10-104499 I
City of Federal Way Mechanical
Community Development Services Permit #: 10-104499-00-ME
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 ( 1
Project Name: AFFILIATED COMPUTER SERVICES DEVRY
Project Address: 3600 S 344TH ST Parcel Number: 726120 0221
Project Description: Installation of(3)energy recovery ventilator units w/ductwork and grilles.
Owner Applicant Contractor
LBA REALTY MERIT MECHANICAL INC(GENERAL) MERIT MECHANICAL INC(GENERAL)
2235 FARADAY AVE SUITE 0 PO BOX 2109 MERITMI163CM (06/01/11)
CARLSBAD,CA 92008 REDMOND WA 98073-2109 PO BOX 2109
REDMOND WA 98073-2109
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Mechanical Valuation 24896 Is this an Online or O.T.C.application No
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Ducting,.;.. 1 Fans 3
PERMIT EXPIRES Tuesday, April 26, 2011
Permit Issued on Thursday, October 28,2010
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
a d the City o Federal Way.
Owner or agent: Date: t '0(u� 16 61/0
1 FIB 11 /911'3'
1
• THIS CARD IS TO AIN ON-SITE `
CITY OF Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-104499-00-ME Address: 3600 S 344TH ST
Project: LBA REALTY FEDERAL WAY, WA 98003
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) I El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
'
By 3C C 5 Date ' /–"Z—/b `By Date .By /—Z/G Date /'/ Q J}
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CIrYoF RMIT
Federal Wa MF CO PL DE EN FP
COMMUNITY DEVELOPMENT SE •CC APPLICATION
253-835-2607•FAX 253-835-2 09 ' /0
www.ettuo/federalwau.atm `j n 2 21\0
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SITE ADDRESS OF CEDE '���� SUITE/UNIT#
3 bob S. 39W ST f COS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2J/j11L ° 7_ ( I Z0 - 0 a � 1
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION 74/31-4-ii. (3) K Vf 4i ,ley VENT-101-77k 1,4 AO)ts L/ D-Cr
Detailed description of work to XLovfb /Ll 5 '/ /
be included on this permit only
NAmE PRIMARY PHONE
PROPERTY OWNER Mil_ ASkly
ADDRESS MAILING E-MAIL
CITY STATE ZIP
E Z-(l ) Al- f ZZT
MAILING ADDRESS E-MAIL
CONTRACTOR 9636 /S3/' 4-v NE
CITY STATE ZIP AX
'► D -pint 9bVs--Z ( z5) o -6'GZ
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
L° .4"7- 1m�I ICiL �IZ��K`‘ Z,--0( X 12-(05-
APPLICANT MAILING ADDRESS -MAIL
514-V-1 niATac r Qr41ERltY'\Lr,t14Ulc4L-Cool
CITY STATE ZIP FAX
PROJECT CONTACT
(The individual to receive and NAME a r 4, n n/Li 6 7 PHONE
respond to all correspondence MAILING ADDRESS iT f i E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,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 •s a part of this application,
SIGNATURE:
Ntih.._ _ ‘ii..
DATE 1019-Z-120 to
PRINT NAME: ill lC14-11-EA.... 1 76l1S
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
•
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS (3) FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
_ BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:AHandouts\Pernut Application