04-103710 •
• Mechanical
City of Federal Way /�
Community Development Services Permit #: 04-103710-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Request Inspection Line:
Ph:(253)835-2607 Fax (253)835-2609 p (253)835-3050
Project Name: CHURCH OF BLESSING
Project Address: 1430 S 330TH ST Parcel Number: 172104 9069
Project Description: Type 1 hood for kitchen
Owner Applicant Contractor
CHURCH OF BLESSING PLATEAU MECHANICAL PLATEAU MECHANICAL
31037 44TH AVE S 24412 SE 470TH ST PLATEM*008PU (10/30/08)
AUBURN WA 98001-2610 ENUMCLAW WA 98022 24412 SE 470TH ST
ENUMCLAW WA 98022
Additional Permit Informatio
Mechanical Valuation 10000 Is this an Online or O.T.C.application9 No
Mechanical Fixtures
Hoods 1
CONDITIONS:
This project includes a rooftop vent which extends a minimum of 40 inches above the rooftop,The vent must,
be screened persuant to FCCC 22-960 Rooftop appurtenances-Required screening.
FCCC 22-960 Rooftop appurtenances-Required screening.
(a) Generally.Except as specified in subsection(b) of this section,vents,mechanical penthouses,elevator
equipment and similar appurtenances that extend above the roofline must be surrounded by a solid
sight-obscuring screen that meets the following criteria:
(1) The screen must be integrated into the architecture of the building.
(2)The screen must obscure the view of the appurtenances from adjacent streets and properties.
(b)Exemptions. The following shall be exempted from the provisions of this section:
(1)Rod,wire and dish antennas allowed under FWCC 22-1047 are exempt from the requirements of this
section,if the screening would interfere with the effective operation of the antenna.
(2)A painted appurtenance is exempt from the requirements of this section if the director of community
development determines that painting will be as effective in minimizing rooftop clutter as would a solid
sight-obscuring screen. (Ord.No. 90-43,§2(115.120),2-27-90)
PERMIT EXPIRES Wednesday, October 4, 2006
Permit Issued on Monday, October 4, 2004
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
,L1'd th- City of Federal Way.
Owner or agent: ijr ,,�/� �'./ /, . �_ , Date: /
4-71b(/
o //` -CI
cm of —t -b�-
Federal Way1 " W 7. -0
"PERMIT SF MF CO E EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8T"AVENUE SOUTH•PO BOX 9718 sE_'p . SEP
FEDERAL WAY,WA 98063-9718 APPLICATION _To � /
253-835-260o FAX 253-835-2609 lJ /
unou,.atgojjederahuaq.rnm vj� . (OF1'/i/`s
at(
The following is required nlformation-an incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
PROPERTY INFORMATION
SITE ADDRESS 4"'" 19 JQ 5• 31/1" Jr SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# •7 2 1 - 1 �' C) lo LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) .5ze rA 0) c
(Attach mate page for lengthy legal description)
■ PROJECT INFORMATION .
TYPE OF PERMIT D BUILDING ❑ PLUMBING QeMECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
yp .,e 1 i-'1 CO Q r,:('z- l; .i-c.k eel uJ/(LOCc c)6-:', 3-1
PROJECT NAME(Name of Business or Owner Last Name) C v rGL o !�'C$5 t h r/
• PEOPLE'INFORMATION
PROPERTY NAME ,i �j
OWNER C lcif„I O4 U /rfs,,s (R��4 ) 73o -7s 7
MAILING ADDRESS CITY,STATE,ZIP
3t1/ � A-�c w 5Fedta c (
c, way
CONTRACTOR COMPANY NAME � ` rr APPLICANT NAME OFFICE PHONE
Pra4-aG�, )' 'echo,,,,. ; C er. ( CSP rz>~ , .
( -3&C ) gaa ‘(39(Q
MAILING ADDRESS CITY,STATEr ZIP CELL PHONE
419'12- 55 ti7(5°P4 Si 44,„...c/0.- &J 91o2.2 (-)04.) 313 -033-3
CITY OF FEDERAL WAYBU, INESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -
A Q _6L e -5(e' - B L 121 ,31 I L ( a) QOM - 113%
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
P1 lM4v o q P ce to / 31 / CY
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5 ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME 5 A Ai PRIMARY PHONE E-MAIL ADDRESS
LENDERPer RCW 19.27.095: Lender information is NAME 3,7 i
required if project value exceeds$5,000 ' C'1 t''IS R" °
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION <; .
