Loading...
97-102064 CITY OF FEDERAL WAY PERMIT NO: BLD97-0351 33536 First Way South :�`�'ill...,,,';�I.: L. 1.)I. I'" 'M',„.i fay' ”"` '�M.��i;I: ,.�,,.. ISSUED: 07/11/97 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY : FC 661-4000 EXPIRES: 01/07/98 ADDRESS: 36001 1ST AVE S 6p,ID)t)6,y NO. : 302104-9013 PROJECT DESCRIPTION:ENERGY CONSERVATION AND INDOOR AIR QUALITY IMPROVEMENT PROJECT. hvac upgrades, ceiling replacement. - OWNER ------- CONTRACTOR -- ---r_ LENDER I ILLAHEE JR HIGH SCHOOL I -.- FAIRWAY MECHANICAL CONTRS INC { 36001 1ST AVE S 1 3256 CHICO WAY NW C 1 FEDERAL WAY WA ( BREMERTON WA 98312 ce 941-0100206-623-7323 __.._. .a FAIRWMC164L9 _l _ __1 *** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.2% *** --11____11._ __ ._ .._.- 11.11.-`----s-- T _ - BLD?:X MEC?:X PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •SR ( FEES: TYPE OF WORK:TEN USE:COM 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •? ( PLAN CHECK FEE $ 461.18 CENSUS CATEGORY •999 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •) ( BUILDING PERMIT....$ $ 709.50 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION s REQUIRED SETBACKS FIRE FLOW 0 gpm Mechanical Permit* $ 545.00 :? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft FINAL PLAN CHECK...* $ 0.00 TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 120000 i SIDE • 0.00 ft WATER SERVICE..:? SBCC SURCHARGE * $ 4.50 :? :? :? :? DECK: 0: O:sf REAR • O.00:ft SEWER SERVICE..:? OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:06/12/97 . 0: 0: 0: 0: TOIL: 0: O:sf ( IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? FUEL TYPES.:GAS ? FANS • 3 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1720.18 GAS PIPING.: 400 ft HOOD • 0 0-3 HP • 0 , BATH TUBS • 0 DRINKING FOUNT.: 0 N<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 HWT • 1 WOOD STOVES...: 0 15-30 HP • 7 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 1 SINKS • 0 DRAINS • 0 BBQ • 0 MISC • 53 5+ HP • 0 ( DISH WASHERS • 0 LAWN SPRINKLERS: 0 ( GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 i RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 }. - 1 d PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FUR ISHED BY)ME S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT L. DATE 7-(f- q? 11.01, P. AMA V\.. tit t --4�f F 11�f:i'.4at WAY ' PER I NO: HI 1)` 7 1E3%1 4,73TI1 Fit t W: y +tit.11 I L.. f1'I Nei PERM 1. .I , . 1 ,t,IF il• ';:x ;,.,;. ' "^4.l_?1`<�1 Wye t h )? Ut'1 I 1't.tl. l-'lirli. , n,„;E,t 4-1-,ion F?f.tif a . - t 4Ift) tt1 . t I 1 II'r.,: 1.17 i,1'/ ii a . y 10 1STAVE C; NO. •: IV1.0 141 ::f T7- Iouby LSI>C),IF(: I PF '(-V IPiION:ENERGY CONSERVATION AND INDOOR AIR QUALITY IMPROVEMENT PROJECT. Oa( upgrades, ceiling 4keplaceraetrt. �. OWNER ==M:.z..