01-104774 City of Federal Way Mechanical Permit #:01 - 104774 - 00 - ME
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: TEAM HEALTH
Project Address: 3455 S 344TH/Suite210 Parcel Number: 222104 9006
Project Description: MECH-Install(2)exhaust fans and associated duct work in portion of 2nd floor office space.
Owner Applicant Contractor
BEDFORD PROPERTY INVESTOR MCKINSTRY COMPANY MCKINSTRY COMPANY
5005 3RD AVE S 5005 3RD AVE S
PO BOX 24567 PO BOX 24567
SEATTLE WA 98124 (206)763-5399/486
Mechanical Valuation 1000 Over the Counter Permit No
Mechanical Fixtures
Description` p r. atti A , T o'" :':b 'sct•ptton;: Quantity i DeScrlpti lri '"a QuantitiA
Ducts 2 Fans 2
M
PERMIT EXPIRES June 19,2002,IF NO WORK IS STARTED.
Permit issued on December 21,2001
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. f
Owner or agent: - _ ( Date: Ilk�I O\
e c-In . „�.�,, O K- — 9 02-
A
' City of Federal Way d l- I o4774-06 - tom
CITY OF r"—°•'-'-
33530 First Way South
0_ FE-6
Federal Way, WA 980(21/.-. 1V5-0E
W�, (206)661 4000'
APPL/CATION FOR MECHAM LL 1'1 v7IT
YuDEPT.
PARCEL #24.1:2?/°V.-9 DC21. Single Family ❑ci,t1Lp.-Multi Fam
ily 0 Commercial r
SITE LOCATION:
/-
Tenant/Owner:
Tenant/Owner: , tarn 4P4,14k, Phone:
Address/City/State/Zip. 3466 6 S. 240 U 1 -(1:64_0-44 q 1003
Nature of work: ,�Nc2 e id,1• ci-aAAA a¢ 40$04 a dDProject Valuation: $ � —
r •-‘44r
APPLICANT: �/ n -
Name: m[V 4 lb .
Address/City/St/Zip: 5006 snit 0.40 , �, 4044.1 q R 12'1
Contact Person: (. IARC ^�vQ Phone:
� L� 20(49. 8321 g426 Fax: ZO(o.7(e4.f(e"ll
MECHANICAL CONTRACTOR:
Company Name: Cvnn(
Address/City/St/Zip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: I?tL K-I1144-.3.72.-g0 - -Exp- Date: 12- 3
(Card must be presented)
•
MECHANICAL UNIT COUNT:
•
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other CZ/ ek Fj4ri,rc
Iv Conv Burner I Duct Work — ba5 A/C TONS 1 Other
1 E?Q's Wood Stoves A/C • TONS TntR1.t}nft Cra>j tt
OI3Ct.AimaFt: 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 1 errs authorized by the owner of the above
prorr r,o to perform the work for which permit application is made, I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,loAupon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: 141.4dam. 11\Qt 11t► Date: 12i 11 I D1
1