10-104334 e�,. • F 1 LE • Mechanical
City of Federal Way
Community Development Services Permit #: 10-104334-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ST VINCENT DE PAUL CHURCH-TEEN CENTER
Project Address: 30525 8TH AVE S Parcel Number: 082104 9005
Project Description: Remove and replace gas furnaces-like for like.Reconnect to existing flue venting and
piping.
Owner Applicant Contractor
CATHOLIC ARCHBISHOP MACDONALD MILLER FAC SOL INC MACDONALD MILLER FAC SOL INC
710 9TH AVE (GENERAL) (GENERAL)
SEATTLE,WA 98104-2017 7717 DETROIT AVE SW MACDOFS980RU(12/31/10)
SEATTLE WA 98106 7717 DETROIT AVE SW
SEATTLE WA 98106
Mechanical Valuation 3800 Is this an Online or O.T.C.application? Yes
res .. r s
Furnaces 2
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 1)and must comply with FWRC
Chapter 19.185 and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES Monday, April 11, 2011
Permit Issued on Wednesday, October 13, 2010
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.
11 -;
Owner or agent: �, j' (C,- Date: 0/1 �l
PitaAu.ib 12/14 fo
�, THIS CARD IS TO R AIN ON-SITE _
«��4� ��� Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-104334-00-ME Address: 30525 8TH AVE S
Owner: CATHOLIC ARCHBISHOP FEDERAL WAY, WA 98003
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) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By F Date /z / %o
i.Zqy
El Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
t M . cl
41
CITY OF *PERMIT CC,'"
EL PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION ®C T # s
253 835-2607•FAX 253-835-2609 ,
www.c(tuof(ederalivau.crm CITY Jg�
> ..'a.wtsx. f'a nr-z „ ?, 9ia .' .. +a a""., `,_ =�zr,`er�w,�.d`i,n ✓~ ter, it „r .
SITE ADDRESS
30525 8TH AVE SOUTH FEDERAL WAY,WA 98003
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
BASEMENT LOTS 18 THRU 25
0 8 2 1
a � ry9 0 rt 4 ' 9 0 0 5
p lir
NAME OF PROJECT ST. VINCENT LIFE TEEN
(Tenant or Homeowner Name)
0 BUILDING ❑ PLUMBING r�' ' MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
REMOVE AND REPLACE GAS FURNACES - LIKE-FOR-LIKE
PROJECT DESCRIPTION CHANGE OUT. RECONNECT TO EXISTING FLUE VENTING AND
Detailed description of work to
be included on this permit only PIPING
NAME PRIMARY PHONE
PROPERTY OWNER ST.VINCENT DE PAUL PARISH ( 253 ) 921-1311
MAILING ADDRESS,CITY,STATE,ZIP EMAIL
30525 8TH AVE S FEDERAL WAY,WA 98003
OWNER IS ALSO:'LI/) V o CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
CJ NAME PRIMARY PHONE
MACDONALD MILLER ( 206) 768-4278
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
7717 DETROIT AVE SW SEATTLE,WA 98106 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MACDOFS980RU 12/31/2010 20-03-100372-00-BL
NAME PRIMARY PHONE
ERRYN EDRINGTON ( 206 ) 798-5080
APPLICANT
MAILING ADDRESS,CITY,STATE,ZIP FAX
7717 DETROIT AVE SW SEATTLE,WA 98108 ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ERRYN EDRINGTON ( 206) 798-5080
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) 7717 DETROIT AVE SW SEATTLE,WA 98106 ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
DARLA DOLL ( 206) 768-4278 DARLA.DOLLOMACMILLER.COM
PROJECT FINANCING NAME
El OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppl city as a part of this appivation. \ �,
SIGNATURE: J�`'� DATE 10-13-2010
PRINT NAME: DARLA DOLL
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
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Value of Mechanical Work$ 3,800.00 (A COPY OF'BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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 2 FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
�� ..(10'dg_ie . _ , � : �j i i
; i , , 1 ..3 e'N r 3 II is Er dj 6�
Indicate number 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 INFO? ATIO3N
PROJECT VALUATION 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
hIu11 ia3 r$a 04,! !'ftra �P,- ,» a , r th 5, - ;n 1lilli i 1c,i
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENTSIE AME
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVEREDENTRY -•-•....................................................._..............._............_....................................... .................
DECK }i n It.:!"-1(:51:'''::=
GARAGE 0 CARPORT 0
OTHER(describe
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY
ESTIMATED SELLING PRICE$ #OF BEDROOMS
°ii i;UI�� itnr ii io ill(y�ppi� °r`' — .. t 'Q,9s�
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a Vi - :TA.II'''i ` di c, 4,,:t-,rte! x ... . i.,—.,.;,.„.1.,..1.„,..!AiT, IIIA i�lI�Id -
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
` Ni*40ILD - " ` Y '-' ,A,'t ti
ADDITION
IHI� )? 9 P ,_ _ x� x 'ar i (I A 1�p` -t "� - r ,s' ~,a
t at
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet TY?? Stories
TOTAL SUILDIN
,
TENANT AREA ONLY
PR(JJE `
ONLY `
Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application