=~:.C. �:.,:.. -:..IA >_M. .,,'X:4as.r:,e'.WOCIUUVOM�,.MMU= II CONTRACTOR sa:,*t .G>< .V.X...<, .; ..: �z.W,z ::_:.ttUMAI.xf.at:ft. i.FN11P � ., 5_..� :a=.�s:. ��. > , t -... :. -.x�:x�: . DIANE( JR NIGH SCHOOL FAIRWAY MECHANICA# COMERS INC--- -,, 36041 151 AVE S 3256 CHICO WAY NW C FEDERAL WAY WA t'FMERTON WA 91312 t 0x1-0100 206-623-7323 FAIRANC1E414 �. _:i :'„ .,...:...y n%."fP2!}YA::. •...% ...w�.A.,t ..'::x� ::.C.. 1�": Y2.^...:: .F=SSC:t.5w..411tffi>'AS.tGO:Y.Y�4T:Y.GW4Y."_5LY 3@tC4l..:M:!l9Gf�W.'.719.::[.X:i1a�.^.S"J.YZ.xF,�.t»2SU*',el:r<'Si@:�' .... 6.S'S,'::: C....,.9s[:tl.S.iC..i..,-.....rm,.fl',C. •,..I.z 1"......�....w.G..:x.:'rY.:xt r!'Si e*P CON#RACIORS, PLEASE USE LOCATION COBE 173"2 NI111 R(PONIT##G SALES TAX TOR PROJECTS NIIN111 TME CITYI ITATITA#- NAY. TAf( PATI 5-21 Its ..,w.:.•• �.vn:..,u g -' iS�..:i:SfiY ....'tfL a.,n_'.,•dQ'3 Cl Ct9:es?.P%iL:°i.fiS�1 L�tl '' Mrs ':' Pt_!! :"' I1R �F .PRO 'CLING UNITS 0 COMP PIAN -SR FEES Ii of NKr vs 11,A:com 1ST. Q -„:47O:St slOPIES .......: 0 REQUIRED PARKING..: 0 SPRINKLERS" ,, PLAN CHECK FEES $ 461.19 1I,IFi';`1. 2ND.: 0: O:st' HEI T..... 0.00 ft HAZARD CLAS` BUILDING MAIL...* $ ,0q SO I 3RD.: O- ' 0:sI IAt.UATION***._._--* REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm t1 chanical Perait* $ 545.00 . : OTHP: u: O:cf ;t1 '1 .1: 0 ER41N1.. 0,011;11 FINAL PLAN CHECK...* 1 0.00 • t`tl t' tO?a;I°'t't ''+ ' PMC. 0. f .,' t: )�' r 1.>. l ?' c ..., FI: ID • 0.00 ft, WATER SERV O Sala SURCHARGE. x t 4s0 1 • (f(I �,: 1. 1 ' . , • 0.00:ft SEWER S V1cE..: r' �' �1�.'.tIC�HI I1.11�3' .. �` • ,1, (.1: :- �i"s'! f',}1 fif .f'is' ii,x•07 gg i : ' t:: 0: Iolt t 1:'t J'PLlV SURF ,CE: 0 sf SENSITIVE AREAS?.:? '.c:.'... : ",-.L. +n' 3 -*,.' "..9:n ..w.:a•. au :.ti._;s'a_. ,_ _ :c ec'U ...-diii'x ."o.^.am.'i am99c.911¢sy::WU.QarxF11wSiSGmOIMMO.:Mt MA AYs aefm4....4t: tMEL TYPIc SAAtA . .°� 0.LEF 4i, � la>, WATER CLOSETS 0 URINAL. $ 1720.18 UAS-PIPING. 400 ft. HOOD........,.. I, i} ua. .. . 0 BATH IDBS • 0 TRUNKING FOUNT.: 0 1URM<T 00I..: +' 1Ii.T won • '16 3-1:-) HP • 0 SHOWERS. O SUMPS • 0 1 SS MMI....: 1 NO0I1 SJOVES...: 0 15-30 HP 7 LAVATORIES • 0 VAC BREAKERS...: 0 NV KORNER: t) IJRN.1a0K.....: C 30-50 HP • 1 SINKS • 0 DRAINS.....,.••: 0 BBE;► 0 MISC,.... • S' 5t HP • 0 DISH,WASHERS • 0 LAWN SPRINKLERS: 0 G+1s DRYER..: O AIR HANDt1N UNITS FUEL TANKS---- -- CLEC NTR HEATERS.,.: 0 OTHER FIXTURES.: 0 RANGE • 0 ‹:10,000 CEM: '0 ABOVE GROUND: 0 LAUN WSHR QUILTS...: 0 G fS 106S...: U > 10,000 CFM: 0 UN.KERMROUND.: .0 -• :. iC :-.<.:-:sc,s${IC'».ww'X_.v;at.a,;�a:a�.53its,Y„"'tb1.Y„aw^`a.acs.RJ.x:2Y.;A'^z..e.::.s.:5:s azar.p:;:asysas,Zl 9et`r.e 4�.•%.s:2+ i....a3,.... T]A1tACa1'4i,.+� x. •e_^.aas..sca: x�_'m _xa.,-x :+as.