04-103373s
City of Fgderal Way = BiuilCli1111ouarcial Permit #: 04 - 103373 - 00 - CO
m Covmnity Development services
P.O. ,3ox 9718
Federal Way, WA 98063-9718
Pb: (253) 835-7000 Fax: (253) 835-2609 Inspection request line: (253) 835-3050
Project Name: CHRISTIAN FAITH CENTER
Project Address: 33645 20TH AVE S Parcel Number: 212104 9063
Project Description: NEW - Sanctuary building foundation only permit
Owner
Applicant
Contractor
Lender
CHRISTIAN FAITH CENTER
ABBEY ROAD GROUP, LLC *GILE`
LLOYD ENTERPRISES, INC
CHRISTIAN FAITH CENTER
PO Box 98600
1001.SHAW RD
LLOYDI*238QB 4/15/05
PO Box 98600
PUYALLUP WA 98372
PO BOX 3889
PO Box 98600 !Seattle, WA 981984
1
1 FEDERAL WAY WA 98063-3889
1 PO Box 98600 !Seattle, WA 98198-(
Includes:
Census category: 319 - New clip
Occupancy Group:
Construction Type
1 Occupancy Load: 1
Floor Area (Sq. Ft.); - - -- — - —
Census Category ................................................. 319 - New churches and other Mechanical................................................. No
Number of Stories .......... ..................................... - I Permit for Building Shell Only ............................ No
Plumbing................................................. No
PERMIT EXPIRES April 12, 2005.
Permit issued on October 14, 2004
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. ��V
Owner or agent: vUP' ( Date _ � I I o 1
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THISDevelopment
IS TO P—MAIN ON -SITE
CITY OF ��+� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103373-00-CO
Owner:
Address: 33645 20TH AVE S
FEDERAL WAY, WA 98003
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.
❑
Footings/Setback (4110)
❑
Foundation Wall (4115)
❑ Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
14 By
Date
By
Date
By Date
❑
Re -steel (4215)
❑
Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to place concrete or grout
Approved to cover
Approved to place concrete
By
Date
By
Date
By Date
❑
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By Date
❑
Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approvcd to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date
By
Date
-signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑
❑
Framing (4120)
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
❑
Suspended Ceiling Grid (4265)
❑
Final - Fire Department (4060)
❑ Final - Planning (4070)
Approved to drop tile
Approved
Approved
By
Date
By
Date
By Date
[] Final - Public Works (4080)
Approved
By Date
Final - Building (4050)
Approved
1
By Date
CONSTRUC, .ION PERMIT APPLICATION
�L - - --
�� FiY PPLICATION NUMBER:
AUG 2 5 2004 4 APPLICATION NUMBER: - -
^I'+'� PPLICATION NUMBER:
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 33645 � � 50. A,S�SESSOR'S TAX/PARCEL #: Please see attached.
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): Please see attached.
TYPE OF PROJECT (This application): X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Sanctuary Building Foundation only.
PROJECT NAME: Christian Faith Center
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
Christian Faith Center (206) 870-3585 (Ellen)
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
PO Box 98600, Seattle, WA 98198 - Mailing, 21024 24th Avenue South, Seattle, WA 98198 -Street
NAME: DAYTIME PHONE:
Lloyd Enterprises, Inc. (253) 874-6692
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
PO Box 3889 Federal Way, WA 98063-3889
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
20-00-102138-00-BL 612- 6y (253) 838-0103
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(co card required) LLOYDI*238 B 04/15/2005'--'
APPLICANT: NAME: (�/ t g DAYTIME PHONE:
Abbey Road Group - Gil Hulsmann (Agent)2 53 y b _ 35Z (253) 435-3699 ext 1510
in MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
PO Box 207, Puyallup, WA 98371 - Mailing (253) 405-1246
923 Shaw Rd, Suite A, Puyallup, WA 98372 - Street
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT X OTHER ( DESCRIBE): Agent for Properly owner (253) 446-3159
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER X APPLICANT ❑ CONTRACTOR ghulsmann@abbeyroadd rouoxam
— s IViam abbe road rou .com
DETAILED BUILDING INFORMATION
EXISTING USE: N/A EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: Church and Pvt. School Campus PROPOSED VALUATION FOR IMPROVEMENTS: $ 1,927,500.00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSEn/REQUTWD: ❑ YES ❑ NO?
WATER SERVICE PROVIDER: X LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) (0a
SEWER SERVICE PROVIDER: X LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: NIA ESTIMATED SELLING PRICL $ N/A _
PROJECT••
FLOOR
Sanctus - Proposed SF
School - Proposed SF
TOTAL
BASEMENT
N/A
FIRST
N/A
SECOND
N/A
THIRD
N/A
FOURTH
N/A
OTHER FLOORS (DESCRIBE)
Roof Top Pump Room
N/A
DECK
N/A
GARAGE
HOW MANY FLOORS?
N/A
TOTAL:
N/A
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. (Chillers)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC.
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.
NAME/TITLE: _7T-,i_rV1j7 Gih_J4 DATE: August 9 2004
Giles (Gil) F. Hulsmann III,bir. Of Land Development Svcs. A y
❑ PROPERTY OWNER X APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ 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
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129