98-100281 CITY OF FEDERAL WAY . , PERMIT NO: ME
C980022
33530 F1 rst Way South h ,... Fpii ,fiN „ � + PEIRM iw p„ ISSUED: 01/-8/ 8
Federal Way , WA 98003 Mechanical Inspection Requests 253--661L-4140 BY: FC2
253-661-4000 EXPIRES: 07/26/99
ADDRESS: 36001 1ST AVE S
NO , : 302104-9013
PROJECT DESCRIPTION:ENERGY CODE UPDATE - NEW EQUIPEMENT AND DUCT WORK UPGRADES
F. OWNER •- ---- -- . -.----..._::___=_--- T CONTRACTOR -=------- -. -- ------ LENDER -- - �
ILLAHEE JR HIGH SCHOOL I SCOTT & FROM CO INC
36001 1ST AVE S ! 3820 S JUNETTE ST
FEDERAL WAY WA 1 TACOMA WA 98409
941-0100 ii253-473-6644
SCOTTI*225D1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
_ - __ -__ -- ..____M________-_-._,_ .. -.-
PROJECT VALUATION 105000 ; FEES:
( FUEL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS ' MECH PLAN CHECK FEE $ 164.25
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 657.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 MEC PRMT ISSUANCE... $ 20.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
1 CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 841.25
t - ------ ---_. _..___.._...._--- _.__...______.-___--
( 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 APPLICABLLE CITYY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT , =,•uL (-''^-` DATE -- 1( -7/ fl/
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CD0193(Rev 4/97)
F E-DEWED
CITY of BUILDING DIVISION
• EO JAW 2 $3 199833530 First Way South
AyFederal Way,WA 98003
�tv�rt�L WAY (253)661-4000
CAI"EU1LDIN
"G DEPT. Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
MEC - ZZ
PARCEL # Single Family 0 Multi-Family 0 Commercial fid'
SITE LOCATION
Tenant/Owner �v ( (AJC Y 3e-11poiV►Si Phone
Address/City/State/Zip 3 Lo()o f /—/s rik"Jz 5 l ceA'_ cJ top 7 (n.• p
Nature of Work m-- &nrk p.t.,u.S I oaf Ocu - Project Valuation:$ J( ' , CO() Pc'
APPLICANT •
Name C-'c t'.{- rYLoM (V '- •
Address/City/St/Zip )5 Zb S - J: ret 1 -77-G-o m 41 CA-1 ii e c- k'1
Contact Person 7,.A,1�.� a +- r Phone 6L13"L ii y y Fax L/7 3 39•
MECHANICAL CONTRACTOR
Company Name . rl e Lt 5 CE tic i-'-{,
Address/City/St/Zip
Contact Person Phone Fax
State L&I Contractor Registration# S r")4÷-t A aA 5 />Z Exp.Date /
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's Gas Log Unit Heater Underground
Fum>100K BTU's Fans to..471' Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Ctz
Cony Burner Duct Work" M" N[-s✓
wRn•s. Ga�.Ica.Cs 17•w.r. A/C TONS Other
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BBQ's Wood Stoves A/C TONS
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 city as a part of this application.
•
Owner/Agent ti u- ✓ Date /..qe-/9ir
MEC,.APe
REVISED 8/26/97