^.5: x. _..._...ar.. ... PEt'MHTS EXPINE IXU BAYS ALTER ISSUANIE If NO NOPC IS STARTED. KESIDLNTIAI ANLL VADIItG PEft#IItS EYP#Rt 04, Il YLAIt mit„ Bi,1E OT I !:tkiMCE. wI (ENTITY IIIA1 TNT INTO S TRI AIIOW FUR ISHED # ,ME,tS, P C.ORR#CI 10 THE 1t1SI Of MY K:N0WIEI>CE AND THE 4PtICRBL1 CITY Of MUTAT UAY RCQUIRF:AIMIS WItl et Mti. Illf — ——— 0) _, .--- . .. .------ 0 i-c-) el --,1 3') 0, .7,' -6)' -1.•; _ 0, 4, G.) r.) o -::: o (/)...,-, o •••-•c 0 -11-..- C1 W. 0 :::11 . 0 -T1 0 ?Mt::: - W :•..i:::::l':::-. PI .....:C:.:::. a :.:23....:: P.I. -c Pi. ::::.g.:::: F.9. ::-.C„.- P. ::-.*:-..::: N. ii* 91. :.(o 94. -:::::::xii: Et :::::::,,,,M.:::::::. 9.) :::: D2 :::-ic..- - -.:411-.........-... ii. ,:t:j i-.D 0..: i-.D >-...-,-.:-.. 0 -.....c (D .„,i-c-iii, 0 :,,,c a) :::-• :::::: cp ::::6„„ 0 ....:17r. 0 En CD ....it: 0 :-.jv‘: 0 .::i0::::::::. 0 :::::Alf::::: (D ::::C 0 ..... ...,..:... 0 ::::::‘,::::: 0 -:VI a) :-...-0..:: CD ....,.,:::,: ::..... .-4:::: d1::::: :::C 411' :::: :::::: ::::.....--:-::. ::r.:-. `....:::: ..i,::: :::713::: :::::-:::::::- :::::::::::::::::::: -::.1- ..W.:.::: .i.W...-.:.: ::::.11. :: .0:. :-/':•:•: in • •• • -33 i'.'=',...: :::::..!-- ::::0:::::-. -"....:::,..:::::::: ::::."1::::::: 1.--- :::::!.::::::::::. :::> .......E.::::::, ......:. ....i::::. -,.::--- cri 3:1..., -.=1 —• --:-::::::::::, --:-:ca- >••••••••••• ...-5, ,:t-,...--- .--.--z::-.. ...m...... ::: .„0....... ..-.... .-...... ...-.;....:......: ....1....p.z..........1.",......„.. ,...,......i.c.......1 -.:,,or z,-.. ,..,2.:..... „•._ „4".i...., 0„.....-... . -0-6"),--..- .:::::1:::::: ::::::Pz.......::: - :::-..-.74.,:.•:1 7(n...1.".1.! - : ,....g.......... ::: . ::-..*,..., ......., .......:. :-........:, .:. „•.:: „jet::: „:13 ...-.,.:::•..--. i N• •• :::::::••:. ::,........, --..i,""......- :•:0:,.: iii..........:.:-, ....;...: :,: . •o.: :-.•Ip:::-..:: .:......or....-..':] ::::-...iti,. •f24)::::: .. .. .. ... . . ... -.....i. :.::•• .::::::::::::::::::: .........04...:.::: :::::":::ii ::::::::::::: :-...............,::::: ..........:.:::::::. ::::......:::.::. ::::::::::::::::;:::: :::::a :-........:........-....::. -.:40• .....r.::...: 33 * •• •..• ••• •••• •••• .... .:........... :::::.i:. ..: .........:. :....:::.........?.:•.'... .......g"...:::: ...:-..g............. :•.::•C).•:::: ::;•.:.:: ........•.....:: :::::::::::::: ::::::::::::::::: :-.....,::- :. :: ::::.:0:::: - ::::^..4::::. :::.i. .......• ...:* 'f1:::: :.......:....... .. .:... -........•••• .• ••• • •• :nu:: :::.•::::: ::::•••• :::. ::•••:::::•:: .......:•:•:•:: -..... ....: . :- C .:::::::.........k.:: •-•TII Z -..:iii:. iS.-.....:... :i.: .•-•;•::, ..•.:0::-.. ::::::::::::: :::..:•:•::: •••-•••••••••• ...• .....• . .. .