15-103594 • • "Mechanical
City of FederalWay F 1 LEPermit #: 15-103594-00-ME
Community&Econ.D
ev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253)835-3050
Project Name: NORTHWEST CHURCH
Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630
Project Description: Replace damaged outdoor heat pump(HP-9)and matching indoor air handler(AH-8).
Relocate ductless mini split from nursery to AV room.
Owner, Applicant Contractor
NORTHWEST CHURCH JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
34830 21ST AVE SW AIR SYSTEMS ENGINEERING (GENERAL)
FEDERAL WAY WA 98023 3602 S PINE ST AIRSYE*229KN(2/1/16)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C.application9 No
Mechanical Fixtures
Air Handling Units. 2 Compressors/Heat Pumps 2
PERMIT EXPIRES Saturday, January 30, 2016
Permit Issued on Monday, August 3, 2015
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
. � a �Cityof d rat ay.
Owner or agent 1y �i►►II��11- Date: U
t
DATE INSPECTOR AREA AND TYPE Or INSPECTION
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• THIS CARD IS TOMAIN ON-SITE
CITY OF Construction Intection Record
Federal Way INSPECTION REQUS: (253)835-3050
PERMIT#: 15-103594-00-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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date FjDate
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
c PE1 t�j��//!■■ TTPPLICA'T'ION
CITY OF e r-. :;'+ /I�I�Yi�i
Federal Way En/ED
r� �p�"JUL 2 2 2015
PERMIT NUMBER f $ _ 1 0 �/ '1 vl _M lam+r r of j 1.)S�-
1 CDs Emo,TE F 1)'' 1 L
SITE ADDRESS g 4 on ) SUITE/UNIT#
fie. - SW
•
W PROJECT1 g Z��G-7
. ASSESSOR'STAX/PARCEL 5 6 - 6 6 d
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Ly MECHANICAL LI DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT () W d) l.J�-�f d ` ! - v4
PROJECT DESCRIPTION K ` �J '6n��'n`-ficIZO f r kp�"'` ` p/ u.)( 0
Detailed description ofwork to Uv► 1 C j d' l i f '. 1..r d {/ 1 .
p ) CI I
be included on this permit only ti A ,/� (Al-4 -
♦ .6 - 4 ' 6 yy� ul t
J1DUliL---"'FrUm I/'lfff��� 6e-( ,A \� �V��)onf `j7 1 1
NAME 1, 1 / V P IM 1' /PHLONE
PROPERTY OWNER
NAME
rk( uf� ?? qq�r
MAILING ADDRESS q,€,Oa (?....A G,I til?..... (03 EMAIL
CITY' GO f d / an ZIP q , 0�
NAME 1 ��h, JM (� �(/�1l..1 1 1 ;7 -5 ;-4,-[ 1-i
MAILING ADDRESS./)JJ /r x1��l 'eeSJJ GplC ,
CONTRACTOR �J( 1�`/J\ �g7� ���/J{/ /n)/�)✓/J
� '1 CITY �j� % j\rM/� 1 I ) /�'�- -1.e? 1
wars Cfd K �U 771 lkJ�in �TION AITFL FEDERAL WAY BUSINESS LICENSE#
NAMEA1( G.� EMAIL
�// L:1 1,t e 1 uli PRIMARY PHONE
APPLICANT MAILING ADDRESS / �Vl
-
\.3 2j CITY '' STATE ZIP FAX AR'
�V Vl�-'`-'toI 1 V'V �/�H � �g4V 1
PROJECT CONTACT NAME
(The individual to receive and MAILING ADDRESS Tes 1 ei Q 1 ,
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING X OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 supplied to the city as a part
ofthis application. I �i�
SIGNATURE: V ( 1 + i + CL--"--4-. DATE 14PRINT NAME: TJ64PrniLtilLna-T6J I ��`-` f (
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
• VALUE OF MECHANIC L WORK
MECHANICAL PERMIT $ I S-l"[ 14
medicate how many of each type offixture to be installed or relocated as part of this project. Do riot includesting fixtures to remain.
Q(, AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTJjE�2(pes ibe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
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?
'n ui ,1q ❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
ASEMENT
FIRST FLOOR(or Mobile Home)
as
SECt N13 Lf,OR •
COVERED ENTRY
LIBr
3 ,
GARAGE ❑ CARPORT ❑
R(descra'be)
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
UI DI G
`'; .,,.,,a`
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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;,i,. a ._,„m .ap ,..,!� ._ ...., s „lq� i3: ., .i..',X�. .3:L \ r ... E. r,..,�,3i1
TENANT AREA ONLY
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:111 111PARA
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application