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
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be included on this permit only
NAME() Df�
PROPERTY OWNER
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E-MAIL
CONTRACTOR
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FEDERAL WAY HII8HVE88 LICENSE 6
NAME• 61 L&
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APPLICANT
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oil
ZIP V �
FAX
PROJECT CONTACT
NAME Of
P PHo
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(J���
(The individual to receive and
respond to all correspondence
all c
concerning this application)
cr"Y - J6 Y o�
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sTA`
ZIP J�
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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
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Bulletin 4 100 - January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application