10-104861 Mechanical
City of Federal Way , • FILE
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Community Development Services Permit #: 10-104861 -06-nn
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: ST LUKE'S LUTHERAN CHURCH
Project Address: 515 S 312TH ST Parcel Number: 082104 9038
Project Description: Installing a new A/C unit,including 4 roof top condensing units, 17 fan coil units,associated
ductwork and diffusers, refrigeration piping from controller and to the fan coils.
Owner Applicant Contractor
ST LUKES LUTHERAN CHURCH HERMANSON COMPANY LLP(GENERAL) HERMANSON COMPANY LLP(GENERAL)
515 S 312TH ST 1221 2ND AVE N HERMACLOO5BJ(8/25/12)
FEDERAL WAY,WA 98003-4033 KENT WA 98032 1221 2ND AVE N
KENT WA 98032
Additional Permit informatiQ 4t,
Mechanical Valuation 87900 Is this an Online or O.T.C.application No
x cat Fixtures
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Air Handling Units 1
PERMIT EXPIRES Monday, May 30, 2011
Permit Issued on Wednesday, December 1, 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 the laws, rules and regulations of the State of Washington
\b'� 0 and the City of Federal Way. 1
Owner or agent: ``lt ��. Date: ? l l
cs1.0 a/2 'I/I1
DATE INSPECTOR AREA AND TYPE OF INSPECTION
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THIS CARD IS TO REMAIN ON-SITE ,
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v • Construction Injection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10-104861-00-ME Address: 515 S 312TH ST
Project: ST LUKES LUTHERAN CHURCH FEDERAL WAY, WA 98003-4033
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By ` -- Date ' - i' _1�� .By Date By �. Date �
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0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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are OF 1\11''' PERMIT SF MF CO� PL DE EN FP
Federal Way, `$
COMMUNITY DEVELOPMENT SERVICES APPLICATION 1 afti/D
253www.ctwo FAX 253-E.cOm 253-835-2609 ,t
www.cituof(ederalwaucom `\1 ' u.+
SUITE/UNIT S
SITE ADDRESS'� ,_,/r�;
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ,I MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT C\--%‘11
�j
(Tenant Name/Flomeowner Last Narne) Fes'--.--
PROJECT DESCRIPTION LA ` —`"` ` 4\u ) on nc n�\ f u �-`
Detailed description of work to n? 1� ' ;
,l
be included on this permit only 1�'` ,
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NAME PRIMARY PHONE
PROPERTY OWNER 5-�- \ , ` J r-YL
MAILING ADDRESS„ E-MAIL
CITY__ 'SATE1 ZIP
NAME ,ONE�!
MAILING ADD., '� E-MAIL
CONTRACTOR —7j AX ((V�,+,
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W ST T CTOR's LICENSE 1'-ZSjRPIROTI�PNhDATE, FEDERAL WAY SU INFSfi E #
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APPLICANT 2,Amcss? * `� C
C },� '1 S A Z v I I 111 .
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PROJECT CONTACTnt�\L`� 1 M PHONE
(The individual to receive and J
EMAIL
respond to all correspondence
G ADD
concerning this application) -
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 1 ❑ OWNER-FINANCED
Required value of$5,000 or more '"
(RCW 19.27.095) MAILING ADD S,C ,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 arty 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 a• lication.
SIGNATURE: A_ DATE L
PRINT NAME: Mr
/ Nam
Bulletin#100—April 14,2010 Page 1 of 3 k:AHandouts\Permit Application
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t E
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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 LOGREFRIGERATION SYST
DUCTING f GAS PIPING WOODSTOVES
PLUMBING FIXTURES
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) LAYS(Hand Sinks) TOILE;LS 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) EXISTINGSPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes❑ No Yes E No
RESIDENTIAL - NEW OR ADDTTION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE D CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area AREA DESCRIPTION in Square Feet Occupancy Group(s) Const�pction #of Additional Information
Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area
AREA DESCRIPTION in Square Feet Occupancy Group(s) Construction #of Additional Information
Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:AHandouts\Permit Application