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16-104792Plumbing City nityDFederal elopmeWay i Permit #:16 -104732 -00 -PL Community Development Dept. 161: -'_a 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 8352607 Fax: (253) 835-2609 Project Name: CHURCH OF BLESSING Project Address: 1430 S 330TH ST Parcel Number: 172104 9045 Project Description: ALT - Underground plumbing work only to install sanitary sewer piping to connect toilet, lavatory sink and mop sink (by others). Separate Permit required for fixtures Owner Applicant Contractor CHURCH OF BLESSING RYAN BURRELLWESTERN MECHANICAL WESTERN MECHANICAL SYSTEMS INC 1430 S 330TH ST CONTRACTORS WESTEMS921BG (InII2) FEDERAL WAY WA 98003 1911 SW CAMPUS DR 1911 SW CAMPUS DR SUITE 321 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Lavatories 1 Sinks PERMIT EXPIRES Monday, 2 Permit Issued on Wednesday Sed I hereby certify that the above information is and the occupancy and the use will be ig Owner or �J Va u f Co �v and the GOii of F 2 Water CloSa 1 017 2016 ruction on the above described property rules and regulations of the State of Way. Date: arr of THIS CARD IS TO REMAIN ON-SITE ���� Federal Way Construction Inspection Record y INSPECTION REQUESTS: (253) 835-3050 PERbW #: 16104792 00 Address: 1430 S 330TH ST Project: CHURCH OF BLESSING FEDERAL WAY WA 98003-6302 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 Plumbing Groundwork (4190) 0 Rough Plumbing (4230) 3❑ Final - Plumbing (4075) Plumbing Groundwork (4190) Rough Plumbing (4230) Final - Plumbing (4075) By � Date 10 to (� By Date By Date 0 Rough Electrical Final Electrical Right of Way Approved Approved Approved 13y Date By Date By Date RVEIVEp ,► SEP PERMIT APPLICATION CITY Of � 2 8 2at6 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 Federal Way CM OF: FEDERAL VVAy 253-835-2607 + FAX 253-835-2609 + ermitcente a' cityoffederalway. � CD PERMIT NUMBER 7-qZ- C jo D TARGET DATE SITE ADDRESS E/ 1y30 e(W W 003 PROJECT VALUATION ZONIN ASSESS TAX/PARCEL# e5 q TYPE OF PERMIT ❑ BUILDING fid PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT ("ktLM11 COF lin Ir4cmt", ; PROJECT DESCRIPTION Detailed description of work to j,, 1 1 � C-4^ < < LA\4Iv nAP an llAt4 7n k be included on this permit only NAME A Fe0. P'Q� I W C PRIMhIPNE 153 — A-36 -9, Tc PROPERTY OWNER MAYNGAODM g�L GUS CI rSTATF � W ZI� W 3 NAME LJe �errt PHONE .2-S,3 Cs MAI 11 k ! E-MAIL,�r rer � lwxh- O's CONTRACTOR ,s - `�M CIT'rid vV t iAl tQ-s�� —'" 1,14,& 3 {�1Y --✓ V A STATE E��1I JJrr^^�CONTRACTOR' ICENSE. 8 � EXPIRATION / � E 611/(5/18 FEDERAL WAY BUSINESS LICENSE � a �3 L NAME 6(krr VU4 A-53 MARY PH MAILING DRESS %� C&04 s br 4Q39,1n E-MAIL AAAU_k APPLICANT C eraj Wa W� �R8o23 X53 qq(p q iso NAIIIR, - BI ✓t 8bl��i� MY PHONE PROJECT CONTACTMAI �� ��C wl ) ' ✓ MAEL �n/,�yl M sal- y iL (3 1 `N (The individual to receive and respond to all correspondence C`Tz�l e4w e , \ 0 �J STATE �V /TP -119023 9,53 (P 9 concerning this application) PROJECT FINANCING NAME R OWNER -FINANCED When value is $5,000 or more (RCW 19.27.095) 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 re ance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of th' pplication. SIGNATURE: DATE 1/ A PRINT NAME: Nenwn P)urre Bulletin #100 — January 29, 2016 Page I of 2 kAHandouts\Permit Application 05 QS I M 0 PLUMBING PERMIT CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VA LUE OF MECHANICAL WORK MECHANICAL PERMIT # of Stories Additional Information VALUE WORK EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? Indicate how many of each type offirWre 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(commemal BOILERS FURNACES HOT WATER TANKS iGosi COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS # of Stories Additional Information VALUE WORK EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? so— ADDITION ❑ Yes ❑ No LOb qC Indicate Indicate how many of each type offixture 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 # of Stories WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS 4— OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS n� � rffrem DRINKING FOUNTAINS SINKS (K-hen/Uoecy) WATER HEATERS (E)eadqj 7 (C 1 Z µd P S -AK HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS # of Stories Additional Information NEW BUILDING EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ADDITION ❑ 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) -......._..-.._.-.....-........-........-.....-.....-.------...-----.-.._..-.---------.... Area Totals EMSTING PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 —January 29. 2016 Page 2 of 2 k:\Handouts\Pennit Application 4.- Bulletin .