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04-104371 • City of Federal Way. • * .jj�� -ity of ity Development Services Mechanical Permit 14: 04 104371 - 00ME P.O.Box 9718 Federal Way,WA 98063-9718 line:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305€ Project Name: CHURCH OF BLESSING Project Address: 1430 S 330TH Parcel Number: 172104 9045 Project Description: (2)Gas water heaters Owner Applicant Contractor CHURCH OF BLESSING VICTORY CONSTRUCTION LLC VICTORY CONSTRUCTION LLC 31037 44TH AVE S VICTORY CONSTRUCTION LLC VICTORY CONSTRUCTION LLC AUBURN WA 31037 44TH AVE S 31037 44TH AVE S 98001-2610 AUBURN WA 98001 (206)730-7527 Mechanical Valuation 400 Over the Counter Permit Yes PERMIT EXPIRES April 23,2005. Permit issued on October 25,2004 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 e laws,rules and regulations of the State of Washington and the City of Federal Way. a `'_�„Owner or agent: s ,` �� Date: /'O )/c- i� f bS THIS CARD IS TIEMAIN ON-SITE CITY OF A. r ` kommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-104371-00-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. ❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved • //AO By Date By Date By Date r S .,r 7 x: 3G.- A � r z '��Y;���;.f� Y 1`(fi:.,¢.i�•"'.i,.��ynS:.t r�'�'",� '4.. '° .74d:�. :,.+. Federal Wayad r' T 2 UU4LPERMIT SF MF CO(A) EL PL DE EN FP COMMUM7Y DEVELOPMENT SERVICES 33325 8r"AVENUE SOU771•PO BOX 9718 A P L I C AT I O N FEDERAL WAY,WA 98063-9718 OF FEDEF. '�° 'aJILDINQ;. � / 253-835-2607.FAX 253-835-2609 / unaw.atgofedera!umq_mm ... The following is required information-an in . Tete ap.lication will not be accepted. Please print legibly(in ink)or type. ._ :i' _ .„ Y• s i:/>PROPERTY INFORMATION .. . 1 SITE ADDRESS 41 •7 C S 11)5 L., 5 Y ,F-�(-4 (le-la V SUITE/UNIT# ASSESSOR'S TAX/PARCEL# _- LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal deurtpaortl .:,.a .t.?.!'*iiik,1: .e4t."-. .~4 f ,.f:l '"'.. i -PROJECT INFORMATION:. -._ - _ _. TYPE OF PERMIT BUILDING `� PLUMBING MECHANICAL DEMOLITION '❑'ELECTRICAL (❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) ` 10t /d 440GI ( 7 )(c'l/ izccv ic)pp/�ctk s PROJECT NAME(Name of Business or Owner Last Name) el(,(VYCk 0-f_ d.? 5111.,, :. �"„"* , : . °' .. ,t.„;_ . ,a'.. A/ PEOPLE INFORMATION PROPERTY NAME ! , PRIMARY PHONE OWNER C ,(',t rel? f '" f e s53'../ (- 3)(�`&I -12 ? 3 MAILING ADDRESS ,STATE,ZIP CONTRACTOR - COMPANY NAME / l APPLICANT NAME `�9 OFFICE PHONE the T7r(/' rt.)/I /y7` . ZZ/C (,lear �1 07` 8trS516 )7 o Z Ii2 7 MAILING ADDRESS TY, ATE ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER - f EXPIRATION DATE FAX NUMBER - - - -B L ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE / / APPLICANT COMP NY NAME / r1 APPLICANT NAME OFFICE PHONE CilL1re1 0`I 0/Y55/( ( ) MAILING ADDRESS _ CITY,STATE,ZIP CELL PHONE (6I 30 S 33O 5 FFcf'rc� ( 1ctc (/ b ) 730 - 7327 5CONTRELATIONSHIP TO PROJECT FAX NUMBER❑ Architect '(Tenant `gent O Other(Describe) (,'153) 66/f - -,S( '5.-- CONTACT ACT NAME , PRIMARY PHONE E-MAIL ADDRESS iK4©T ((S il1ej1 .. ( (t206) 730 - 75-x?y ,..--- LENDER NAME oeuveditavcceeds 5Oq MAILING ADDRESS CITY.STATE,ZIP " "- :• ' 'f, u ' .?., ,: DETAILED EUILDING INFORMATION f EXISTING USE 061 r(' ti o '1' e iC$S/%. PROPOSED USE b 17•C A.)2 1/ EXISTING ASSESSED/APPRAISED VALUE $ ) 7 5 0,00 0 VALUE OF PROPOSED WORK $ � U SPRINKLERED BUILDING? /\YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED ? ES a NO i WATER SERVICE PROVIDER AKEHAVEN O IGINE O TACOMA O PRIVATE(WELL) SEWLR SERVICE PROVIDER �VEN 0 IUGHLINE 0 PRIVATE(SEPTIC) f . ..y.}:.a, PROJECT FLOOR A�iEAS _ sem..._,_--._:_.__. AREA DESCRIPTION EXISTING SI.FT. PRO - ED SQ.FT. TOTAL BASEMENT SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL EXISTING .TOTAL.PROPOSED TOTAL EXISTING AND PROPOSED HOW MANY FLOORS? "NEW HOMES ONLY" NUMBER OF BEDROOMS— ESTIMATED SELLING PRICE $ J 2e+..3 ;tg-'7 r rk` oL. :a �# fjr-4" -aw yw e3.. ng 1�a :s s ,*?-A"d Via.:_ 5• :y 1=� :r?=;. j . : 2i. . . .- : ._ A • ¢ - Indicate number of each type of fixture to be installed o rA9cated as part of this project. Do not include existing furfures to remain. • MECIiAMt AL ry/�) Value of Mechanical Work $ v��// GAS LOGS REFRIG.SYSTEMS AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES FANS BOORS tcemmacciat) BBQS RANGES MISC(Describe) COOMERS FIREPLACE INSERTS COMPRESSORS FURNACES GAS WATER HEATERS • DUCTS GAS PIPE OUTLETS PLUMBING SHOWERS WATER CLOSETS honey MISC(Describe) BATHTUBS(or rub/st�.«cam�t j GAS PIPE L SINKS DRINKING FOUNTAINS DISHWASHERSSUMPS RAINWATER SYST OUTLETS HOSE BIBBS I WASHING MACHINES URINALS VACUUM BREAKERS Ems£WATER HEATERS I IAVS is wno Sulks! . I .:.��: .'V' -„ SIQGNATUREBIADB .4- ., ` . ;"` �rr �a/��gy���a�p_ r = ISyyq{Yii�s�� '.,.��K-rpt ��z�."�i ..- x't 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 am authorized by the owner of the above premises to perform the work hi htthe permit applicurrio isn the t made. Iifurioe fther ndrde to h l d f harmless the City of Federal Way as to any claim(including costs, expenses, wnd such claim) which may be made by any person,including the undersigned,and filed against the City of Federal Way,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. ,( l` ( �f'�y/Cede frs DATE 0/2g/t) NAME/TITLE t 1 K4�% �' X i s��f�T I l l (Thiel_ .. (Signature) I RELATIONSHIP TO PROJECT ❑ Owner '1. gent ❑ Contractor ❑ Architect ❑ Other i / ` 1 FnROFFIC :i S,NL -z. • o NEW _a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT ( BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO I ZONING DESIGNATION CHANGE OF USE? a YES o.NO INEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO f ik\Handouts-Revised\['etmit Application Bulletin II 100-March 30,2004 - Page 2 oC 4