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05-102198 • City of Federal Way Mechanical Permit #: 05 - 102198 - 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) 835-3050 Project Name: CHRIST'S CHURCH Project Address: 941 S DASH POINT Fut Parcel Number: 052104 9092 Project Description: Install(4)air conditioning units to existing gas furnaces with cooling coil.Not rooftop mounted. Owner Applicant Contractor CHRIST'S CHURCH AT FED WA AIR SYSTEM ENGINEERING INC AIR SYSTEM ENGINEERING INC 941 S DASH POINT RD 3602 S PINE ST 3602 S PINE ST FEDERAL WAY WA 98003 TACOMA WA 98409 TACOMA WA 98409 (253)572-9484 Mechanical Valuation 8240 Over the Counter Permit No Mechanical Fixtures Description Quantity Description Quantity Description Quantity Air Handling Units 4 PERMIT EXPIRES November 14,2005. Permit issued on May 18,2005 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. n Owner or agent: )/y�);t (211"kDate: S—( B 0 r ' THIS CARD IS TO REMAIN ON-SITE • CITY OF Community Development Inspection"Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-102198-00-ME Owner: Address: 941 S DASH POINT RD FEDERAL WAY, WA 98003-3795 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. 0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By�`f Date )?Q/c ' 'RECEIVED -4111" A�'F� MAY 1 0 2005 95'i.. J i t 1 a "GRP OF 7^'�wT'' Federal Way PERFFEoERAL WAY SF MF CO 0 L PL DE EN FP COMMUNITY DOPMENT SERVICES AP P LI SAT PTF 33325 8THAVENUEUE SOUTH•PO BOX 9718 FEDERAL WAY,WA 98063-9718 'ID 253-835-2607•FAX 253-835-2609 ' / („f / 6 www.cduoffederaiwau.com The ollowin• is re,uired ormation-an incom,lete a, •lication will not be acce,ted. Please •rint le'•'I_ (in ink)or . ��JJ ('� • PROPERTY INFORMATION SITE ADDRESS 94- / c t7• 4�-/ ,d-/n` Ie,Aade SUITE/UNIT# ASSESSOR'S TAX/PARCEL# , 5 Z / © et/- - 7 17 7 2_ LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estntns,Lot 1) (Attach separate page for length/legal description) ■ PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING 0 PLUMBING )(MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PR• ',. DESC' I' 0 (Provide detniind description of work included on this a ermit on I r ) L / A7`4. Z / y Zi/5L7 / / / PROJECT NAME(Name of Business or Owner Last Name) `<h"rf l i 4 '// d., • PEOPLE INFORMATION PROPERTY NAME G /�i � PRIMARY PH OWNER eh- &fr (15) /J1 r 7f37 MAILING ADDRESS j ..,'' A . STATE,ZIP , 9ef-( 1)e, a.‘AA"& 1/14-4i //7 Ga- 9,/1,Y CONTRACTOR COMPAN)NAME ./ r / APPLICANT NAME OFFICE PHONE ,6 y /)i rlf'r4e ( 5?) 5)a - 9 dci MAI IN AD d crry,STATE,ZIP CELL PHONE 2,42,4 - Xi Af e St. 7:44",-/A %'i1g�*O7 ( ) — - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE , FAX NUMBER 1 - 3- D © O oar te -B L 12 /31 / I ' (dc! ) 3d3 - 63,, CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE 0 I J' K e ? z f le d/ / / APPLICANT COMPOI NAME i / APPLICANT NAME OFFICE PHONE v 47/4 s7.4./� ,4, ()5q) s,2 - 9' MAILING ADD S CITY,STATE,ZIP CELL PHONE 360.2 .('. Pi%�e it 7w �vs, 9:4y ( ) - RELATIONSHIP TO PROJECT /y� FAX NUMBER ❑Architect 0 Tenant ❑Agent Other(Describe)///M /, 44kl4 (2-c3) 3cP3 -(p3�7 CONTACT NAME/04:6 WetPRIMARY PHONE (7cz) 572 - 941 E-MAIL ADDRESS LENDER Per p 19 o/ ��irgbmation is NAME required(fprvellot value ilr seeds$5000 MAILING ADDRESS CITY,STATE,ZIP II DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. Sg.FT. Sg.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS Ema rPSOPO.so TOTAL TOTALM ITA°IT TOTAL-PROPOSED IF TOTAL SF **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indirate number of each type of fixture to be installed or relocated as part of this project Do not inclutln existing fixtures to remain. MECHANICAL Value of Mechanical Work S ; I AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commec„q WOODSTOVES BOILERS FIREPLACE INSERTS RANGES ,MISC(Descri e) COMPRESSORS FURNACES GAS WATER HEATERS afinge Qnev DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSKIS moue) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(Bath,00mSinks) 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 ci . including its officers d employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE II' DATE U 0 (Si a ature) (Title) RELATIONSIIIP TO PROJECT ❑ Owner ❑Agent Contractor ❑Architect ❑ Other a NEW a AMMON o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? as YES a NO NEW ADDRESS REQUIRED? a YES a NOUP/SEPA/SU? a YES o NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application