—.. .. ..., .._... .......,... .......,..... ... ,.. ....... . .... .. •••-••-• •• •• .. .. . .. • • ••••••• .............. ••••• .. . ........ . ... '-•-•••••-•••••••••••• N••••••• ...-:••••••••••••••••••••• :::3:: (:•••:::::::::::::i: ,.::C::::: :.:11::::: 'iAgl.J...ii ::::::::::::::::.: :::::.....::::::::::: •:::: ....,....•: *:::-.....2:: --•••.1.8:g ..........::::::::::: ::::X::::-.: ::::::::::::::::::::::, :i2:::::: :.::::::::::::e: I::::::::::::::' :,:::::::::::::::::::: :::::::::::::::::::. -..,:iw.::: •• ..„0:::: ::::::::::::::: :::::::::: :::::::::::::. ::::::::::::::: ::. :::: ::::::• .:: :::::::::::::::. ...........: :::q:::: :::::::::::::: :::*,::: :::(0:::: :::z.,.:: .::::'::::::::::. q..........:....:....:.::::::.:: ,....:::::::.::::::.:::: ......:_0•:.::... .•::::::::•.:-::•:::•::•::': ...............,:::: ::::::.::::,......,:: ::::::::::::. :::::::::::::: ::::::::::::::: :::X.:::: :::: .::: :.::::•:.::::.::::::•:: ::2::: :.: ••••• :••••:-.::::: ::: :::: :•:•:•::•:•: •:•.c),•:- ::::::::::.: •:::::::.:::,.::::::: •:::::::::::-::-:::. :::!,,,,..:::. :::::::•:::::::::: .,....::::.*.::.::,. .:::::::.::.::.:.::::. :::::::::... ::::::::::::: :::::•:::::.::::: ....4..-•••::::: -::-..: -.. .:- :::::::::::::: :::::::::::•:::: ::::::::::::::: .:.::::::::::: ::::::::::::::: ::::::::. .:::::::::::::: .......z:::: :::.-- --:::::: ::::::?:::.,.:::.: ::: ..:.: :••••••••. :::::::::::::: : •• •:•:•:::•:::.:. :::. ....,.., 03 .-::..-- 03 ',,,,:::::: p`i :::'-::::-:.:::::•:-..• a3 ii:::::::::::::::: °3 1:::::::::i.:::::::- °) ::::::::::::::::::::: CCP .:::::::::::::::: 03 :::::::ii:::::::::: co ::-._----- 03 ii.••••••••:ii.•• CO .:::::::::::::, CO .-:-.: CO ...--.1-:-....... 03 -........iiin CO :;:....iii:ai CO ::::CV CO ::::::::::::::::::::: 03 '--,':.-33::. 03 :-..-•:::•:::-•.::::::. 03 ..i....i.............:.... ".< Q:--.; ....... ::::::'::. '< ;-::::•:::::':::-'• .'4 '.....-..::::::::::::::::. "4 •••••••••:::::::::::-..*:-..: .< ...:••••0.: ..< ?••••:::::::::'::::: *-,C -.......::::::::------- ..< . '< .:-.*:::ii-::::::::. *.0 ::::•-•••••::.:: - `.‹ :.. `.< .-:-:-.: ••< -:::::::.::::-..:'..:-..: .< :::-..liii:::::::. *.0 '......:21:::::::. "C '':::-..g.:i.::-. s< ::::K: ''< -::::::::a .'< ••••••.i...:-..:-..::::ii::::, --:-.:I - ,:.:•:-.....,:::::::: ii;f:-.-•.:-•;•.-•;:-....: *::::••-•;•-•;•;;••••:::::::. :::::::::::::::::::.'.-.. ::::::-.......:*..::::::::. •-....•: •••••••••:i: -.:-.:...: :-.,?::::::::-...::::::: ?:::-.. ...:::-•.:...-. ::::---: iii:::::::-.g ,....'..:::-....iiiii•::-.. -..i:.):0.:.:;:i ::::::-..:-..:•••:-•,:-:: :•::-..:-::::::. .::-..::::::•::-::•::. :-....-:::::::::::: ... ........ ...... ....... ...... ...... ...... ,............. .,.....,.. . ....... ...... ....... ... ••••••• -:-:-.••::----: ::::::::::::::: -:::::::::::::- •-,.-......