07-104906City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way. WA 98063 -9718
• Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit #: 07- 104906 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Name: WORLD VISION - FINANCE &.
Project Address: 3450 S 344TH WAY Suite 200 L ` - Parcel Number: 222104 9040
Project Description: Installation of (3) new VAV boxes, relocate 3 -ton carrier unit into server room, associated
duct work, diffusers and grills.
Owner
Applicant
Contractor
LBA REALTY
MCKINSTRY CO LLC
MCKINSTRY CO LLC
660 SW 39TH ST SUITE 255
PO BOX 24567
MCKINCL942DW 3/16/08
RENTON WA 98055
SEATTLE WA 98124
PO BOX 24567
SEATTLE WA 98124
Additional Permit Information
Mechanical Valuation .................. ..........................33158 Over the Counter Permit?....... ............................... No
Mechanical Futures
Compressors .. ......................... 1 Ducts .... ...............................
I hereby certify that the above
the occupancy and the us"
of Federal Way.
09
'7, Z C'
Date:
THIS CARD IS TO REMAIN ON -SITE ..
OF Community Development Inspection Record
'ry Federal inlay IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104906 -00 -ME
Owner: LBA REALTY
Address: 3450 S 344TH WAY Suite 200
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 Ongoing 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 / Z By Date By 4C Dat ..�
Z�
For inspector reference only
` ❑ Rough Electrical a cl ❑ FINAL - Electrical
Approved
By Date By Date
i
RECEIVE[ -�
nn of
o So
Federal Way SEP o 6.2.007 PERMIT 40 EL PL DE EN FP
MM
COUNITY DEVELOPMENI'SERVICES SF MF CO
333258nlAVENUESOUTH • 63 rs (}L FEE R LI CATI O N /
FEDERAL IYA]'. WA 9806:5- � /
253835 -2607• FAX 257.835 2608
mono. ell uol ledcralwau. mm
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS
Ll
SUITE /UNIT it — 1 " ,a,_e&V1rz
ASSESSOR'S TAX /PARCEL to O LOT SIZE (sj)
LEGAL DESCRIPTION (e,q. Acme Estates, Lot 1)
(Al h separate fwgeJ r Im�plhy leyd tlescnpuen!
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING D PLUMBING )<MECHANICAL
D DEMOLITION ❑ ELECTRICAL D ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descri )Lion of woric included on
ALL
�Q 10 Gr..A e� G�pct -` f 3 �T�o -4 o 1 )tAA_j
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE 1 • •
PROPERTY
OWNER
CONTRACTOR
COPY of c ctu with each
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME � � � T J
PRIMARY PHONE
c 1%S) o7 7.2 0 Z
MAILING ADDRESS T
lot v sw .•+ 5 r
CITY, STATE, ZIP __�r
�,,� S
E -MAIL ADDRESS
COMPANY N t
`+G.AD
APPLICANT NAME
•
OFFICE � PHONE 0 _ 0 141
t(
o MAILIN x S V � 7
FEDERAL
CITY, TlA+yTEJ�T_ ZIP
�go- - (�
1i1
ELL PHONE -
1FAX
I OF WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
I* 0- 00 0003 -00 gl_ - 3 1 -o 7
NUMBER
(am) 74 L -A47i
ONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
174a10AJ .3 -ofd I
E -MAIL ADDRESS
i��z4��� ylzJS
COMPANY NAME
S&rtf (1&g17z4Cr",L.
APPLICANT NAME
OFFICE PHONE
t l -
MMLIIM ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT' 64 J �
❑Architect ❑Tenant ❑Agent )(Other " `(�
FAX NUMBER
1
I -
NAME �
PR�IILA_A/RY PHONE f� JOE-- M�AIIL�AD_rDR/ESSS
NAME /
/V
Per RCW I9.27.095:
Lender information is required Ef project value exceeds $5,000
MAILING ADDRE S
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $.
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE D TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE o PRIVATE (SEPTIC)
en"
AREA DESCRIPTION EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
BBQS
FANS
GAS WATER HEATERS
FIRST
BUILDING SHELL ONLY? ❑ YES c NO
BASIC PLAN? ❑ YES
SECOND
BOILERS
FIREPLACE INSERTS
HOODS (com. —w)
THIRD
COMPRESSORS
FURNACES
RANGES
ADDITIONAL FLOORS (DESCRIBE)
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
DECK (0 COVERED OR ❑ UNCOVERED ?)
G
GARAGE ❑ CARPORT ❑
BATHTUBS tar Tub /SI10 —r Combo)
LAVS Isnthroom Sinks)
URINALS
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL F.MCU4G SF
TDTAL PROPOSED Si
TOTAL 6F
" *NEW HOMES ONLY *" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
s:
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
IYw :IAHJUAL
Value of Mechanical Work $ (A COP }' OF Bit? OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
ISCC((Describe)
_�
BUILDING SHELL ONLY? ❑ YES c NO
BASIC PLAN? ❑ YES
�Mr
VA
BOILERS
FIREPLACE INSERTS
HOODS (com. —w)
jj Qh s
COMPRESSORS
FURNACES
RANGES
UP /SEPA /SU? ❑ YES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
DEMO PERMIT REQUIRED? DYES
G
BATHTUBS tar Tub /SI10 —r Combo)
LAVS Isnthroom Sinks)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOAL
WATER CLOSETS rroiko
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 rpf the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. 'I Z/ ,
NAME /TITLE �• 4VNr*,DATE _ ��� d
(Signature) (7111e)
RELATIONS TO PROJECT ❑Owner ❑Agent Contractor ❑Architect ❑Other
:FOR^ OFFICE'USE:? ORLY
❑ NEW ❑ ADDITION
o ALTERATION
r- REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES c NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
ONO
NEW ADDRESS REQUIRED? c YES a NO
UP /SEPA /SU? ❑ YES
❑ NO
PLATTED LOT? ❑ YES o NO
DEMO PERMIT REQUIRED? DYES
❑ NO
Bulletin #100 - April 2, 2007 Page 2 of 4 k\HandoutsTerniit Application