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07-104157Communiti Dere'oFnient Services P.O. B x 9718 1 Federal V�lay, WA 98063 -9718 (253) 8M­2607 Fax: (253) 835 -2609; IC A Project Name: BROOKLAKE I Project Address: 629 S 356TH ST r ciai Permit 07- 104157 -00 -CO D Inspection Request Line: (253) �35 -3050 Parcel Number: 292104 9019 Project !description: ADD - Construction of a 7,995 square foot addition to the existing church building, including plumbing & mechanical work. Owner BROOKLAKE COMMUNITY CHURCH 629 S 356TH ST FEDERAL WAY WA 98003 -8651 Applicant DAVID BOE BOE ARCHITECTS, PLLC 705 PACIFIC AVE TACOMA WA 98402 Contractor WADE PERROW CONSTRUCTION LCC WADEPCI.982R7 (1/13/2009) PO BOX 1728 GIG HARBOR WA 98335 Lender BROOKLAKE COMMUNITY CHURCH 629 S 356TH ST FEDERAL WAY WA 98003 -8651 1 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: A -3 h New ! Additional Sq. Feet - Ist Floor ' ................7995 Construction Type: Type V - B Mechanical to be Included ? ..... ............................Yes _ 4ecu anc Load: 446 No Plumbing to be Included ? .................. ............. ...... Yes Floor Area (s . ft. 7,995 0 0 0 Air Handling Units ......................... 3 Sinks............... ............................... 2 Mechanical Fixtures Hot Water Tank ............................. Plumbing Fixtures 1 CONDITIONS: 1.Construct South 356th Street widening and Channelization to support a two -way left turn lane extension and refuge area to provide a safer and efficient access /egress to the site. The turn lane extension must be constructed to all applicable standards, prior to Issuance of Certificate of Occupancy. 2. Refer to Cavil Plans Approved under File 07- 102822- 00 -EN, for approved civil site improvements. PERMIT EXPIRES Sunday, October 18, 2009 Permit Issued on Thursday, October 18, 2007 i here:by certify that the above information is correct and that the construction on the above described property and the and the ease will b . in accordance with the laws, rules and regulations of the State of Washington and the Cit f ederal Way. Owner or agent:. _ Date: A &16pal MhOlfinformation h New ! Additional Sq. Feet - Ist Floor ' ................7995 Existing Sprinkler ;System ip Buildings ...............Yeas Mechanical to be Included ? ..... ............................Yes Number of Stories ................................... ..... ....... 1 Permit for Building Shell Only ? ............................ No Plumbing to be Included ? .................. ............. ...... Yes Special lnspzction(s) Required " ............................ Yes New / Additional Sq. Feet - Total .......... ........ ....... 7995 Occupancy 41 - Use ..................... .........................Church Sensitive Areas? (Wetlands/Slopes, etc) ....... ......... Yes Zoning Designation .............................. ................ SE Air Handling Units ......................... 3 Sinks............... ............................... 2 Mechanical Fixtures Hot Water Tank ............................. Plumbing Fixtures 1 CONDITIONS: 1.Construct South 356th Street widening and Channelization to support a two -way left turn lane extension and refuge area to provide a safer and efficient access /egress to the site. The turn lane extension must be constructed to all applicable standards, prior to Issuance of Certificate of Occupancy. 