03-105130e
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 - 105130 - 00 -}VIE
Inspection request line: 253.835.3050
Project Name: CHRIST'S CHURCH
Project Address: 941 S DASH POINT Rd Parcel Number: 052104 9092
Project Description: Replace heat pump in existing church building (not addition).
Owner
Applicant
Contractor
CHRISTS CHURCH AT FED WAY
ADVANCED FILTER & MECH INC
ADVANCED FILTER & MECH INC
941 S DASH POINT RD
418 VALLEY AVE NW UNIT B115
418 VALLEY AVE NW UNIT B115
FEDERAL WAY WA
PUYALLUP WA 98371
PUYALLUP WA 98371
98003-3795
(253) 770-2440
Mechanical Valuation..........................................7580 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description—Description Quantityl I Description Quanti
Air Handling Units 1
Owner or agent: ' Date: _
RECEIVED
N NOV 1 7 2003 CONSTRUCTION PERMIT APPLICATION
CITY OF �`/
Federal Way CITY OF FEDERAL WAY PPLICATION NUMBER: 0-3- O _ 1 3O =
BUILDING DEPT, PPLICATION NUMBER: _ _ -
PPLICATION NUMBER: - -
—The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE Of PROJECT (This application): o BUILDING ❑ PLUMBING D HeCHAMCAi O DEMOLITION
o ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRONG DESCRIPTION (Provide detailed description): .1 �l �Q t py"V'p
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO r
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL) ,
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT NAMEt _ C tW1 S+
PEOPLE INFORMATION
PROPERTY OWNER: NAME:
; /DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR:
NAME:
A�ck.j ce -F; 4tr k- mtc�6vi1 M 1 ►a
I DAYTIME PHONE:
; (25-�) 770-
2440
' MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
❑,-� `VGles/ N-\'� P5Ai(A(6 ICA q
EVENING PHONE:
( )
-
CITY OF FEDERAL WAY BUSINESS 410ENSE NUMBER: ( '
i FAX NUMBER:
(153)7-7o-
z44
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required) K D 4 (2;
I EXPIRATION DATE:
1-?—/ '-A
/0q
APPLICANT:
NAME:
TIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
RELATIONSHIP TO PRO)ECT:
o ARCHITECT O TENANT O OTHER ( DESCRIBE):
FAX NUMBER:
I
j E-MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER o APPLICANT o CONTRACTOR
DETAILED BUILDING • •
EXMT1NG USE: V(-c,1A EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
I
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO r
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL) ,
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
eROPOSED SQ. FT.
TOTAL
BASEMENT
R "
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
MECHANICAL �
AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
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 for which the permit application is made. 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 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 a city as a part of this application. i
NAME/TITLE; DATE: 41 `-7 10)
❑ PROPERTY OWNER ❑ APPLI T ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.dtvot'federalway.com
RECEIVED
NOV 17 2003
CITY OF FEDERAL\. AY
BUILDING
�RT\iI -! !_"130R ANIt !ND't S.r-RIES
LICENSED AS "RCI ''IDED BY LAW AS
E -EC CONTR 'rVAC/RFRG
LICENSE
EC6A ADVANFM009C9 03/01/2004
EFFECTIVE: DATE 03/01/2000
ADVnNCED FILTER & MECH INC
418 VALLEY r,V N-4, BLDG B 5115
PUYALLUP WA 98-371