03-100789City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pit -253.66i.4000 Fax: 253.661.4129
Mechanical Permit #:03 -100789 - 00 - ME
r. Inspection request line: 253.835.3050
-4�ect-Name: VISSOR ENGINEERING -
Project address: 3455 S 344TIi�Suite230 "- Parcel Number: 222104 9006
_ Pr*ct Description: Installing one fin -powered VAV box, 1 cooling onl__VAV box, 1- ceiling -mounted exhaust fan for break
room, associated duct work, diffusers & grilles
Owner
Applicant
Contractor
BEDFORD PROPERTY INVESTOR
MCKINSTRY COMPANY
MCKINSTRY COMPANY
701 N 34TH ST SUITE 305
5005 3RD AVE S
5005 3RD AVE S
SEATTLE WA 98103
SEATTLE WA 98124
SEATTLE WA 98124
(206) 763-5399/486
Mechanical Valuation..........................................10000 Over the Counter Permit ...................................... No
Mechanical Fixtures
PERMIT EXPIRES August 31, 2003.
Permit issued on March 4, 2003
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: Date:
Mechanical rough -in:
Gas pipe: /
FINAL MECHANICAL:
/.3/13
Date
D e
!f
at
RecovED CONSTRUCTION PERMIT APP TION
CITY OF PPLICATION NUMBER: Q5 - - Inco
Federal ay 6 Z 'j 2003 APPLICATION NUMBER: _ _ _ _ _ _ _ _
ITY OF FEDERAL"NtA
PPLICATION NUMBER:
**The fol16wigljik@q4@e05fi%mation - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
qD
SITE ADDRESS:34s5- 5- 7'1 J JWESSOR'S TAX/PARCEL #: ,9 v
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): S�
TYPE OF PROJECT (This application):
PROJECT DESCRIPTION
❑ BUILDING
❑ ELECTRICAL
❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ENGINEERING ❑ IRE PREVENTION SYSTEM
rn . _ I _
PROJECT NAME: N -rS5e4'2 1 �! � `t �-F ry 2C(Z�
PROPERTY OWNER:
CONTRACTOR:
N6'��Fore� ACU 5zm' S (fir (F) s � - 053
MAILING -70 ADDRES RE DDRt� STATE, IPJ: `5M�� �,81,03 � � Zj&
NAME k.
6, C'U.
DAYTIME PHONE:
cm) 7&;
- 331 I
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
�S �, S 7'lC� Bl
EVENING PHONE:
ale)
- 331
CITY OF FEDERAL WAY BUSINESS LICENSEUMBER: 7�L
Iq(�D - DO( 003_DD
FAX NUMBER:
(�)W--
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CONTRACTOR'S REGISTRATION NUMBER:
M
C
EXPIRATION DATE:
/
- /l 7
(ropy of card required) /� �
APPLICANT: N71 G)
� 1
(AM ) ME oU
- 7J
MAILING ADDRESS (STREETADDRESS; CITY, STATE, ZIP):
S�5' � II.6 s, �� C �
EVENING PHONE:
( )7&..
- 33I
RELATIONSHIP TO PROJECT:/%,
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE):
-r
67 7/MC7O7't
FAX NUMBER:
(� ) -/& ,/
/
- /l 7
E-MAIL ADDRESS:
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CONTACT PERSON FOR THIS PROJECT: ❑ ` PROPERTY OWNER �I APPLICANT ❑ CONTRACTOR
!INFORMATION
ma�eK c iAc-K;n5i -
PROJECT
EXISTING USE:S
�-�(vX e/j
LPPRAISED VALUATION $
PROPOSED USE:
�S SPRINKLERED BUILDING?
❑ YES to -k
'OR IMPROVEMENTS: $
3N SYSTEM PROPOSED/ REQUIRED: ❑ YES
❑ NO
WATER SERVICE PROVIDER:
❑ LAK
4A ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER:
❑ LAK
TE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILER(S)
THIRD
RANGE(S)
MISC. ( VAV. . 0-5
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS)
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 su lied to the city as a part of this application.
NAME/TITLE: wY/Yh 6m" DATE: e7?4 / '® 3
❑ PROPERTI,GWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION
Indicate number of each type of fixture
CENSUS CODE:
LOT SIZE:
MECHANICAL
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILER(S)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( VAV. . 0-5
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
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 su lied to the city as a part of this application.
NAME/TITLE: wY/Yh 6m" DATE: e7?4 / '® 3
❑ PROPERTI,GWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO 771
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.com