05-102069 r •
4
City of Federal Way Mechanical Permit #: 05 - 102069 - 00 - ME
Community Development Services
P.U.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: QWEST FEDERAL WAY
Project Address: 1900 S 288\51. Parcel Number: 332204 9159
Project Description: Install new HVAC system:two exterior condensing units;2 AHUs and associated ductwork.
Owner Applicant Contractor
QWEST COMMUNICATION INC JOHANSEN MECHANICAL JOHANSEN MECHANICAL
6300 S SYRACUSE WAY#700 PO BOX 1768 PO BOX 1768
ENGLEWOOD CO WOODINVILLE WA 98072 WOODINVILLE WA 98072
80111-6727 \ (425)481-2266
Mechanical Valuation 120500 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Air Handling Units 2 Ducts 1 Refrigeration Systems 2
PERMIT EXPIRES November 5,2005.
Permit issued on May 9,2005
I hereby certify that the above information is correct and that the construction on the above described propertyand
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Fe ral W .
Owner or agent: 1 /✓ Date: ' ] 10ST
q\ (A ‘17
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FINALED
L7 67
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THIS CARD IS TO REMAIN ON-SITS.
CITY OF "Community Development Inspection record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102069-00-ME
Owner: QWEST COMMUNICATION INC
Address: 1900 S 288 ST \
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.
❑ Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By 1F Date 7/11M°' By Date B)) Date 3,
DATE INSPECTOR AREA AND TYPE OF INSPECTION
RECEIVED
Federal Way MAY 0 3 2.005 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF C EL PL DE EN FP
333258 AVENUESOUfH.PO 9I APPLICATION
FEDERAL WAY,WA 98���BCJ�FEDERAL
253-835-2607•FAX 253-835-2�: i LD I N G D E P
www.citueffedendwau.com.;
ollowin• is r • fired i ormation-an incom•fete •• •lication will not be • •ted. Please •rint •••1_ (in ink)or p-.
• PROPERTY INFORMATION
SITE ADDRESS 1900 South 288th Street, Federal Way suITE/UNIT# NA
ASSESSOR'S TAX/PARCEL# 3_3 ts� ,) 1L— I LOT SIZE(si I 0 `J)IIJ
LEGAL DESCRIPTION(e.g.Acme Estntns,Lot 1) See Attached
(At.*separete pagefa Ieythy legal description)
t PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING CR MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detnilpd description of work included on this permit onlu)
Install new HVAC system per p1anR_
PROJECT NAME(Name of Business or Owner Last Name) QwPRi- P' dp_ral Way
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Qwest Communications (7n6 ) 345 4594
MAILING ADDRESS CITY.STATE.ZIP
1600 Seventh Av'., rm#2302 Seattle, WA 98191
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Johansen Mechanical, Inc. Keith Johansen ( 425) 481 - 2266
MAILING ADDRESS CITY,STATE,ZIP CEI.I PHONE
P.O. Box 1768 Woodinville WA 98072 ( 206 ' 510 - 2838
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXETION DATE FAX NUMBER
- - & "B L o',0/ /3 / /off- ( 425 )486 - 6933
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
a -Ft -N -M 7 3 P Fc 2 / 1 2006
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Johansen Mechanical, Inc. Keith Johansen (425 )481 - 2266
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
P.O. Box 1768, Woodinville, WA 98072 (206 ) 510 - 2838
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant o Agent ❑ Other(Describe) (425 ) 486 - 6933
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Keith •TnhanGPn ( 425) 481 - 2266 keithj@johanccnmcch.com
LENDER " �v� $_
MAILING ADDRESS CITY,STATE.ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I� `O,s-O D•O v
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
* jr
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
sq.FT-
AREA
FT. Sg.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
ffiSTOrG 4.
PROPOS® TOTAL ' 8 f9 f-&,..7,0_ y2 Y
NUMBER OF FLOORS b f.,rA,' °s
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be instolled or relocated as part of this project Do not Include existing fixtures to remain.
MECHANICAL
Volu Mechanical Work $ 1 AO?4 Sd O,
Z. AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS L REFRIG.SYSl'r MS
BBQS FANS HOODS(Commerdai) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
J�/ _ _ DUCTS GAS PIPE OUTLETS
G
BATHTUBS(or Tub/Shower Comb))
SHOWERS WATER CLOSElb(rover] MISC(Describe)
DISHWASHERS SINKS , DRINKING FOUNTAINS
GAS PIPE OUTLIs15 SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom sw sl VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLACK
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 Flederal Way as to any claim(including costs, expenses, and attorneys•fees incurred In I----W
he investigation and defense of
such claim),which may be made by any person,including the undersigned,and,filed against the City of mats al Way,but only where such claim
r.
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the In ormation supplied to the city as a part of
this application.
yNAME/TITLE r j, V
(Title)
DATE5"/ /d
(Si )
RELATIONSHIP TO PROJECT a Owner CI Agent A Contractor ❑Architect ❑ Other
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Bulletin#I00—January 7,2005 Page 2 of 4 k\Ilandouts�Pennit Application