••••••••:'.:::::-. ::•.••••.-..••••,.••••........•:: •-•:.:::,...:.•%....-.•.-: ::::•-•:----- ,..•••••••••••••••:::::','. ••••.:•::::::::::::: •.::.- • .f:-....::::::?;:•::: :::::::::::::: :-...1:::: :::::,:::::::: --:::. : -..............-..::.:-..:-..: :::::;::::::::: ............ ......:.....• - ••''.:......1 ......... ...... ,...i:i-...i:...,.-....iii...-: i:::::::.*:.*': ...:-.;::.::.:.::::::::::, :.,-.•...::::..--::.--.:-.i.:.:.-: ::••.:]•:•.:':::::.::.:: -::::::M.: -...--:: .. ....... ....... ........ ........ ....... ..::::,... ..,...,........,... . ....... ........ .... ............., ............,. .. ........ ........ ....... ""•• ...... .......1...1.-•-:...- •••••• ......,. ....... ••••••• ....... ....... ••••••• -•••-ir ...... . ........ .............„. .............„.; :.•,..::-. ...............:„. ............. . . ....... ...... .......... ... ....... ........ .............. .. ...... •• • """- .......-.••••• ....... ....... ::::::: ......,....... . ...... .......... .•:::::: ::•:::: "--". ........ ....... .....„ „ ...............: .. ....... ........ . ....... . . ............ ......... ....... ........ ....... ,......:: ....... .. ..... ....... ... •••••••- ••••• ••••••• ...........•••• ........ ....... ....... ............. ........ ....... ....... ........ ........ ........ .....,.... . ••••••• :-•.••••.:*•••••••••••:':.•%. ...... ....... ...... ....... ........ ........ ......, ....... ...::::::::::::: ..:••:•:•:•:•: :::::::: ::::::: .....:,:......... •................., ................,... . ..:::::-.•::::::::::::..•-..•: ....:',..•,. .:•.....*:...-• -.--.:. ••••••• --•--• ••••••••••••• --•-•-•---.- .................„................ .,..,.........,...,::::.,_ 1:::::::-..:::-..:II :-.7-•....::::::.:-...!:.... ..;:::::::..i11::::::::..1;.:.1. ......-.'•:', ..----..-: '........;••••••:::%:::.*::: -..........:-....:ii..-..: -.:-...: ....... ....... ....... ••••••• ........ ....... •:.....::•••..1.1••' .••••.-::::: ::•.:::: 3EFF,44,z,, Z fs r r.\i ----- ("), ,...... 1.,. ,-, • CP i P 1`) riJ 1` fr j•i , rx • A v,e . NO 1 -ci., • 111 _..........-----_ crry of �- • • BUIL DING DIVISION 33530 First Way South \)\> Federal Way,WA 98003 FIFY (206)661-4000 JUN 1 2 1997 Fax(206)661-4129c u.< w;:LtLRAL.WAY LDING DEF APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # P)L b ^° Address = L R NF Suri42 { i czi} SC Roca 1 3c.oc 1 ST A 1Jo Soc..,T14 Tenant(if known) Lot # Assessor's Tax # Building Owner's Name Address )-`=0£RAL WF}t.t SCH¢rot. I- tSMIc.T NO, 2.10 /06-6 Spurn, 320'`'. T, City F2. E.Stwt- Wwv1IState Wf- Zip /8 003 Phone S 39-9-25-0 Nature of Work fi,UF.Z(ol C.ONsutopr►.v,$ OtNp ZNAcAR f40a. 01/44a1-314.1 1 wtf# Name (F,M,L) NItcEFHrcL LA) Address k%Pr k4E-NtriNEL12e0 SySTl'e.n'tSa iNC., t-101 SEGOS rk•Ul.