EXISTING USE ii/L . PROPOSED USE (V ✓r '
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /c, 611c6 •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 87YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
. PROJECT FLOOR AREAS •
— -- TOTAL '
AREA DESCRIPTION EXISTING S•.FT. PROPOSED S•.FT. —`
11111111111111111111111111111111111
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING EXISTINGTOTAL PROPOSED TOTAL EXISTINGAND PROPOSED
HOW MANY FLOORS?
**NEW HOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
t FIXTURES = ='< ---
Indicate number of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL.
Value of Mechanical Work $
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
EVAPORATIVE COOLERS , HOODS{commrd. WOODSTO ST
BBQS FANS RANGES. MISC(Describe)
FIREPLACE INSERTS
FURNACES GAS WATER HEATERS
GAS PIPE OUTLETS
WATER CLOSETS Roa�q MISC(Describe)
BATHTUBS(or Tub/ShouerCombo�
DISHWASHERS
SHOWERS
SINKS DRINKING FOUNTAINS
RAINWATER SYST
GAS PIPE OUTLETS SUMPS
URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS{X3ativoom su,Xc:� _- __ -
SIGNATIIREBLO
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
fees incurred iin the investigationurt and defense of
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
and td d against the CityofFederal Way,but only where such claim
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'
such claim), which may be made by any person is ng the employees,ned, j
arises out of the reliance ojth, ty ncluding its officers and employees,upon the accuracy of the informations plied to the city as a part of
this application. ,i� �/
Ot"silli Pe DATE V /
NAME/TITLE (Title)
:ignaturel
RELATIONSHIP TO PR'i ECT o Owner ❑ Agent B"Contractor 0 Architect 0 Other
F
FOR OFFICE USE ONLY : 1
❑:TENANT IMPROVEMENT
❑NEW ❑ADDITION o ALTERATION o REPAIR. YESo NO
( BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o CHANGE OF USE? ❑YES o NO
ZONING DESIGNATION
t UP/SEPA/SU? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO ❑YES ❑NO
PLATTED LOT? LI YES a NO DEMO PERMIT REQUIRED?
N
Bulletin#100—March 30,2004
Page 2 of 4 k\Handouts—Reviscd\Permit Application
City of Federal Way Mechanical Permit #: 04 - 103710 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-305C
Project Name: CHURCH OF BLESSING
Project Address: 1430 S 330TH Parcel Number: 172104 9045
Project Description: Type 1 hood for kitchen
Owner Applicant Contractor
CHURCH OF BLESSING PLATEAU MECHANICAL PLATEAU MECHANICAL
31037 44TH AVE S 24412 SE 470TH ST 24412 SE 470TH ST
AUBURN WA ENUMCLAW WA 98022 ENUMCLAW WA 98022
98001-2610 (360)802-4396
Mechanical Valuation 10000 Over the Counter Permit No
Mechanical Fixtures
Description Quantity L Description Quantity Description Quantity
Hoods 1
CONDITIONS:
This project includes a rooftop vent tehieh extends a minimum of 40 inches above the rooftop.tfie vent must be screened
persuant to FCCC 22-960 Rooftop appurtenances-Required scrething.
FCCC 22-960 Rooftop appurtenances-Required screening.
(a)Generally.Except as specified in subsection(b)of this section,vents,mechanical penthouses,elevator equipment and
similar appurtenances that extend above the roofline must be surrounded by a solid sight-obscuring screen that meets the
following criteria:
(1)The screen must be integrated into the architecture of the building.
(2)The screen must obscure the view of the appurtenances from adjacent streets and properties.
(b)Exemptions.The following shall be exempted from the provisions of this section:
(1)Rod,wire and dish antennas allowed under FWCC 22-1047 are exempt from the requirements of this section,if the
screening would interfere with the effectiveoperation of the antenna.
(2)A painted appurtenance is exempt from the requirements of this section if the director of community development
determines that painting will be as effective in minimizing rooftop clutter as would a solid sight-obscuring screen.(Ord.
No.90-43,§2(115.120),2-27-90)
PERMIT EXPIRES April 2,2005.
Permit issued on October 4,2004
I hereby certify that the above inform,tion is correct and that the construction on the above described property and
the occupancy and the use . i' accordance with the laws,rules and regulations of the State of ashingt,,n and
the City of Federal Wa .'%
Owner or agent: Date:
/G C C
ATHIS CARD IS TO 'LAIN ON-SITE ‘ t
CITY OF Pommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103710-00-ME
Owner:
Address: 1430 S 330TH ST
FEDERAL WAY, WA 98003-6302
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date Ig By Date By 7/1 Date 'H 0