01-104840 r
City or Federal Way
Con purity Dei^lopment Services Mechanical Permit #:01 - 104840- 00- ME
.
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
a
—7
Project Name: NORTHWEST CHURCH
Project Address: 34830 21STtS W Parcel Number: 542350 0630
Project Description: MECH-Install 17 package HVAC units, 1 gas furnace, I well heater, 10 exhaust fans,1 pressurization
fan and associated outwork.
Owner Applicant Contractor
NORTHWEST CHURCH*NORTHWEST CHI MIKE LEAHY EVERGREEN REFRIGERATION INC
PO BOX 25110 727 S KENYON 727 S KENYON
FEDERAL WAY WA 98093-2110 SEATTLE WA 98108 SEATTLE WA 98108
(206)763-1744
Mechanical Valuation 195000 Over the Counter Permit No
Mechanical Fixtures
' Description `-` '' Quant i` Description!` Quantity ''r' `3,'.`- Description Quantity
Air Handling Units 18 Fans 11 [Furnaces ] 1
CONDITIONS: M
1.Per FWCC,Sec.22-960,Mechanical vents,penthouses or equipment that extends above the roofline must be screened
adjacent streets and properties. In this case,screening will be accomplished by a combination of the existing sanctuary -
building,the proposed parapet,perimeter landscaping,and painting.
2.A mechanical screening inspection is required prior to final inspection. Please call Heather Smith at(253)661-4594
twenty four hours in advance to schedule the inspection.
PERMIT EXPIRES August 28,2002,IF NO WORK IS STARTED.
Permit issued on March 1,2002
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.
Owner or agent:_ %e Date: l MQri
&-/2142— lc'Cr' .c-oo / /✓ Sokot
b V 1
�s 6eIk i4esfr55 $ .
?"-/.7.00 , ,
kn-e-dzt ,69A. /)..„, cc),-,;,1,-../c4.5 eao
--(2-705 /iis, L.A./1,f.- . iFt iiwit )eigo>
4.1 '
f 1 )4n Th1I,.
«^� CONSTRUC 11 N PERMIT4E04
.�-<F RECEIVED O APPLICATION
.„-___.•_-- APPLICATION NUMBER: fS
DEC 7001
APPLICATION NUMBER: -
APPLICATION NUMBER: _ _
**TWall igig rYYinformation—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
' ■ PROPERTY INFORMATION
SITE ADDRESS: .3 II 64::)U ` I A42. S‘"\/ ASSESSOR'S TAX/PARCEL#: S Z 3 5c - v 6 3 V
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑-FARE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): I r\S\-w 1 \ I ` P L� WT-L.._ V' r>
I <3`i S r r,�c� 1 ....,.mke., 1 lb e� �.e.„*. fps i 1 6'rc.. s rz..
PROJECT NAME: / v Y V Ch ((ArN
:- ■> PEOPLE INFORMATION _
PROPERTY OWNER: NAME: DAYTIME PHONE:
NW CL,..c . ( ) -
MAILING ADORES (STREET ADDRESS;CITY,STA ZIPL �C� �/� / ��lJ,lc S —Z I ((�
p o r). ,,< �S 1 H v
CONTRACTOR: NAME: Q] I DAYTIME PHO E:
MAILING v e(r (ADDRESS;CITY,STATE,ZIP):r
,, e r.,� f C7 ,N ( Q�1.1 ) 7GEVENING 3 3
E -171-H
NE:
-7 Z-7 S (Ge,-, yo....) S \-- SeaAA\e- 5 )\a'' ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) 6 v E it- (a L rt c) 1 O -T -7 / -3 i /01
APPLICANT: NAME: DAYTIME PHONE:
�� /h I ke. Le4.l-,_� (-mob) 7G.1 - r 7'11-1MAILING AD (STRE DRESS;CITY,STATE,ZIP): EVENING PH/ONE:
RELATIONSHIP
-77;7
'' �OJECT5 I�� ••10,-.3•10,-.3 °A-\l`C.. -- ` 9 bl0% ( "\\"
FAX NUMBER:
❑ ARCHITECT ❑ TENANT ErOTHER(DESCRIBE): / leC.� Com..\- ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
' - •.M::DETAILED BUILDING INFORMATION
EXISTING USE: Cl.ur'c, EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: C.,...rc.‘-N, PROPOSED VALUATION FOR IMPROVEMENTS: $ 11s/ 7
SPRINKLERED BUILDING? ❑ YES 9 NO 7 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ N0'2
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 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 COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) I FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) l 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) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
1.1 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding 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 suppl".= •• the "ty as a part of this application.
NAME/TITLE: a..• DATE: I Z It) /d \
❑ PROPERTY •WNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ._ "❑ADDITION ❑ ALTERATION II;;REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: .. LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP_PLAN DESIGNATION BASIC PLAN? ".! ❑YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLAITED LOT? ❑YES ❑ NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P0 BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129