-(1\ IA4._ 5D'.4r S u ti4 a.c. City SE State W A Zip 96 JOy Contact Person Day Phone Other Phone Fax ,q,JS(._ DOA1J ,20(p- 583 -OA.°<:=. ,206-583-88acD Company Name Address City State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No Name iON Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION k_a. orz. OF T-1� SE. Ql-Z. Less "Pit- SW. QTR. LESS 1-"E- !_ , 3o FT. c�� SEL. 3o, r al A� 3.Q6-€ Ll, E,u/./✓l, /4/ /N6- 10“,v77 4.1 Please Complete Reverse Side e . mu.C_ ..:..::...:..:..:: .iii::.s>:;:>; .r>sr;5;3;;iA Existing Use TvJJ101Z 1-i,(,.i-1 " St_laoot_ (Proposed Use . li+,"1/4¢.. Permit includes: 0 Building >1Plumbing 4- Mechanical 0 Other Type of Work: ❑ Residential ❑ New ❑ Remodel - O Commercial ❑ Number of Units_ 0 Deck ❑ Addition ❑ Garage ❑ Shed / • Enter 1st Floor Other Cay , iy, sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area Area Basement sq ft Decks sq ft sq ft Garage sq ft Proposed Total Area sq ft Water Availability 0 Sewer Availability 0 On Site Septic System Availability 0 Project Valuation $ Zoning 2 51 S"' 1 Lot Size A g,ie3 P,c.Re_ Existing Bldg Valuation $ II: N _ :.1111;;:;;::::::::::::::::1111:::.:::::::;:: ::,:::: I Name Address City State I Zip iJs�;;t<:1:::�'.>fL�:'::r::::��:���>t:iF:>:::z:<::<;::fs(<1:��!�:;'�:sy;>�::::�:E;+�:y:::�:/:.��::>�>y::':: :1i>�< >< I `itri.�4trtilG:aiih:is�F.i,kY..:#:.[ lF7c.:::.::::::::::::::.;;::i� Contractor Name Address City Contact State Zip Phone Fax License # Expiration Date Verified 0 Yes 0 No �..1111:::;>::a::>::>::<>::::`_"1111<<:::: :::<::::�:::»1111:;'>::::>::::< »1111>> ; �«�> ..�E.i AI iikar 3�li 1: '�'4 :::::>:;»1111::>:>::::>:::::::::::::d Contractor Name Address City Contact State Zip Phone Fax License # Expiration Date Verified 0 Yes 0 No r iiiiini :. .iii::ca ner»»:::::::::::::ili:::;:::» Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers ers Drinking Fountains Other Showersic.Water Heaters I Sumps Lavatories Washing Machine Drains Total t=iXttit Count y�*��:���::�"�:.�:'�.::.;��::>;:'::::1111>�:���»;1111:>::::>::�<�:>��::::�:_>:�::::>;>::>::'.1111>?':'��>`i>�'>`»_1111>> YE A iiiiii ;; ( i_ 6. `"1 :.. °'." MECHANICAL EVALUATION ONLY $ Fuel Type (electric/other) SAd,coo e % l�/iS/i,(sr u,A�►rt Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons 7 ` Length of Gas Piping L/00' Range Air Handling > = 10,000 CFM 30-50 Tons / Furn <100K BTUs Gas Log Unit Heater 53 50+ Tons Furn >100 BTUs Fans Miscellaneous 4,40czfi 3 Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total nit Cautit 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 Federal Way,but only where such claim arises out ofthe er�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: +,,.�G/it �--, Date: G4,z/.9,7 IiEv4ED 12/11/96