17-105943 • JIIP
r •• r
Mechanical
City of Federal Way Permit #:17-105943-00-ME
Community Development Dept.
33325 8th Ave S "el
Federal Way,WA 98003 p Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: CHURCH OF BLESSING
Project Address: 1430 S 330TH ST Parcel Number: 172104 9045
Project Description: Installation of(4)RTUs,(2)exhaust fans and ducting.
Owner Applicant Contractor
CHURCH OF BLESSING JR LEERKAMPCAPITAL HEATING& CAPITAL HEATING&COOLING
1430 S 330TH ST COOLING CAPITHC948N3(9/6/18)
FEDERAL WAY WA 98003 1218 CARPENTER RD SE
LACEY WA 98503 1218 CARPENTER RD SE
LACEY WA 98503
Additional Permit Information
Mechanical Work Valuation 150000 Is this an Online or O.T.C.application No
Ducting 1 Fans 2 Roof Top Units 4
PERMIT EXPIRES Sunday,21 October,2018
Permit Issued on Tuesday,April 24,2018
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: LI " d' - 16
1:/\al�
THIS CARD IS TO REMAIN ON-SITE
��IVa Construction Inspection Record
Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105943 00 Address: 1430 S 330TH ST
Project: CHURCH OF BLESSING FEDERAL WAY WA 98003-6302
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) CI Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By .. Date q .
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
,A. RECEIVED PERMIT APPLICATION
CITY OF
DEC 1 2 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
• CITY OF FEDERAL WAY
CiOMMUNfTY DEVELOPMENT G I
▪ PERMIT NUMBER f _ 0 5 ct t i 3 fi4
t, ii 0 )- TARGET DATE
SITE ADDRESS 4'.5: SUITE/UNIT#
14 Sou 330 41'1 �[1
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# //
$ ‘c01 WO 1 v - v y— —
TYPE OF PERMIT 0 BUILDING 0 PLUMBINGXMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C`_O f e„� 131 /,N
hlv`AlC 4b�r i�c For new ,`!-glean c✓'cc� ?.vuAl�6l�cs
PROJECT DESCRIPTION y� L
Detailed description of work to '1 tezi t) R7 J's , a ''' i r—+M+- Ls -b d U Cv $r
be included on this permit only • J
- - - NAME - - - - - PRIMARY PHONE
Chutrdi of gir5Sl'►-t)
PROPERTY OWNER MAILI G ADDRESS E-MAIL
)L 5 U 5 33 0 s-
CITYF- - r STATE ZIP
W wrk Cl?01
NAM
,A
- Heel*, b CW its3610 Lig` ` 60
MAILINGill
ADDRESS E-MAIL
CONTRACTOR 1 l)8 t -cr &A,,
CITYXye STATE ZIP�7`, FAX g63 360 lin - �-"/gyp/
WA STA& RACTOR'3 LI NSE M w,� EXPIRATIONDATE FEDERALWAYINESS LICE 3
CA�Pil�lCglt9N3 ` 9 l8 _ _ _ -
NAME PHONE
U-4(140",10 14O PRIMARY
-7813
APPLICANT MAILING ADDRESS E-MAIL
\ic)(b c,..,:st ee-us:Ps, rIve 5E- OrIQ aprixa ivx.4-1c..,,cle_cr.,i,ily,ca.-)
CITY STATE ZIP FAX
- 1s w - 985 3 -
NAME j PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME X OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,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 d - 13 -1-2 1"/
PRINT NAME: zr'` L efer4C
Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECILANICAL PERMIT $ ,,5?)I WO
d4icate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
I
AIR HANDLING UNITS a 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture 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? f 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
... ____.. _--__—
.. ^.•-•y....--...._„«.._..,-.....—mss.'. Si ._..�....^�......., . . .,,..,,,,,,,,,,,,, r ,......._.......,.'.• -' _. 45,•,
FIRST FLOOR(or Mobile Home)
_ __. ___ -. _ .._ _______ _•• __•_ _•-
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COVERED ENTRY
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GARAGE 0 CARPORT 0
•
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EXISTINGPROPOSED'
, •. TOTAL
Area Totals
• '2j11.'-.(..'til'
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I ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType
• Stories
{ rv -°::�i:.4o.-::'``- 7r;--",« : " 41 -4,.,4 ' .; 4tX 'km4„,,'.a+'.nz,:» '„f-,tf:;' r.:i� ' "
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
_. t .,;.4,F i,I, ,,itiitiiie i' "` £' , .�F?' ..14,4:::,,4'`0,. ,'1;.,# 'i. y:'s,..4-:ka.•lli-'Y,;+'+'mrrw".%:,#;. :. ;''t+r','k'£% • ;,.ice' r',•'',. t,'
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TENANT AREA ONLY
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Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application