08-100065 City of Federal Way Mechanical Permit #: 08-100065-00-ME
Community Development Services
P.O.BoxWA 971898063drat W , -
Ph:(253)
Fee835-2bay07 Fax:(253)835-97182609 Inspection Request Line: (253)835-3050
Project Name: INTL CHURCH OF FOUR SQUARE GOSPEL
Project Address: 1932 SW 350TH ST Parcel Number: 795620 0040
Project Description: Replace existing gas furnace.
Owner Applicant Contractor
INTL CHURCH OF FOUR SQUARE GOSPEL INTL CHURCH OF FOUR SQUARE GOSPEL PACIFIC AIR SYSTEMS
1932 SW 350TH ST 1932 SW 350TH ST PACIFAS093KA 9/8/2009
FEDERAL WAY WA FEDERAL WAY WA 12811 PACIFIC HWY S
98023-6917 98023-6917 LAKEWOOD WA 98023
Additional Permit Information
Mechanical Valuation 10120.35 Over the Counter Permit? Yes
Mechanical Fixtures
Ducts...,...., 1 Furnaces 1
PERMIT EXPIRES Monday, January 4, 2010
Permit Issued on Friday,January 4, 2008
I hereby certify that the above information is correct and th- const 'on on the above described property and
the occupancy and the use will be in accordant wit a ules an egulations of the State of Washington
(a . th� i.. '. Fede .Way.
Owner or agent: A . , Date: 0 I CU S —U•)
tir
THIS CARD IS TO REMAIN ON-SITE •
CITY OF - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100065-00-ME
Owner: INTL CHURCH OF FOUR SQUARE GOSPEL
Address: 1932 SW 350TH ST
FEDERAL WAY, WA 98023-6917
This card is part of your required inspection documents. 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 Date By Date By Date
•
For inspector reference only_ __
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
7
• Building Div:Sion
4k' CITY OF 33325 Eighth Avenue South
o., ...-, Federal Way • PO Federal
Wa
718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS:
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,v f per 4 1.4 414'704c gets srez
IF YOU HAVE ANY QUESTIONS CALL /"I, GJ4 e I lee (253) 835- Z-‘;61
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
1/2 gt 7/1
TE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CIV
FederaiWay JAN 0 4 OY PERMIT ,-1.
COMMUHITYDEVELOPMENT SERVICES SF MF CO t EL PL DE EN FP
333258'a'AVENIIESOIATi•POBOX g7I8 ,PLICATION To ____
FE E83%WAY,WA 9 8r $�OFriFED�±ERA ::1-
film.
253-g2 �'�D�NG DE .----------1 ----�
wimmc.cituol/ederalu7au.eone [[[[[33333
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ ,CA 31_ S L) 3 TO"r= S}'r4 SUITE/UNIT# N A
ASSESSOR'S TAX/PARCEL# 7 y 6, (o 4 0 - (� v �-( 0 LOT SIZE(sf) CI s c 15
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ST A t 1—S ADD
(Attach separate PmeJar lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING `pr MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailyd description of work included on this permit only)
i=vevt.aLe. raP < -..kk
PROJECT NAME(Name of Business or Owner Last Name) ,v,(N"'C k W t- CIL.,,c.l .
NI PEOPLE INFORMATION -
PROPERTY �I- (
N 1 j (/ i ,/" .,,( PRIMARY PHONE !
OWNER -„J-•l.ftefYuji i �h id', 0? 3't.-... F'Ovi DtJVad, a L1uS10—` ('d53 ) D 3O - �✓3Z(
MAILING ADDRESS CnY,STATE,ZIP E-MAIL ADDRESS
3M roc. 9--i s/ hi vG SL+% redie-Pa.14 tOot LUA 9 802.-3
CONTRACTOR COMPANY E1 APPLICANT NAME i OFFICE PHONE
Peke 1:4- A'r S.a•s-T'Gw�s R i C.,rQ � ) lot- (1153) 56 i -6.2-1oZ
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
i;12 I( Ott: 6c. 14tbt,1•43C1 `J 1..41.1ee44)00R. ,WA 18911 ('0153) 331 - $111
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
' -o - OtQ 1 O frrSc7`I oo-i3r_ /2131 fox (2.53 ) 58i - 3573
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
PAC..-% rA,S093 7/3/401
APPLICANT COMPANY NNAM�LE APPLICANT'NAME OFFICE PHONE
l jt>>�ti.weN. C_'nvr 2)Av+0 Cr-Uhc:Ak
(A.53) 1338 -(o3z1
MAILING ADDRESS 5.1. CITY,STATE,ZIP CELL PHONE
34 oo a.1 .Ave, SL ' Fuger- Lt w,1 WA 1£303 ( $3 ) ;2.2-3 - 09%
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant i,Agent ❑Other (A53 ) (33 5' - 1 fjn
PROJECT NAME PRIMARY PHONE E-MAIL ADD
CONTACT 3):44.‘o 'Fr c.,ir .e..;k (a s 3 ) '&31? - C,34 l ego.i.A_ Acid e.L.
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE 3irv� l ti IF •%,lQcS
1 PROPOSED USE Sa- C.
EXISTING ASSESSED/APPRAISED VALUE$ J VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. Sq.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR D UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS easrma PROPOSED TOTAL TOTAL SIOS "SF TOTAL PROPSESP TOTAL SS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture to be instanPd or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
31
Vail IP of Mechanical Work$ ID 110 s' (A COPY OF'BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
4 AIR HANDLING UMTS EVAPORATIVE COOLERS GAS PIPE OWLEYS WOODSIOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERSFIREPLACE INSERTS HOODS(C +esdag
++
COMPRESSORS 1 FURNACES RANGES
I DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACIIUJM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSEla(roffet)
ELECTRIC WAFER HEAl'ERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 inclu its officers and employees,upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: 8 DATE I/— 2 y -o'7
ftopes#1:1414)z•Authorizes[Agent
0141016 use ortir
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-August 16,2007 Page 2 of 4 k\Handouts\Permit Application