Loading...
11-104337 Mechanical City ofFederal Way • PerI*t #: 11 -104337 00-ME Community&Econ.n.Dev.Services 33325 8th Ave S �(` Federal Way,AA 98003 "` Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 a ka IW �� Ls'7-7aA Project Name: NORTHWEST CHURCH Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630 Project Description: Install ductless mini-split system to serve AV room,exhaust fan in transformer room, extend air supply in facilities office Owner Applicant Contractor NORTHWEST CHURCH AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC PO BOX 25110 (GENERAL) (GENERAL) FEDERAL WAY WA 3602 S PINE ST AIRSYE*229KN(2/1/12) 98093-2110 TACOMA WA 98409 3602 S PINE ST TACOMA WA 98409 .e. : ,:: �,;. , !/„,.. ,A_ �`i/' ' r -»- � �,u...ter Mechanical Valuation 15871 Is this an Online or O.T.C.application9 No 9 Z. C. �.:,.: x,.F Air Handling Units 1 Compressors/Heat Pumps 2 Ducting Fans 1 PERMIT EXPIRES Monday, May 7, 2012 Permit Issued on Wednesday, November 9, 2011 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: THIS CARD IS TO REMAIN ON-SITE r . CITY CIF • Construction Injection Record Federal Way INSPECTION REQU TS: (253) 835-3050 PERMIT #: 11-104337-00-ME Address: 34800 21ST AVE SW Project: NORTHWEST CHURCH FEDERAL WAY, WA 98023-3044 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) El Gas Piping(4125) El Final-Mechanical(4065) Approved Approved to release test Approved By '0__ ‘ Date ,I____,1,3.......t t>_ By Date * By Date I__12—i - 0 Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date Gel CITY OF \si 11' Federal eCGIaI A tuW+ COMMUNITYDEVELOPMENT SERVICES ! _ 253-835-26076 FAX 253-835-2609rCO5 SITE ADDRESS PROJECT VAN PERMIT oe.wAti LICATI O N L^� �� ���� fAlf 511) TYPE OF PERMIT NAME OF PROJECT (Tenant Name/Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to ❑BUILDING ASSESSOR'S TAX/PARCEL# ! MF CO �S j �PLqDE JE I , �E111 N FP /SUITE/UNIT# ❑ PLUMBING ❑ DEMOLITION ❑ ENGINEERINGP4(MECHANICAL ❑ FIRE PREVENTION it) LO CV)vf UP� e.55mund -S II (1- S n G�✓ , Room.) eJ wI tv u ✓f TO UI be included on this permit only d.611)1 ✓k J .,/ T/ J /yl J 5th i ' +0 d.e�u�►1S � i NAME PRIMARY PRO PROPERTY OWNER �� � �jg i MAILING ADDRESS ' /J l �I/y 14-11e-- /' LO E-MAIL CITY Fedi l STAT ZIPq c�_./0 Il .�rW/i1� i�1.iL��►KI JJIi JG/lJ)I - �_ ,(/�/�� j�� NAME'Al1 S�(r („ ,..„/' �- •��� ^�!"1 `1-.1 PHONE J1 -���� CONTRACTOR MAILING ADDRESS �j./l�`-J1 �C`/.,,("� �6 � J E-MAu, CITY A , ^ � S_Tt�,1 ZIP/}/} ' f�� FAX 2 WA$TAT`,C:1 RAX-,C�TOR' CENSE#, �, `16 E:CP,`D2 o-�yO•N �E� FEDERAL WAY BUSINESSLICENSE i NAME �'►� ( 6�YY'���l�� �91 APPLICANT MAILING ADDRESS 3�� ` ,^A r- i �`/� CITY - rn.a �'Al(l74'`J✓l�lz Y 1,146cf FAX �PROJ :3111619t0a9j: ECT CONTACT NAME !1l] PRONE � ?1771e individual to receive and �jl'L/� /�respond to all correspondence MAILINGADDRESSl.� fi^^(� ,i `�concerning this application) /� �/'��/��u �Lf {� //� WCITY•�vV�-L�1 / �CJ�. WTI 1 ��C! l ✓�ALTERNATE CONTACTNA9 PRONE �►�y ,u � 6. 111r y ��.u)5 PROJECT FINANCING NAME �{j OWNER-FINANCED Required value of$5.000 or more •^ (ROW 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 application. SIGNATURE: '50 • ( ,O , DATE ` PRINT NAME: c J�,7 c�1 v✓ - ►�/ (v`L( Bulletin#l00—January 1,2011 Page 1 of 3 k.\Hiandouts\Pennit Application • • , 11�, �,,, .W �, .,yam.,�,• ; . ii :,j, ' , y' n „ , VALUE OF MECIiANWAL WORK $ I l ) 1 V`L (a copy of bid or estimate must he provided) Indicate how many o/each type of fixture to be installed or relocated as part of this project. Do not!mimic isting fixtures to remain. AIR HANDLING UNITS I FANS GAS PIPE OUTLETS OTHER ese be AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerci5) h (U BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYS'I' ' s it 2 DUC"TING GAS PIPING WOODSTOVES 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'Ilib/sha rer combo) LAVS(Hand Sinks) TOILI I S WATER PIPING DISI1WASI{ERS RAINWATER SYSTEMS URINALS O'TIIER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Elctric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES Baa � ... CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE IAT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? XYes ❑ No Yes No E AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE US 5�.a ��•. fir. FIRST FLOOR(or Mobile Home) COI D FLQI�. x ` e. COVERED ENTRY GARAGE U CARPORT ), �� & jig t 40 EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ #OF BEDROOMS 3� �;F' 7...14,,,..; .,.,...„,,k, # ,.9tia a '�;' • \. ,/f „N.,30e ar �•'.. :,.. ,, ' E y., AREA DESCRIPTION Area Occupancy Group(s) Construction #ri Additional Information in Square Feet Tppg Stories 1}If yllYti: �! �,.&. c, ADDITION MI y .�/, a,�.,n,, ,�"/,a:,.,a 51 :': y _.fib ..o al s. Wiy.,� 1. t.,,., ,, `m ' '''''��''' , AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TENANT AREA ONLY (�)c:1135- ..4,,,,x,,,....::::,. • \�\ «v• \ •© 111 * '4: .'-'1"-.••)",••••••'-'7' • �`� <� ,•.....w.,," �\., .r \\< xa .e4iia �8 Y \�� `,. \ '. \ : �\ \ a: , Bulletin#100 January 1,2011 Page 2 of 3 k:\IHandouts\Pennit Application