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07-101929r, -% City of Federal Way comir�unity Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: WORLD VISION ..W w Mechanical Permit #: 07- 101929 -00 -ME Project Address: 3450 S 344TH WAY Suite 110 Project Description: TI - STFI - Supply run relocation. Inspection Request Line: (253) 835 -3050 . ry Parcel Number: 222104 9040 Owner Applicant Contractor LBA REALTY MCKINSTRY CO LLC MCKINSTRY CO LLC 660 SW 39TH ST SUITE 255 5005 3RD AVE S MCKINCL942DW 3/16/2008 RENTON WA 98055 SEATTLE WA 98124 5005 3RD AVE S SEATTLE WA 98124 Additional Permit Information Mechanical Valuation ................. ...........................2988 Over the Counter Permit?....... ............................... No Mechanical Fixtures Ducts..*"!, . ..................... ......... PERMIT EXPIRES Saturday, April 11, 2009 Permit Issued on Wednesday, April 11, 2007 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 the State of Washington and of Feder ay. Owner or agent: Date: 15�—/ / —07 ��u��I THIS CARD IS TO REMAIN ON -SITE CITY OF 4A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 101929 -00 -ME Owner: LBA REALTY Address: 3450 S 344TH WAY Suite 110 FEDERAL WAY, WA 98003 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) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date By Date r � CITY OF �".`"aw•v','. • 1W169 •r'VEYa' Federal way PERMIT ll t COMMUNITY DEVELOPMENT SERVIPR 1 1 2007 SF MF CO ME L PL DE EN FP 33325 8n� AVENUE SOUTH • PO 971 9 18 APPLICATION FEDERAL WAY. WA 98063 -9718 253835 -2607• FAX 253 Oe � 0 E R A t WAY O� Lrww.c(iyn((crlcrahnn �} i14 9UILDING DEPT. The following k required information -an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY 1 • • Ca SITE ADDRESS / �. 3 L!. W d Y / Sd 001 SUITE /UNIT # ASSESSOR'S TAX /PARCEL # Z 7— ' 0 7 - O LOT SIZE (sf LEGAL DESCRIPTION (e,g. Acnte Estates, Lot 1) 56C ATY-Al-ClV-67) 5i>Zf7__ Inlmd, scnarcne rxaiejbr 1—gligr legal descdpli 0 MLEEMM 1 • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING YMECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) r ,f .. 9=2 , PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR COPY of card rcqutred with each appllcatlan APPLICANT PROJECT CONTACT LENDER c NAME ^ 4 ) r � v r 4 d /i w o f j I l (-L PRIMARY PHONE - MAILING ADDRESS R 3a 4o ITY, STATE, ZIP Ise n(w WA �'U6 E -MAIL ADDRESS COMPANY NAME �s G� APPLICANT N'?> P i l C]�t`� ��uLL77 OFFICE PHONE (ZQ 6 T7 6 S -7733 MAILING ADDRESS oo s- CITY, ST , ZIP A-, CELL PHONE ( Vi.) 39(6 -4174q CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ! - o- oo0003- 00 -`3c IRATION DATE iz -3) -o7 FAX NUMBER (2a (*)65- -173/ CONTRACTOR'S REGISTRATION NUMBER 0 C V- f N LLl y Z p W EXPIRATION DATE 3 -1 6 —ZOo8j E -MAIL ADDRESS Lo u g@,IVk,�G�iv5�2 . COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER NAME L J Wry. t_� PRIMARY PHONE ( ) - E -MAIL ADDRESS NAM Q%V R vL, Per RCW 19.27.095: Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE bYlyl L� S� P✓� G� PROPOSED USE 42Pr16C 0 � EXISTING ASSESSED /APPRAISED VALUE $ I y. Q7/j 300 VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ) YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REgUIRED? ❑ YES 410 WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGIILINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) 1"7 -V .e PROPOSED S . FT. TOTAL S . FT. AREA DESCRIPTION EXISTING S . FT. BASEMENT BOILERS FIREPLACE INSERTS HOODS )comm 1.0 FIRST FURNACES RANGES DUCTS SECOND REFRIG. SYSTEMS CHANGE OF USE? ❑ YES c NO THIRD UP /SEPA /SU? ❑ YES c NO ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? o YES c NO DECK (❑ COVERED OR ❑ UNCOVERED ?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS Ex1STINr PROPOSED TOTAL TOTAL. MST11105F TOTAL PROPORFD SF TOTAL SF * *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ � 71XTURES Indicate number of each type of Jtxture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL. S (, Value of Mechanical Work $_ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS )comm 1.0 COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS) rTub /sno,eercomh) LAVS )Bath- Sink.) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Ironer ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS 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 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. L NAME /TITLE Jura tGr /N !( DATE 7 t/-7 ignature) 1lltlel RELATIONSHIP TO ROJECT ❑ Owner ❑ Agent VI.-tractor ❑ Architect O Other :FOR OFFICE USE ONLY ❑ NEW c ADDITION ❑ ALTERATION c REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES c NO ZONING DESIGNATION CHANGE OF USE? ❑ YES c NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? ❑ YES c NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? o YES c NO Bulletin #100 —January 1, 2007 Page 2 of 4 k\Handouts\Permit Application