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CITY OF FEDERAL WAYy PERMIT NO: MEC98-0034
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33530 First Way South t'" ._ .:.:: ":':`;rt,,,,h t,,,, ',,. El. i','el.I. 1". ISSUED: 03/10/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-..4140 BY: FC2
253-661-4000 EXPIRES: 09/05/98
ADDRESS:1066 S 320TH ST
NO. : 082104-9188
PROJECT DESCRIPTION: HVAC - REPLACE EXISTING AIR HANDLING SYSTEM TO IMPROVE AIR QUALITY
-= OWNER - -- _____._. T CONTRACTOR --- __._____._ p- LENDER _...._
SCHOOL BUS MAINTENANCE FAC 9 JOHANSEN MECHANICAL
1066 S 320TH ST PO BOX 1768
FEDERAL WAY WA 98003 I WOODINVILLE WA 98072 i
! 425-481-2266 1
JOHANMI173PK I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 32000 I FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MECH PLAN CHECK FEE $ 71.13
GAS PIPING.: 50 ft HOOD 0 0-3 TON • 2 i Mechanical Permit* $ 284.50
FURN<100K..:100 DUCT WORK • 1 3-15 TON • 0 ; MEC PRMT ISSUANCE... $ 20.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 1 MECH PLAN CHECK FEE $ 3.25
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 I Mechanical Permit* $ 13.00
BBQ • 0 MISC • 0 50+ TON • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 391.88
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 Date __________ _
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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CITY OF G BUILDING DIVISION
• F�M1_ 33530 First Way South
WFIN 0 Federal Way,WA 98003
`' (253)6614000
0°v Fax(253)661-4129
. APPLICATION FOR MECHANICAL PERMIT
OE �,
.4 Of Na MEC� 0 - 00 L
tGSC 03\1O
PARCEL # Single Family❑ Multi-Family❑ Commercial I,�
SITE LOCATION
Tenant/Owner f ��/4L a/Ay 5G''c_ DiSriz�cT Phone %//5-5935
1777444Y,,4( CA2L1SCT—
SO,..`. Address/City/State/Zip /O G 6 Sor7� 3a o'er
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Nature of Work P ys °1 -ro onet'l= r.161 Project V atio._ $ 3D ba)
APPLICANT
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Name M 1C;L,Li)
Address/City/St/Zip
cJ ' I��
Contact Person Phone Fax
MECHANICAL CONTRACTOR GY j r.-?
Company Name .1N,5'-"%''' V\ PAc'-c''MCLn1['4-:
Address/City/St/ P-(-)Zip �.� .1- (3'iI'-i4 (
3 ��•'c1 1^,L t _ LL - ' 1 ,0r1 a
' Contact Person ((-rbc .1v,-3,,,b•--Sc.- -\ Phoney a�7 y��- Fax f 1a 5'4I?f C��
State L&I Contractor Registration# J G t-f {`r vi"'kill- Irl 3 P k- Exp.Date 7- 6 '1
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping '- I(,I. Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's Gas Log Unit Heater Underground
4 Fum>100K BTUs Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work v A/C L iy - TONS 11 Other
in
'`''s' :;>:> ::>:>:> « »> »<RR 'S Wood Stoves A/C TONS tOF tttCbnf»> >? s'_ : >>
DISCLAIMER 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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in investigation and defense of such claim),which may be
made by any person,including the undersigned,and filed against the City of Federay 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 cityy as�art of this application.
0 e;/A�ent Date ��/f'8
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Revrsm 8/26/9'
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