21-101762City of Federal way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CROSSROAD CHURCH OUTREACH CENTER
Project Address: 716 S 348TH ST
Building - Commercial
Permit #:21-101762-00-CO
Inspection Request Line: (253) 835-3050
Parcel Number: 233145 0030
Project Description: Occupancy inspection to establish tenancy in previously created suite.
Owner
Applicant
Contractor
Lender
UKRANIAN FEDERAL CREDIT
CROSSROAD CHURCH
UNION
PO BOX 4624
824 E RIDGE RD
FEDERAL WAY WA 98063
ROCHESTER NY 14621
Census Category: 437 - Commercial alt / add / conversion
Includes:
41
92
#3
#4
Occupancy Class:
B
Construction Type:
Tye V - B
Occupancy Load:
49.00
Floor Area (sq. ft.)
3,329.00
Additional Permit Information
Occupancy #1 - Area (Sq. Feet .....
3329
Occupancy #1 - Construction Type ..............
Type V - B
Mechanical to be Included? ...............
No
Plumbing Work Valuation?.............................
0
Mechanical Work Valuation? ..................................
0
Number of Stories................
I
Is this an Online or O.T.C. application? ..................
Yes
Permit for Building Shell Only?..............................
No
Plumbing to be Included? ........................................
No
Will Certificate of Occupancy be Issued?...............
Yes
Occupancy #1 - Use .................. Professional
..............................
Services/Offices
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, 31 October, 2021
Permit Issued on Tuesday, May 4, 2021
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
WP'5 and ity of Federal Way.
Owner or agent: Date.
City of Federal Way
Certificate of occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
11110 of the International Residential Code is certifying that at the time of issuance, this structure was in
compliance with the various ordinances of the City regulating building construction or use. This certificate is valid
ONLY when endorsed by City staff.
Tenant Name: CROSSROAD CHURCH OUTREACH CENTER
Address: 716 S 348TH ST Suite B
Includes: #1 #2 #3
Occupancy Class: B
Construction Type: Type V - B
Occupancy Load: 49.00
Floor Area (sq. ft.) 3,329.00
Owner Name: UKRANIAN FEDERAL CREDIT UNIC
Owner Address: 824 E RIDGE RD
ROCHESTER NY 14621
Building Official
Permit # 21-101762-00-CO
#4
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severely affect the health and safety of the general public. Although the City has made as complete
a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees
nor warrants to the owner/ occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101762 00 Address: 716 S 348TH ST Suite B
Project: UKRANIAN FEDERAL CREDIT UNt FEDERAL WAY WA 98003
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 Final - Building (4050)
Approved
By VW Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVEIPERMIT APPLICATION
CITY OF
Fades � WaJAY 0 4 2021 PERMIT CENTER + 33325 V Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
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PEPERMITNUMBER �j�. W 0 1 � �� ! Sy J TARGET DATE T
SITE ADDRESS A
SUITFAUNIT P
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAXIPARCEL 0
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING O FIRE PREVENTION
NAME OF PROJECT
- r
rim
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
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PRIMARY PHONE
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PROPERTY OWNER
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EMAIL
STATEbJA
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I ZIP
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NAME
PHONE
MAILING ADDRESS
EMAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 0
EXPIRATION DATE
USI ■
NAME�CQ s
ONE
PRIMARY I �T -1 ~ 'L V • V
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APPLICANT
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FAX
NAME
PRIMARYPHONE
PROJECTCONTACT
(The individual to receive and
MADUNG ADDRESS
E4"L
respond to all correspondence
concerning this application)
CITY STATE
ZID
FAX
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is S5,000 or more
(RCW 19.27.095)
MARM ADDRESS, CITY, STATE, aP
PHONE
1 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 Fled 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: _ DATE 051 n U j ka _
�finn
PRINT NAME: C) �Xe_CO3 uX00CA
Bulletin #100—February 19,2020 Page 1 of k:\Handouts\Permit Application
y
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture 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(da,.,,..)
BOILERS FURNACES HOT WATER TANKS (G„/
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS ,o Tr ,s,n-. C-4.)
LAVS (w Sm ) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (K�d. tib,l WATER HEATERS (0. )
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CR=ALAREASONPROPERTY?
WATERPURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTINWREVIOUS USE
LOT SIZE (In Squ Fw0
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
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
— - —
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL— REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
^
TENANT AREA ONLY
PROJECT AREA ONLY