc t oo( 1 V/ 3 4 r I C f• ( T U PEOPLE INFORMATION PROPERTY NA(�M PRIMARY PHONE OWNER 1`eJ Q( C&` t,3 G`( S C�nq�'STAT S ('V i.�'�, (Z3 ) 9'�_5 - ,5'732_ MAILING ADDRESS /O S S2cj PI re c ,e ( w a.( (,.lam F 49-o03 CONTRACTOR COMPANY NAME /� �- APPLICANT NAME OFFICE PHONE (,Jilons ;2 /eC�. � A erQ '.( -QQ� (2S3 )Ll7cf - " 25- MAILING ADDRESS CITY,STATE,ZIP CELL PHONE SaY,S . 4-H Ya-I i- Co ( 64 t, . ) 606 - �6b CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -B L / / ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of Gard required with each application) EXPIRATION DATE W�►- L- 3oA LQ &.6o4 07 / I5 /2.007 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMB ER a Architect a Tenant ❑Agent ❑ Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) - LENDER ;>.: ;d;i•• ,;•::-, r._„,:,,- ,,,n;,.,-,„ra,,,, NAME MAILING ADDRESS CITY,STATE,ZIP ,/"�/� • DETAILED BUILDING INFORMATION EXISTING USE ,,f/ w14.4./5 A1/4-v,/) PROPOSED USE S civ-•.-C. EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ Sj 5-er) SPRINKLERED BUILDING? ii:(YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO , WATER SERVICE PROVIDER a LAKERAVEN a HIGHLINE 0 TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST r SECOND THIRD FOURTH • ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 smosneo I raoroero I TOTAL - i NUMBER OF FLOORS "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fvdure to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ • AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS BBQS FANS HOODS Ic.mmrd.y WOODSTOVES BOILERS • FIREPLACE INSERTS RANGES MISC(Describe) • COMPRESSORS FURNACES GAS WATER HEATERS DUCTS OAS PIPE OUTLETS PLUMBING BATHTUBS(or iub/ShowerComhy _ SHOWERS WATER CLOSETS fuses MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(BathroomSiolcy VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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 authorised 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 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 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 �� DATE S—^ /2—O S-' (Stgiature) (Title) RELATIONSHIP PROJECT Owner 0 Agent Contractor 0 Architect 0 Other •,��.'0.:4',vr`(r),1__ .._ _-- � -fK.t�; ''t? �w.w;f•c' fi:�;Ycr.r;'�S!,I�l. t'- - :0;11,E t ;esiF001. :+ 4.,c 4441 t•ryfe Ti,,I, , gyp -— - pry. (Okdc�;;,:iY. i(j�:� .4�# �!o', 7,:k1 ffe) iJ '(c' :?YiNr d:r:t fir'`. Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application