17-104252 -
Plumbintg
City of Federal Way Permit #:17-104252-00-PL
Community Development Dept.
33325 8th Ave S r
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
•
Project Name: CHURCH OF BLESSING
Project Address: 1430 S 330TH ST Parcel Number: 172104 9045
Project Description: Install plumbing fixtures for associated addition
Owner Applicant Contractor
CHURCH OF BLESSING C N C PLUMBING C N C PLUMBING
1430 S 330TH ST 33320 E LAKE HOLM DR SE CNCPL**982PZ (10/9/18)
FEDERAL WAY WA 98003 AUBURN WA 98092 33320 E LAKE HOLM DR SE
AUBURN WA 98092
Lavatories I Other Plumbing Fixtures 5 Sinks 2 /
Water Closets 1 Water Heaters 1
PERMIT EXPIRES Sunday,4 March,2018
Permit Issued on Tuesday,September 5,2017
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
ashington and the City of Federal Way.
Owner or agent: ( %j4J( ikitr
Date: aU I
1t --- /6 4/75'2_
f;•14l-(of
I
• THIS CARD-IS TO REMAIN ON-SITE
urr 4040.4Federalof Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104252 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) [] Final-Plumbing(4075)
Approved to cover Approved Approved
By Date By AS Date 10(1.• 11 By i� Date i"#
Rough Electrical Final Electrical [J Right of Way
AppfOYed Approved Approved
By Date By Date By Date
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.„,___4,_. PERMIT APPLICATION
CITY OF
Federal Way PERMIT CENTER+ 33325 8Th Avenue South+Fe � e 0 r153-63255
253-835-2607 + FAX 253-835-2609 +permltc rk I *'+i.. ay.com
I� ( n 4_ 052 Pz--- SEP 0 5 2017
PERMIT NUMBER— — _ - _ _ TARGET DATE CIN OF FEDERAL WAY
�jj��-(� T COMMUNITY DEVELOPMENT
SITE ADDRESS S J SUITE/UNIT#
!4-� S 3..'v ! , '
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / I001,d 17- z l o 1-_ Gl'n Is-
TYPE
OF PERMIT 0 BUILDINGPLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C�kih/nCtf4 Or- 6
PROJECT DESCRIPTION /In n 68411' " s
Detailed description of work to Q 7 S//1.f(5
be included on this permit only ��/� s
/ AN �
NAME �e a. PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME //���[}11'JJ//1yy�� //"'�// CJS PHONE --
MAILINCADDRESS
! ! \/e c (—i'-, c py7/u of iv E-MAIL
CONTRACTOR 0 ^', `-/jhJ`K H Ot i es / `S
33 /^ STATE ZIP FAX
�� � $� )
� 9
WA STAT C CTOR'S LICENSE# 'RATION DATEjFEDERAL WAY BUSINESS LICENSE#
Ser/� �_1 — -
NAME ` ,qn� PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY I STATE ZIP FAX _
NAME ��J PRIMARY PHONE
PROJECT CONTACT �,/
(The individual to receive and MAILING ADDRESS
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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: _Cs1A/L / I I DATE I
PRINT NAME: 41 1 IN •
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Pennit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type offixture e 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(commermalt
BOILERS FURNACES HOT WATER TANKS(coo)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
I °�,'111-",'OPLUMBING
WORK
PERMIT $
Indicate how many of each type o f fixture to be installed or relocated asart of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) I LAVS(Henri Smks( 1 TOILETS WATER PIPING
DISHWASHERS t–f RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS �— SINKS(Kitchen/utihty) / WATER HEATERS(Electnc(
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(In 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
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__________________ _
FIRST FLOOR(or Mobile Home)
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EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of
Snna*e Feet _ p y P( ) _ Twin. Stories I Additional Information
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COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area In Construction #of
S+uare Feet Occupancy Group(s) a Stories Additional Information
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application