10-104243 ' ' ` ' Plumbing
City of Federal Way
Community Development Services Permit #: 1 0-104243-00-P L
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
Project Address: 30525 8TH AVE S Parcel Number: 082104 9005
Project Description: Installation of new water heater
Owner Applicant Contractor
CATHOLIC ARCHBISHOP JIM DAY MACDONALD MILLER FAC SOL INC
710 9TH AVE ST VINCENT DE PAUL CHURCH (GENERAL)
SEATTLE,WA 98104-2017 30525 8TH AVE S MACDOFS980RU(12/31/10)
FEDERAL WAY 98003 7717 DETROIT AVE SW
WA SEATTLE WA 98106
:
Water Heaters 1
PERMIT EXPIRES Tuesday,`April 5, 2011
Permit Issued on Thursday, October 7, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th se will be in accordance with th laws, rules and regulations of the State of Washington
a the Ci Federal Way.
Owner or agent: /1L. l L A, U `. Date: (
SIN
11/4//0
THIS CARD IS TO R AIN ON-SITE r •
CITY OF � ~ • Construction. Ins ction Record
Federal ay INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 10-104243-00-PL 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.
El Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
Approved
By Date
0 Rough Electrical Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IL - 1 0 4 , -,`-/ ,5
10, ..A.
c.„.. „:„:„............Federal Way *PERMIT ipmF CO ME 0 DE EN FP
COMMINITY DEVELOPMENT SERVICES APPLICATION
253-835-2607-FAX 253-835-2609
11.1•1',./1.1,0,;il ti^,,1,1,..,,ern
SITE ADDRESS SUITE/UNIT#
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
RECEIVED
$ /hit g y , 0D _ _ —
I
0 BUILDING PLUMBING 0 MECHANICAL
TYPE OF PERMIT )4- OCT 0 7 2 0'0
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) s
4 U
.. triz-mit c Le_ PAAL ehge iI -CITY OF FEDERAL WAY
-
PROJECT DESCRIPTION
Detailed description of work to SNa 4 L A2-4.o.I-4 OF NeW Gvd-le4 Ile-tit/1
be included on this permit only
NAME A ,.......
4 PRIMARY PHONE
PROPERTY OWNER 4 ? cAol
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MAILING ADDRESS E-MAIL
---7 i 0 44 ,4 e,
70.4.4it, IN 4- ISATN ZN.,1 a zi,
NAME PHONE
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MAILING ADDRESS
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CONTRACTOR PO Sole q 79 e-3
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WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MA-e..1)0 Rs eik--0 I I), /3 i //b
NAME 0 ‘141) PHONE
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APPLICANT MAILING ADDRESS A , , Dv E.MAIL
STATE if
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PROJECT CONTACT NAME *...k
L./ PHONE
(The individual to receive and 1 D47
,....J M hie -‘2.- -5-&-34-07,307Q
MAILING ADDRESS__
respond to all correspondence
concerning this application) .... D.S..2--S *--- -1-ti SZ sit;
ye ifileetiVii0A44
CITY.„...,- i/STtiATIE3.._ ZE 4.00 FAX
1 S ea &
1— 0 ,
ALTERNATE NTACT NAME: HONE
7 tdmAlLx-2-9a/—131 i
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more —fri9iev 12_
(RCW 19 27 095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 • city as a part of this application. /
i
I
SIGNATURE: 4 li DATE /0 /7 1 10
Aissour
PRINT NAME: hil '6 A i
Bulletin#100-April 4,2010 Page 1 of 3 kAllandouts\Perrnit Application
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VALUE of MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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. •
DUCTING GAS PIPING WOODSTOVES
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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 Ior Tub/Shower Combo) LAVS(mind sink¢) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) I WATER HEATERS(Electnci i}>: ii;;i;:::::.:::.:;:.:y...,...:::::>::::.:::.::.::.:•
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE Off EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑Yes 0 No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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COVERED ENTRY
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GARAGE 0 CARPORT 0
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EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Construction #of
AREA DESCRIPTION Area Occupancy Group(s) a Stories Additional Information
in Square FeetTYP
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ADDITION
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AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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Bulletin#100—April 14,2010 Page 2 of 3 - k:\Handouts\Permit Application