14-104709 ` .. 4
Mechanical
City of Federal Way Permit #: 14-104709-00-M E
Community&Econ.Dev.Services
33325 8th Ave S 4
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CHRIST'S CHURCH MINISTRY CENTER OFFICE
Project Address: 941 S DASH POINT RD Parcel Number: 052104 9092
Project Description: Install(1)new 2-ton rooftop unit
Owner Applicant Contractor
CHRIST'S CHURCH AT FED WAY PRO STAFF MECHANICAL(GENERAL) PRO STAFF MECHANICAL(GENERAL)
941 S DASH POINT RI) PO BOX 33370 PROSTMI072NG(7/2/16)
FEDERAL WAY WA SEATTLE WA 98133 PO BOX 33370
98003 SEATTLE WA 98133
•
Additional Permit Information
Is this an Online or O.T.C.application? No
Mechanical Fixtures
Air Handling Units. 1 Ducting 1
PERMIT EXPIRES Wednesday, April 15, 2015
Permit Issued on Friday, October 17, 2014
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: /0//7//`]�
THIS CARD IS TO MAIN ON-SITE '
CITY •OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-104709-00-ME Address: 941 S DASH POINT RD
Project: CHRIST'S CHURCH AT FED WAY FEDERAL WAY, WA 98003-3795
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) Gas Piping(4125) -0 Final-Mechanical(4065)
Approved Approved to release to Approved
By Ply_ Date ( . 3 . I c By ate By p!4-t Date 7 2-3
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
t+ *r •
CITY OF A PERMIT APPLICATION
Federal Way MEWED
/4 - i 0 / _ �� SEP 11 2014 D Z`j f PERMIT NUMBER '
_ _CITY OERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
94 i DASH' Pte,w- re-oner, IN/M1
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ q/5"oo ,Zs 9 L 0 5- Z ) o y- _ 9 0 ci Z
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING)(MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT CHRIST° c c, 3.,Rc14 -Mt hisrCLl CErrr ea. OF-P1 ca. 141(A-C. An-io,>,
PROJECT DESCRIPTION NEW 7_' N O 12.00Prof 17A-cKA-4 His Ai- PUMP
Detailed description of work to 4 iks 0 t'IN"J 2 DV G1 i.'GR•K ' €VIS 1 013.5 .
I be included on this permit only
I
NAME PRIMARY PHONE
PROPERTY OWNER C.N'1tI51- G tt4t )-'. G Fe-P. IA/4 97 o—9o3 0 JZ(
MAILI ADDRESS / E-MAIL
, Cihn t 1DA_5)4 PO(hrr P.4, ..........
CIZY STATE ZIP
FatpaaA;L LIAAL WA 9 03
L NAM PHONE
.Y2.•0- .1.ft pp r4 EGI4Aft IG.A.8- 2.2L-3I01-O07I
MAILING ADDRESS E-MAIL
CONTRACTOR J ` 0. 73.0x 3-3370 F"Teit QQ'R.O-'51- 1Me.cMiwte_AC'
CITY STATE ZIP FAX • COYA
c.A rri...e- WA- 9 v 133 2.9&-36/-Oy2it
WA STATE CONTRACTOR'S LICENSE# PIRATION DATE FEDERAL WAY BUSINESS LICENSE#
f a05T X07214 el l/ 2 / L( 20-01-100743.-00-51.
NAME PRIMARY PHONE
NAME,ETLR. GZe.u.e)f pg.0- A ci
APPLICANT MAILING ADDRESS E-MAIL
Sir=
CITY SATIE STATE I ZIP 9 a l 33 FAX
_.. NAME PRIMARY PHONE
PROJECT CONTACT rEl-0-R-- c-rze..LL.E�I Zo (p 3 lv)—'0071
(The individual to receive and MAILING ADDRESS - �� E-MAIL
respond to all correspondence D• 13a-A 333T 0 }Pv -Qr'0' + )GA'L.et"Yin
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME Pao- TA-f(-.. 1 '!Gx I�mi,G A-L °5, OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP /7AT-1-4.-e-7� fT a /� •� PHONE y
(RCW 19.27.095)
Pa `7?� 23370/ 5�. W.,33 �✓C.I3.F-00 /
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 ity,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the •ccuracy •f the
information supplied to a.. as a part of th •pplication.
i , / s
SIGNATURE: A _ ./ 4 .41.11111 DATE
PRINT NAME: P • eg- Ci`�'
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ Of/5'"00. 40
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
-
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
Z 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? 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
� �\§�s ��\\ ....._........_..._...._................._..._.._...._....._.._...._....._....._........................._..............._.._......._.._
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
4 ti,�� -� � .. ' .?<,;. ... .,., .�, ate,.. ,.<,.:^hz., a-;,.,j„� .�, ......................................................__.........._..... .............._....
GARAGE ❑ CARPORT ❑
Area Totals EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S.uare Feet .e Stories
PAVAlitae'g'254ift,'R:: "Ma
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S.uare Feet .e Stories
; r8 i s er:..�Fa � �� r..: � .- .0 \:� \�h a:a c�ce � &N � �k. a� { x'^n 'i `�' :.
TENANT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
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