2. Refer to Cavil Plans Approved under File 07- 102822- 00 -EN, for approved civil site improvements. PERMIT EXPIRES Sunday, October 18, 2009 Permit Issued on Thursday, October 18, 2007 i here:by certify that the above information is correct and that the construction on the above described property and the and the ease will b . in accordance with the laws, rules and regulations of the State of Washington and the Cit f ederal Way. Owner or agent:. _ Date: City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code 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: BROOKLAKE COMMUNITY CHURCH Address: 629 S 356TH ST Permit #: 07- 104157 -00 -CO Includes: #1 #2 #3 #4 Occupancy Class: A -3 Construction Type: Type V - B Occupancy Load 446 Floor Area (s q. ft.) 7,995 0 0 0 Owner Name: BROOKLAKE COMMUNITY CHURCI Owner Address: 629 S 356TH ST FEDERAL WAY WA 98003 -8651 Building Date The priority focus in 1fie review and inspection made by the City prior to issuance of this Certificate was on those matters which expgiience has shown most severiy 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. DATE INSPECTOR 1 TYPE OF iNSPECTION an 4 pad, 6 s _ fO& Rear 7 an� 7 C, Of 11 Al 1 4 -(C - r Sid/ -c air 3 r� erIw, �A a t S4 C vy f - I .- b ;3 - 21 "b � F� ��vsu�./JTlv�tl �v/� -1,�S Gti� •.� ,8 As2Gr1�- ovL -old. 312, to Ve t9 3 -Z7, 0a e L'a n % ra _ - � -Q -odd � CITY OF Federal Way • TIUS CARD IS TVSEMAIN ON -SITE E Community Development Inspection Record IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 104157 -00 -CO Owner: BROOKLAKE COMMUNITY CHURCH Address: 629 S 356TH ST FEDERAL WAY, WA 98003 -8651 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) Approved to place concrete By ')�j v Date / - I Re -steel (4215) Approved to place concrete or grout Date 1 _14-0 ❑ Underfloor Framing (4285) Approved to sheath floor By Date Roof Sheathing (4220) Approved to install roofing ❑ Foundation Wall (4115) Approved to place concrete By / %��Ci Date axIal ❑ Plumbing Groundwork (4190) Approved to cover By i' f Date ❑ Floor Sheathing (4105) Approved to install flooring By Date ❑ Rough Plumbing (4230) Approved Drainage/Downspout Approved to backfill By Ak�w_e Date -0/i/F Slab /Concrete Floor (4255) Approved to place concrete Date 1--211 ❑ Shear Walls (4245) Approved to install siding By Date Mechanical Rough -in (4165) Approved By Date 7n, lC 5 Date 3 — —�7 By Date ❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) Approved to release test Approved inspection; Electrical, Plumbing &Mechanical By J C 5 Date By rZ� Date 31,2110 Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.41UBC 108.3.4 ❑ ❑ Framing (4120) Insulation (4150) ❑Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud &tape By J C s Date 4/4/0 By J Date By Date i ❑ Suspended Ceiling Grid (4265) ❑ Final -Fire Department (4060) ❑ Final - Planning (4070) Approved to drop file Approved Approved i By Date By A,0 Date A10 (Y By -.1 Date A// ❑ Final - Public Works (4080) ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) Approved nn Approved Approved LByL,, Date / 0f By Date For' ector reference only O Aq$bffigh Electrical !] FINAL- Electrical Approvedl Approved By RIC- Date By Date !