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15-103234 Meckanihal [ Ciof Federal Way � ..��,,//,, rnrnZeervices Permit #: 15-103234-00-M E 33325 8th Ave S filliC I LE Federal Way,wA ssoo3 Ins ection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: NORTHWEST CHURCH Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630 Project Description: Disconnect existing duck in new nursery room.Install new ducting,diffusers,and exhaust fan to serve new nursery& restroom.(Connect to existing). Owner Applicant Contractor NORTHWEST CHURCH JESSICA BRUCE AIR SYSTEMS ENGINEERING INC 34830 21ST AVE SW AIR SYSTEMS ENGINEERING (GENERAL) FEDERAL WAY WA 98023 3602 S PINE.ST AIRSYE*229KN(2/1/16) TACOMA WA 98409 3602 S PINE ST TACOMA WA 98409 Additional Permit Information Is this an Online or O.T.C.application? No Mechanical Fixtures Ducting 1 Fans 1 PERMIT EXPIRES Saturday, January 2, 2016 Permit Issued on Monday, July 6, 2015 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 athe City of Federal Way. Owner or agent: '(---0— Virf")(\i--12--5(-, I 6. `u,,T.6 Date: 1 — 4, PP r, ® THIS CARD IST 0 MAIN ON-SITE , CITY of Federal WayConstruction . i ection Record INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-103234-00-ME Address: 34800 21ST AVE SW Project: NORTHWEST CHURCH FEDERAL WAY, WA 98023-3044 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. ❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date ,]..E 1__:: _____,.-- 7_5,-4 ( ,,, 0 Rough ElectricalCI Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 11111 ;CITY OF A Receiver) PERMIT PPLICATION Federal Way JUL 0 6 2015 PERMIT NUMBER I5ITY bF 1/4121 _ !Y` �1 �JJ/"`"' CDS - - TARGET DATE t 7 SITE ADDRESS SUITE/UNIT# 31d ©D 9,16 mac . PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# ) I PA. - B4- a 5O _ 6C936 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT () L) / � � 0 [ / Q e r-r p � - ' . PROJECT DESCRIPTION 0 � ,/W x ' � r�� L Y� 1 i i u Detailed description of work to ( J L Li 6 (660a. „i, fl _,W d iMXt1) be included on this permit only ,] i_ P j S f 1 /i ,/1 d _.X ki/� I L [ �'iy i-6 5 J,/( ClJ/1Ad v`0/�•--IIM ,eX Li f � ( l6 r ' ,van - (jaA n -ie* �.l �icy t rlD NAME�6(-1-0 W�1 On y PRIMARY PHONE PROPERTY OWNER /��yi'�I MAILING ADDRESS ^7 q c , A rT�C„4. ,,/‘ _jr . 5, _'y E-MAIL CITYR.Act R W i mpg /�� 1/V NAM G SS ✓ 1_I I 'V✓L/1 -I L 1 ��f L I "7 !/'�✓ — /,gD A F UL 6 ` pi f ) e 5J E-MAIL CONTRACTOR � >` ',.,/\ ��C q p��- �t',,,i {�'./� // //�� CITY,• ' 1 opt ZI l�(J 4 6 q .g5-, 5 ✓_ `Is � 1�U\ wa_Tii r�9?I-TTgcsurCFy➢jSEq �.( I ,n PI TION j T FEDERAL WAY BUSINESS LICENSE# Cil`` _M (.'v�J/ M A+ �-7� (�/-e��,�"''^CI'A1 Ir/`�1V , 11 PRIMARY PHONE NAME f �4 0 XVII ;/,,......,Ami .„,i. rLP APPLICANT MAILING ADDRESS JJJIII E-MAIL ������ CITY STATE ZIP FAX NAME�' 4 e lfuLt, PRIMARY PHONE PROJECT CONTACT 75(.33 41,.w (The individual to receive and MAILING ADDRESS �j [ , respond to all correspondence '/ �� �` � �� 7 �� concerning this application) CITY •T�� 1 i .tit tin ZIP q gq 61 FAX ���Jll IV (�J rN\- a.. NAME PROJECT FINANCING ni/L El OWNER-FINANCED Required value of$5,000 or more MAILING AD REESSS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 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: `�/` DATE 1 -9'-1 PRINT NAME:Z �./LV 1. - & r W2—e_ Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application T , 40% f 0 0 r VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ �) q 6"'7 Indicate how many of each type of fixture toF be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commerc)al) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $ 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/ShowerCombo) LAYS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitehen/Utihry) WATER HEATERS(Elec)ric 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 r.. DECK GARAGE ❑ CARPORT ❑ OTHER(describe) t ,..,, EXISTING PROPOSED TOTAL Area Totals **NEW HOMES,ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Groups) Construction # of Additional Information in Square Feet Type Stories NEW BtUILDIN• • •r '. ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories .a < UILDINC4 � �� f 3 � Z� � `� 3 TENANT AREA ONLY a F*A OkNL i l ly n -,,At -� 'I �� : i ��' � .. ,� c», , �.;l ..z... � ',ix'. Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application