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18-103545City evelop Way F I L E Communityy DDevelopment Dept. NORTHWEST CHURCH 33325 8th Ave S AIR SYSTEMS ENGINEERING INC Federal Way, WA 98003 ENGINEERING Ph: (253) 835-2607 Fax (253) 835-2608 FEDERAL WAY WA 98023 Project Name: NORTHWEST CHURCH Project Address: 34800 21ST AVE SW Mechanical Permit #:18 -103545 -00 -ME Inspection Request Line: (253) 835-3050 Parcel Number: 542350 0630 Project Description: Install ductless split system to service pastor's office. Outdoor heat to be mounted to roof and secure per manufacturers installation. Install refrigeration piping between units. Owner Applicant Contractor NORTHWEST CHURCH JESSICA BRUCEAIR SYSTEMS AIR SYSTEMS ENGINEERING INC 34800 21ST AVE SW ENGINEERING (GENERAL) FEDERAL WAY WA 98023 3602 S PINE ST AIRSYE*229KN (1/1/20) TACOMA WA 98409 3602 S PINE ST TACOMA WA 98409 Additional Permit Information Mechanical Work Valuation? .................................. 6383 Is this an Online or O.T.C. application?.................. Yes Air Handling Units 1 PERMIT EXPIRES Monday, 4 February, 2019 Permit Issued on Wednesday, August 8, 2018 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 and the City of Federal Way. Owner or agent: 1 " f (6� Date: .1 CITY or '14& Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 18103545 00 Address: 34800 21ST AVE SW NORTHWEST CHURCH FEDERAL WAY WA 98023-3044 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 Rough Mechanical Rough -in (4165) Gas Piping (41257 ® Final - Mechanical (40657 Approved Approved to release test Approved By Date By Date By Date JL-2-2,— 2-2'^ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ® PERMIT APPLICATION CITY OF CE � ��/ 5 PERMIT CENTER + 33325 81hAvenue Sou 8003-6325 Federal Wadi 253-835-2607 + FAX 253-835-2609 + pc"itcentet7dcitvoffeclet alway.-.com PERMIT NUMBER _ _ I I C/ CITY OF FEDERAL WAY - - TARGET DATE COMMUNITY Y DEVELOPMaa SITE ADDRESS �SUITE/UNIT 1� 8 PROJECT VALUATION ZONING P,5 ASSESSOR'S TAX/PAR 9 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING LMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT ( U) C� LC W6 ep 11 +6 U 6�t PROJECT DESCRIPTION Detailed description of work to //,�� n 1. I ° Lk l6� 6 -4 qefc, y Cj be included on this permit only NAME() Df� PROPERTY OWNER Wrr E-MAIL Y lJL/wo-1wu l� C, Jam► ° �V' , D (n!!, E-MAIL CONTRACTOR !J Ly �J - 1- l/ I-• Crl'Y�� ,ST A ZTp/� S4 ' ` -1-TIIONVDA1 FAX 6TE IIJJ�"� _ }H'1'RACTOR'8 QEIyQE ¢ � iT FEDERAL WAY HII8HVE88 LICENSE 6 NAME• 61 L& 1L& // _ 94 APPLICANT MAHDD 0. Q L ni � I 1, CITYT , x n-�& oil ZIP V � FAX PROJECT CONTACT NAME Of P PHo rn C� � (J�� (The individual to receive and respond to all correspondence all c concerning this application) cr"Y - J6 Y o� (3V f D sTA` ZIP J� 'j U FAX PROJECT FINANCING NAME OWNER -FINANCED Men value is $5,000 or More (RCW 19.27095) 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 certgy 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 tocat, state, or federal laws regulating construction or environmental laws. I jWrther 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 apart of this application. SIGNATURE: / DATE ✓ V ! CJ PRINT NAME: `- V r Bulletin #100 - January 29, 2016 Page 1 of 2 k:`.Handouts\Permit Application J)S LOS PLUMBING PERMIT CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PERMIT rvaure to be installed or relocated as part of this project Do not include eidstirtg fixtures to remain. $ E'j 1151 Indicate holo many of each type of czture to be installed or relocated as part of this project. Do not include wdst&w iztures to remain. AIR HANDLING UMTS FANS GAS PIPE OUTLETS OTHER (Des ' ) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercien y BOILERS FURNACES HOT WATER TANKS (cos)19 LA COMPRESSORS GAS LOG SETS REFRIGERATION SYST TOTAL O DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK $ Indicate hour numy of each type of rvaure to be installed or relocated as part of this project Do not include eidstirtg fixtures to remain. BATHTUBS (or Tub/ ShawerC=bo) LAVS (H—dSmks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Des ' ) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (&tch—/utd;tA WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES T,01AM FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE EMSTING IMPROVEMENTS BASEMENT' Additional Information NEW BMLDISO V EMsTniO/pREVIOUS USE LOT SIZE (In Square Feet) EXISTING FM SPRINKLER SYSTE PROPOSED SIRE SUPPRESSION SYSTEM? �l �r (n � /l / , q ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING O TAL FOR OFFICE USE BASEMENT' Additional Information NEW BMLDISO FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY COMMERCIA — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION DECK Occupancy Group(s) Construction # of Stories GARAGE ❑ CARPORT ❑ TOTAL O %Feet LQ] OTHER (deme),, , ANT AREA ONLY Area Totals KUSMG PROPOSED 'OTS PROJECT AREA ONLY ESTIMATED SELLING PRICE I # OF BEDROOMS COMMERCIAL — NEW/ DITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BMLDISO ADDITION COMMERCIA — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area In Square Occupancy Group(s) Construction # of Stories Additional Information TOTAL O %Feet LQ] ANT AREA ONLY PROJECT AREA ONLY �. <I Bulletin 4 100 - January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application