11-101007 Mechanical
City of Federal Way • #: 11 -101007-00-ME
Community Development Services - • :
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: KEY BANK
Project Address: 1918 SW CAMPUS DR Parcel Number: 132103 9109
Project Description: Replace gas furnace.
Owner Applicant Contractor
KEY BANK OF WASHINGTON MCKINSTRY CO LLC(GENERAL) MCKINSTRY CO LLC(GENERAL)
POB 3066 PO BOX 24567 MCKINCL942DW (3/16/12)
FEDERAL WAY,WA SEATTLE WA 98124 PO BOX 24567
98003 SEATTLE WA 98124
Mechanical Valuation 5700 Is this an Online or O.T.C.application Yes
Furnaces... 1
CONDITIONS:
OTC/STFI
PERMIT EXPIRES Monday, September 12, 2011
Permit Issued on Wednesday, March 16, 2011
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 the City of Federal Way.
Owner or agent: 4.`— _
Date: /
rvw,1u0b 4/4/I r
THIS CARD IS TO REMAIN ON-SITE r
CITY OF 0 ' Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-101007-00-ME Address: 1918 SW CAMPUS DR
Project: KEY BANK OF WASHINGTON FEDERAL WAY, WA 98023-6401
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.
0 Mechanical Rough-in (4165) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date ii-6, `,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
a� RECEJ\ DI-
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' tE P DE EN
FP Way
COMMUNITY DEVELOPMENT SERVICES A P P L I C A T I O MAR 6 }( ' 4
253-835-2607•FAX 253-835-2609
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CITY OF FEDERAL WAY(-!(/ J cif
SITE ADDRESS CDS SUITE/UNIT
PROJECT VALUATION ZOl NG ASSESSOR'S TAX/PARCEL#
$ 7 �� / 3 _a / 03 - 11a7
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 'MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) (�� �-� `
PROJECT DESCRIPTION /,� ,'{t► h� '.'t`.9�"�i. -vim
Detailed description of work to /��
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Z 3 J5 22-) r.311-4A.4k MAILING ADDRES E-MAIL 3CJ J
// / B (11 ALA
CITY STATE ZIP
NAME PHONE
MAILING ADDRESS �y E-MAIL
CONTRACTOR 23 0 h l.e�t..F -t.� Q Y7 74 Q�MCi fes my,.
CITY �� A-1 ZIP 9P C�a 117 -))7 y
WA S CONTRACTOR'S LICENSE# (}�/1 Pb-- EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY I STATE I ZIP FAX
PROJECT CONTACT ( j
(The individual to receive and / " ,6 1�l ] /( Ale(' PH' 3 ) 999
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY ! STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
n Q NER-FINANCED
Required value of$5,000 or more
(RCW 19.2 7.095) / MAILING ADDRESS, TE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
•
SIGNATURE: c/4`44_, DATE .3/
PRINT NAM
Bulletin#100—January 1,2011. Page 1 of 3 k:\Handouts\Permit Application
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