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04-103732 I City of Federal Way Mechanical Permit #: 04 - 103732 - 00 - ME Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: WORLD VISION 4{„ Project Address: 3455 S 344T SIS uitel30 Parcel Number: 222104 9006 Project Description: Modifications to existing HVAC system to accomodate new tenant. Owner Applicant Contractor BEDFORD PROPERTY INVESTOR MCKINSTRY CO. MCKINSTRY CO. 701 N 34TH ST SUITE 305 P.O.BOX 24567 P.O.BOX 24567 SEATTLE WA 98103 (253)764-1671 Mechanical Valuation 10336 Over the Counter Permit No Mechanical Fixtures Description Quantity ! Description Quantity Description IQuantityi Ducts 14 PERMIT EXPIRES April 10,2005. Permit issued on October 12,2004 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 b- accorda f- ith the laws,rules and regulations of the State of Washington and the City of Federal op Owner or agent: —_„/i A. i� / . Date: /0/12/0 y :(---) \..( (-- A\....) ig-'.....6 4 7----0 , , , (.,,,- /4 , . .)/ , >.:i (1c fiNALEci / THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103732-00-ME Owner: BEDFORD PROPERTY INVESTOR Address: 3455 S 344TH WAY Suite 130 FEDERAL WAY, WA 98023-3131 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. 0 Mechanical Rough-in(4165) 0 Gas Piping(4125) a Final-Mechanical(4065) Approved Approved to release test Approved By 91,1K---- Date By Date Bim'"j5 Date 7c — N 1 tal : 0 --is, 7 "7 b— O a k `~ � n o z c. t • ,..�E_•3�F_i"+.VED - �Irm • 3 / 3 Federal way• PERMIT i P E R M I T COMMUNITY DEVELOPMENT SERVICES c SF MF CO 0 L PL DE EN FP 33530 FIRST WAY SOUTH•PO BOX 9718 FEDERAL WAY,WA 98063-9718 APPLICATION . / j / C) I, 253-661-4115•FAX 253.661-41 to 1 i { _ wwwct[uo((ederalwau cram != '�{I �.',. y Liti i,_'_, .:i_: '_:Ciel The ollowin• is re• ired in ormation-an incom•fete • ••lication will not be acce•ted. Please •rint le• bl in ink or j•-. PROPERTY INFORMATION SITE ADDRESS 3,-k 5-S 5 . 3`•iy�` ` ' . SUITE/UNIT# t 3D ASSESSOR'S TAX/PARCEL# 2. Z 2 t 0 `'t - 19 O 0 CO LOT SIZE(s� b OO�(J�)iy C LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) •� e.0 1hr IT W1/4C A-1-(:, (Attach separate page for lengthy legal descnphon) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING i&PLUMBI' ); :t ICAL 0 DEMOLITION 0 ELECTRICAL - e INEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 1MpDtFy OMBzIA)G fit/AC_ SYSTEwk ?'b AQ.C.ow•,AI)kTE Nbu.) 0P(=4Cb 2t_l.)tsto/05_ aAt_►kluc s ►4FTHQbRK• is Cpw`?L1 re. - 14-.- S1foCIA - l-e_.Afti PROJECT NAME(Name of Business or Owner Last Name) L3(DQ,L b V MI b 1'3 PEOPLE INFORMATION PROPERTY NAME \ T PRIMARY PHONE OWNER Et. T ) Q_D-PC 1 - Y L i t1 es To lZ 3 1 ,�(o)54 8 - /Os-3 MAILING ADDRESS COY,STATE,ZIP 11D1 t• 34-11`Sc So ZI D 6 rP rTLe j UpA. a1 , 1 7)3 CONTRACTOR COMPANY AMEPLICANT N E OFFICE PHONE e-- 1V)c T `I CA. 6& lvJtsL (026/) 6 - 0137 MAILING AZDRESS 2244 CITY,STATE,ZIP ff CELL PHONE CITY OF FEDERAL WAY BUSITNESSSLICENSE NUMBER ����EXPIRATIONPIDATE �� ' FAX NUMB ER 1 °l—� D — o O O D 0 3- B L Ia/ 3t / o`) c ) 764 - 1(071 CONTRACTORS REGISTRATION� NUMBER(copy of card required with each application) EXPIRATION DATE ke Y% 1N 1 * 1 3 1 ik 0 Dt / Oi /200(p APPLICANT COMP NAME LICANT NAME.) OFFICE PHONE 1it)brP-Y Co 'IC Gamek0E-uipol. ( ob)e'2 -f3,37 MAILING ADDRESS C ,STATE,ZIP CELL PHONE \13. D- 30-x[. 2. '...- 3.( 77 4E—/4Tjn!_.& /4. 90a / �2o 6) v / - ? i?f RELATIONSHIP TO PROJECT l.�/ n',^� FAX NUMBER 0 Architect 0 Tenant ❑Agent /' Other(Describe) IV X#701 Ok_ 4 ) 76,4 -14,71 CONTACT NAM PRIMARY PHONE MAIL ADD S R& A)/P)E(/9-lvb abb) x'22- ei 37el.cJ A ti siry. LENDER,n Per RCW 19.27.095: Lender information is NAME l required if project value exceeds$5,000 �,fl MAILING ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION EXISTING USE PROPOSED = - EXISTING ASSESSED/APPRAISED VALUE $ I UE OF PROPOSED WORK $ f- SPRINKLERED BUILDING? 0 YES 0 NO FI- . - t 'PRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVE 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKE• ' -N ❑ HIGHLINE 0 PRIVATE(SEPTIC) t , PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST N u©R�ver APPIeox `t060 s or W1/4,�' kl.thaoki. 4oao SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? Tam numons TOTAL rsoeo® TOTAi.sx,flv,a AID PROPOS= **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ I a j .�3 to AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commero,d( WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS 31 alb, tgFPuse S DUCTS GAS PIPE OUTLETS PLUMBING A BATHTUBS(or Tub/ Combo( SHOWS'.. � L`y* 'CLOSETS(Toiler( MISC(Describe) DISHWASHERS .•s fi DRINKING FOUNTAINS GAS PIPE OUTLETS stI i PS .• = ER SYST WASHING MACHINES *' NALS HOSE BIBBS LAVS(Bathroom Ste( VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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 authorised 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 he city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE DATE (Srgnatu (Title) RELATIONSHIP TO PROJECT ❑ Owner 0 Agent tractor 0 Architect 0 Other FOR Omalb rs!ONLY a NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? n YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application