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05-100340 City of Federal Way Mechanical Permit #: 05 - 100340 - 00 - ME Community Development Services P.O Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-305C Project Name: ST THERESA'S CHURCH Project Address: 3939 SW 331ST 54' Parcel Number: 142103 9031 Project Description: Add 1.5" gas piping manifold under class 1 hood Owner Applicant Contractor CORP CATHOLIC ARCHBISHOP ALLISON'S GAS ALLISON'S GAS 910 MARION ST 3217 S EDMUNDS ST 3217 S EDMUNDS ST SEATTLE WA SEATTLE WA 98118 SEATTLE WA 98118 98104-1274 (206)841-4801 Mechanical Valuation 1200 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description Quantity Description Quantity Gas Piping 1 Number of Gas Outlets 4 PERMIT EXPIRES July 25,2005. Permit issued on January 26,2005 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use ill be in accordance ith the laws,rules and regulations of the State of Washington and the City of Federal Wa I Owner or agent: , g & �� Date: 2 - O 5 I THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record - Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-100340-00-ME Owner: Address: 3939 SW 331ST ST FEDERAL WAY, WA 98023-2638 This card is part of your required inspection documents. 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. ❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test) Approved By Date By / Date 7///6kr By / f Date 24. 5.-- s i A... RECEIVED 0 57 _0_031 CITY Of Federal Way 'PERM 2 6 2005 SF MF C(0 L PL DE EN FP OOMMUN1YDEVELOPM TSERt7CCS' 333254^�AVENUESOU77!•voBOX 97FFEDERAL APPLICATION FEDERAL WAY,WA 98 �J� _� . 253-835-2607•FAX 252G09� s W�t�mederd�vconRUILDING DEPT. The ollowi • is re• fired in ormation-an inco •lete • ••lication will not be acce•ted. Please •rint Ie•ibl in i or • 1111 PROPERTY INFORMATION / SITE ADDRESS -3 93 7 ))/ J r d ev,/9 f(ph.- 1 SUITE/UNIT• ASSESSOR'S TAX/PARCEL# I I/ 2 ( 4 2 - 1 LOT SIZE(sj7 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 31' �e e t S a s q, dfck (Attach separate pagefor lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) Alia I Pt 7 45 pp,nJ iln ariif1,41 under c10,Ss 2 good PROJECT NAME(Name of Business or Owner Last Name) Al/ i Sot 5 Ca.5 11 PEOPLE INFORMATION PROPERTY NAME /{ PRIMARY PHONE OWNER Corçr7 ("� ' ` 0Ii c /� ( ) - 31�ING A)�DRESSrt TY,STATE,ZIP ell t rc / (iti Vi/y 7 EW / CONTRACTOR COAi/ sotj ANY NAME / APPLICANT NAj/ n, T r OFFICE PHO E l6a - Jim (2t' )8y / -yi41 MAILING 32.iDRESS/ - Ao/f J/ ( STATE /' n�// ^ (Z�H�N�y - ��©` CITY OF FEDERAL WAY BUSINES LICENSE NUMBER J�ph�i EXPIRATION DATE OY FAX N4MBER - - - (� ) X60 - )7b8 B L CONTRACTOR'S REGIST TION NU BER(co of c d required with each application) EXPIRATION DATE A4 c Z --5 cQ 2 12 i06 APPLICANT CON1PANY NAME APPLICANT NAME OFFICE PHONE /b IDA i Cal ( 1 - MAILIN ADDRESS CITY,STATE,ZIP - CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER o Architect ❑Tenant 0 Agent o Other(Describe) ( ) - CONTACT NAME , ]//586 (RIMA )Hn/ - /')o E-MAIL ADDRESS J fin /Q' t 1 (S// LENDER `:'2t�;fp a i- ". ,n o�;`obis NAME MAILING ADDRESS CITY,STATE,ZIP IN DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $-i SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER a LAKERAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 EXISTING PROPOSED TOTAL TOTAL EXISTING SF• TOTAL PROPOSED SF "TOTAL SF NUMBER OF FLOORS -: "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ )ZO Q AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercat) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/show<rcombo) SHOWERS WATER CLOSETS(roue) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Battcom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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 the city as a part of this application. / S NAME/TITLE DATE / 'Vr ©/ (S' nae (Title) RELATIONSHIP PROJECT ❑ Owner ❑Agent Contractor 0 Architect ❑ Other 6 D N lP., ri*�FAAITERATION b REPAIR , om• li; ENAIMPROVEMENT• ks� x•, i'`.:. 3 BASIC,PLAN?f a YES • tNO"'--tik x�' 11444 CHANGE OFUSE?, ?».= , ❑YES, "k UIRED?= 1 1 O UP SEPA SU? _' v =a YES '.71":;!#-r ED s • *„3••• 0: '' K = . DEMO PERMIT UIRED? r Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application