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07-104467r y r ` CiityDevedpment Way Mechanical Permit #• 07- 104467 -00 -ME �ommunity Development Services • Rolm 9718 Federal Way 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 s Project Name: AUBURN REGIONAL MEDICAL CENTER Project Address: 1413 S 348TH ST Suite L104 Parcel Number: 185295 0090 Project Description: Installation of 250 CFM fan in utility room and connect ducting to drops, replace one register to accomodate a hard lid. Owner Applicant Contractor OPUS NORTHWEST LLC K & D MECHANICAL INC (GENERAL) K & D MECHANICAL INC (GENERAL) 915 118TH AVE SE SUITE 300 1911 CAMPUS DR SW SUITE 321 KDMECI *008CJ (2/21/08) BELLEVUE WA 98005 FEDERAL WAY WA 98023 1911 CAMPUS DR SW SUITE 321 FEDERAL WAY WA 98023 Additional Permit Information Mechanical Valuation ................ ............................900 Over the Counter Permit? ...................................... Yes Mechanical Fixtures Ducts...,. ................................... 1 fans .. ............................... 1 PERMIT EXPIRES Monday, August 10, 2009 Permit Issued on Friday, August 10, 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 the f Fe eral Way. p / Owner or agent: oe�m�� Date: THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record- Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 104467 -00 -ME Owner: OPUS NORTHWEST LLC Address: 1413 S 348TH ST Suite L104 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 e - o Date l p. � By Date By � � Dat /— For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date CITY OF RECEIVED Federal way PERMIT COMMUNITYDEVELOPMENTSERVIC�S (� SF MF CO EL PL DE EN FP 33325 8TH AVENUE SOUTH • 63 971 95i1� G O O �kPPLICATION ��V� FEDERAL WAY, WA 98063 -9718 To 253- 835 -2607• FAX 253 -83 - unLu {.dl. � tierahnat. Q FEDERAL Vi.4y BUILDING DEpf The following is required informa .' fl -an incomplete application will not be accepted. Please print legibly (in ink) or type. / PROPERTY •. • SITE ADDRESS G y/ J S y T Q SUITE /UNIT # ASSESSOR'S TAX /PARCEL # / 4 �� S 0 © Q LOT SIZE (sf LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) .. (Attach separate page for lengthy legal desaipti -4 PROJECT • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING W'MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of wor included on this permit only) .L^ /ire // a, e w Ll �t.e ,r /- Z--, .. /Zej? /& Lp AO PROJECT NAME (Name of Business or Owner Last Name) __ /_ r(� t6i -✓� IK-�� V`^ ��� , PEOPLE •- • PROPERTY OWNER CONTRACTOR COPY o[ card required with each applleatio APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME I �/D I l W PRIMARY PHONE ( 7 C pi "/T,-7 "/T,-7 L-L f 1 'P 1 ) - MAILING ADDRESS CITY, STATE, ZIP E -MAIL ADDRESS 2 07 t t ,,,� " o- CITY OF FEDERAL WAY BUSINESS LYE NSE NUMBER CME APPLICANT NAME OFFICE PHONE G111/ 077-g> le- m- e s o ( ) fY.s! z� y MAILI1TG ADDRESS sit die CITY, STATE, ZIP - e�fp2 N� � CELL PHONE ze 6 f - 3�� o CITY OF FEDERAL WAY BUSINESS LYE NSE NUMBER EXPIRATION ATE FAX NUMBER CONTRACTORS REGISTRATION NUMBER EXPIRATIO DATE E -MAIL ADDRESS cI 7'r- oC9 CJ COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX.NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other I NAME PRIMARY PHONE E -MAIL ADDRESS gT ->,►o G SO 2-M6 v �/ - S da 1 O NAME Per RCW 19.27.095. Lender information is required ifproject value exceeds $5,000 MAILING AD RESS CITY, STATE, ZIP PHONE EXISTING ASSESSED /APPRAISED VALUE $ SPRINKLERED BUILDING? ❑ 'YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVE SEWER SERVICE PROVIDER ❑ LAKEHAV N PROPOSED USE OF PROPOSED WORK $ SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO ❑ HIGHLINE OMA ❑ PRIVATE (WELL) ❑ H.IGHLINE ❑ PRIVATE (SEPTICI AREA DESCRIPTION o ALTERATION EXISTING 5 . FT. PROPOSED S . FT. o REPAIR o TENANT IMPROVEMENT TOTAL S . FT. BASEMENT DYES o NO . BASIC PLAN? o YES FIRST ZONING DESIGNATION CHANGE OF .USE? .SECOND o NO NEW ADDRESS REQUIRED? o YES a NO THIRD o YES o NO PLATTED LOT? o YES b NO ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? o YES o NO DECK-(0 COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ } NUMBER OF FLOORS Magma norosan TOTAL rortc axtarrso ar mru.rxoroassar TOM&F "NEW HOMES ONLY" NUMBER O EDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part' this project. Do not include existing fixtures to remain. MECHANICAL d tf Value of Mechanical Work $ A PY OF BID OR ESTIMATE MUST BE INCLUDED WI'T'H APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS . FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS tcommerdaq . COMPRESSORS FURNACES T— RANGES DUCTS GAS LOG SETS REFRIG. SYSTFIMS v 13ATHTUBS (or Tub /shower combo) LAV.S (BathroomSinke) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Toneq 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 attd 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. ` NAME /TITLE /��a �(� P��!/ DATE e, P ISi ' ure) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Ycontr actor ❑ Architect ❑ Other o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? DYES o NO . BASIC PLAN? o YES n NO ZONING DESIGNATION CHANGE OF .USE? o. YES o NO NEW ADDRESS REQUIRED? o YES a NO UP /SEPA /SU? o YES o NO PLATTED LOT? o YES b NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100- April 2, 2007 . Page 2 of 4 k \Handouts\Permit Application