11-100829 •City of Federal Way • Mechanical
Community Development Services Permit #: 11 -100829-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 ec
Ins tion Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: TEMPLO ALFA Y OMEGA CHURCH
Project Address: 2020 S 314TH ST Parcel Number: 092104 9053
Project Description: (2)duct runs and installation of vent fan.
Owner Applicant Contractor
TEMPLO ALFA Y OMEGA RANGER HEATING&COOLING RANGER HEATING&COOLING
810 SW 307TH ST 4014 61ST AVE E RANGEHC905OM(9/1/12)
FEDERAL WAY WA 98023 FIFE WA 98424 4014 61ST AVE E
FIFE WA 98424
ddltNc► 13rmlt Inform
Mechanical Valuation 500 Is this an Online or O.T.C.application? Yes
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Ducting 2 Fans 1
PERMIT EXPIRES Monday, August 29, 2011
Permit Issued on Wednesday, March 2, 2011
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
vd the City of Federal Way.
Owner or agent: ,. \ _ L._ --V Date: `> Z
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PN *110/!)
THIS CARD IS TO REMAIN ON-SITE
��TY�� ` Construction Lection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11-100829-00-ME Address: 2020 S 314TH ST
Project: TEMPLO ALFA Y OMEGA FEDERAL WAY, WA 98003-5475
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.
El Mechanical Rough-in (4165) El Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By F- � Date 319 /f By Date By F�1-- Date 3/toit
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. . .arras A ERMIT VV
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Federal Way MF CO & PL DE EN FP
COMMUNITY DEVELOPMENT E ECEI � LI CATI O N
253-835-2607•FAX 253-8
www.cituoffederalwau. m
MAR 02 *LWI
SITE ADDRESS SUITE/UNIT
z tc ,C DEC v�AY
PROJECT VALUATION L'ZOIlING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING aMECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT -.
(Tenant Name/Homeowner Last Name) 1 t2iAAP t, 0 ritA y� l o f
PROJECT DESCRIPTION i' (NC ft- 1.)°•1t( "1 C., 011--14( (/ •,400(-t7C!NS _
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Vk/t rl LI-, 4c,r4,4 Li lJ l� im WA
MAILING ADDRESS E-MAIL
ZCZc '• 3('f' S:- .-
C (A)14‘4 STATE ZIP
s
NAME * PHONE
ZANiAG1z (-4 kr(MA 't C,ccL-4,\; ' ' `l(3 7( :.
AMAILING ADDRESS .n�^
;, TO '1014"( liT tel! -
r, E-MAIL
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/4NC°SHL`1 C C,w\. / /
NAME. PHONE
is\NiN.'a) jr--�itat,: -)t,Iz- - 1/4/%4"--1A7 a-,
APPLICANT MAILING ADDRESS E-MAIL
`, (AS A?b\I lc
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and ivv
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME0 OWNER-FINANCED
Required value of$5,000 or more
(RCW19.27.095) MAILING ADDRESS,CITY,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 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 of this application.
.,SIGNATURE: . ^- DATE ( Z 1
PRINT NAME: `' C.I.iA-►L4..)€1 i..
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
411
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ 1-1't (a copy of bid or estimate must be provided)
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
4-. DUCTING 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) 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(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of
in Square Feet p Y Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of
in Square Feet P Y Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application