10-102730 _ • • Mechanical
City of Federal Way
Community Development Services Permit #: 10-102730-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253) 835-3050
Project Name: INTERNATIONAL HOUSE OF PRAYER
Project Address: 33320 1ST WAY S Parcel Number: 926500 0250
Project Description: Relocate 4 supply air diffusers and add ducting as required.
Owner Applicant Contractor
GARY WU TYLER GANGNES UNITED SYSTEMS MECHANICAL
17455 NE 67TH CT SUITE 100 UNITED SYSTEMS MECHANICAL UNITESM962QA(11/1/10)
REDMOND WA 98052 140 AIRPORT WAY S SUITE 202 140 AIRPORT WAY S SUITE 202
SEATTLE WA 98134 SEATTLE WA 98134
�y ,,: .A t 4: f i n'z x $.. Q 7 1
Mechanical Valuation 1500 Is this an Online or O.T.C.application Yes
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PERMIT EXPIRES Sunday, December 26, 2010
Permit Issued on Tuesday, June 29, 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 t - laws, rules and regulations of the State of Washington
the Ci) •f'Federal Way.
Owner or agent: Date:
F' Kk .Wb 1fi3/ic2
' ,......_,A...1., • THIS CARD IS TO AIN ON-SITE
crn°F Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-102730-00-ME Address: 33320 1ST WAY S
Owner: GARY WU 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) 0 Final-Mechanical (4065)
Approved Approved to release test Approved
By A Date 7 7// By Date By Date 7//3/
❑ Rough Electrical111 Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
Federal Way
• PERMIT Ilk MF CO ME PL DE EN FP
APPLICATION
f,OMMIMl1'Y DEVELOPMENT
2.5.3-835-2607•FAX 253-8RE
O C�,
,I ll�t•,•;tlUOilef!^TJ:f 1....;.f f
JUN 29 2010
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ i rC?J. eh, C1 2. Cu S t., c' _ '2-- c 0
TYPE OF PERMIT CI BUILDING ❑ PLUMBING :MECHANICAL
❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ���
(Tenant Name/Homeowner Last Name) 1 C..'IA'''.41� ""`‘.11 1T1+'a S- Cs`t rt-+%i' C v--
PROJECT DESCRIPTION Re' 1 O Ca,6. (T) Sy e r 1 y- Q Iy_ 4:EE i Serf eiA a( ci
C `1+t,
Detailed description of work to (45 rt./AAA,v'e a
be included on this permit only
NAME
,p�j PRIMARY PHONE
PROPERTY OWNER ( 1 O(t �. �V_m " Je.. /
MAILIN'V�"K•�SyS^ �1 / r 1 co E-MAIL
CITY rJ(J IIv1 t//1SSTTATE ZIP
2e�,�rti-arid Wry- �II,sz.
NAME,.�// PHONE
Mi'1 I�-C.3 ,c (.L13'6,1..)- ttott.t .k1
t . yI (2z0 q13 -G. 034
MAILING ADDRESS /
( fV 0 t✓�a k Way SP 441,1 Zy
NS 1eck ✓ •. G.N,►1a .
CONTRACTOR
CITY STATE ZIP _ FAX _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
. '- APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 11(z, T
FAX
�(2_00O ( v--'
Alf � �` t
W4 '1 '`1 j - 4 1,-3,2, '-O-4- - ,tva ti t41 , .W.{
CITY
.sr dQ t y! �G.. W - S1Tii i• ZIP D %3 it q,�7' 7 O d
ALTERNATE CONTACT NAME: V' PHONE E-MAIL
PROJECT FINANCING NAME
N r, fk OWNER-FINANCED
Required value of$5,000 or more
(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 to the city as a part of this applic,tion.
SIGNATURE: ( .1i, ,_ DATE l p 2�l 10
PRINT NAME: 1
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
0 S 1
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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) a,✓- 4,f f U cCvt
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST '
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Indicate how many of each type of fixture to be installed or rel c ted as part of this project. Do,;rlot include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(Hand Sinks) WATER PIPING
DISHWASHERS RAINWATER SYi S URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS S • en/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES :?:>'i' '?T�LTf%1 S? ;i;;f;•iiii:i
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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
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR (or Mobile Home)
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COVERED ENTRY
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GARAGE ❑ CARPORT 0
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EXIST/21G PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ I # OF BEDROOMS
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AREA DESCRIPTION Occupancy Group(s) onstruction # of Additional Information
in Square Feet Type
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AREA DESCRIPTION Occupancy Group(s) Construction #of Additional Information
In Square Feet Type Stories
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application