•�„� 121FInfiarnzadoV Build On SEATTLE DIVISION 24113 56TH AVE W MOUNTLAKE TERRACE, WA 98043 (425) 248 -2400' FAX (425) 248 -2401 RECEIVED " COMMUNITY DEVELOPMENT DMEN7 OCT 1 6 2007 TACOMA DIVISION 10025 SO. TACOMA WAY, SUITE H1 TACOMA, WA 98499 (253) 589 -1804 ` FAX (253) 589 -2136 FR 50884 PORTLAND DIVISION 6032 N0, CUTTER CIR. SUITE 480 PORTLAND, OR 97217 (503) 289 -1778' FAX (503) 289 -1918 :CLIENT :: Linn - Douglas Construction PROJECT:NO .: 743 -78029 DATE September 13, 2007 AgDRE$S 33006 135th Place S.E. PERMIT NO W.O. Auburn, WA 98092 MuhicIPA UTY City of Federal Way Building Inspection TOTAL HOURS EN£aI1s1EE R,: ; : ; ATTENTION::: ::: :: Mr. Peter Linenek ARCHITECT GONTRACTOft :: COPIES TO: P. ROJECT::::..:::;: '::::::::: My Gym PROJECT:ADDRESS:: ::: S. 324th Street - Federal Way PSI ON SITE AT MY GYM - FEDERAL WAY FOR VISUAL WELDING INSPECTION AS REQUESTED BY CLIENT. 11:00 VISUAL WELD INSPECTION WAS PERFORMED ON WELD CLIPS TO SQUARE TUBE COLUMN. 1.6 ALL WELDS ARE IN CONFORMANCE WITH THE LATEST EDITION OF AWS D1.1 TABLE 6 VISUAL ACCEPTANCE CRITERIA AND CONTRACTOR'S PROJECT DRAWINGS FOR SIZE, PLACEMENT AND QUALITY. AWS QC 1 ROGER J. PINES 04030331 CWI TOTAL HOURS EQUIPMENT IDENTIFICATION AND S /N #: COPIES TO: INSPECTOR: DATE: ROGER J. PINES September 13, 2007 ITEMS]NSPECTED: TO:::::: : ....... ............................... APPROVED: :::::::::::::: : CONFORMING .. NONCdIVPQI�MIt�IG x CLIENT CONTRACTOR ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER FIELD CONTACT: DATE: Ims report Is provtdea for me information of me client only. The reproduction of this report, by any method, and its transmittal to a third party, by any means, except in full, without the full permission of Professional Service Industries, Inc., is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and /or observations made within the defined scope of the work. Cehificalion shall not be construed to represent an inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries: TS - 98 -1 NAMF AN nr-F AT nT Mll FS R. PINES 11:00 12:30 1.6 44 TOTAL HOURS Edward A. Smith � Date October 7, 2007 U7o Build Ors . cbraegawom - SEATTLE DIVISION 24113 56TH AVE W MOUNTLAKE TERRACE, WA 98043 (425) 248 -2400 - FAX (425) 248 -2401 COMMUNITY RECEIVED B DE ELOPMEENTTDEPARTMENT'" FEB 1 3 2008 TACOMA DIVISION 10025 SO. TACOMA WAY, SUITE Ht TACOMA, WA 98499 (253) 589 -1804 ` FAX (253) 589 -2136 FR 55053 PORTLAND DIVISION 6032 NO. CUTTER CIR. SUITE 480 PORTLAND, OR 97217 (503) 289 -1778 - FAX (503) 289 -1918 CLIENT Brooklake Community Church FkZ:OJE.GT::NO: 742 -70234 DATE February 4, 2008 ADDRESS 629 South 356th Street PERMIT NO W.O. _ _ Federal Way, WA 98003 f MUNICIPALITY­:*': City of Federal Way Building Inspection TOTAL HOURS 6 ENGINEER::: ATTENTION Mr. Jim Pecota ARCHII ECT . __ – P.Q. NO. — — f CONTRACTOR COPIES TO: PROJI ECTI Children's Worship Center PRdJECT ADDRESS :: 629 South 356th Street - Federal Way 'This report is provided for the information of the client only. The reproduction of this report, by any method. and its transmittal to a third party, by any means, except in full, without the full permission of Professional Service Industries, Inc., is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work. Certification shall not be construed to represent an inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries: TS - 98 -1 NAME ON OFF ST OT MILES SEMAK PSI ON SITE TO MONITOR AND SAMPLE A CONCRETE POUR FOR SLAB ON GRADE AS REQUESTED BY THE CONTACTOR. 1130 LOCATED ON THE NORTH SIDE OF THE BUILDING, SLAB ON GRADE BETWEEN LING G TO D AND BETWEEN LINE 3 TO LINE 2. SAMPLE TAKEN FROM 1/3 MIDDLE OF THE LOAD AT THE TRUCK CHUTE. TO THE BEST OF THE INSPECTORS KNOWLEDGE ALL WORK CONFORMS TO THE PLANS AND APPLICABLE CODES. TOTAL HOURS 6 EQUIPMENT IDENTIFICATION AND SIN #: COPIES TO: INSPECTOR: DATE: SEAN SEMAK February 4, 2008 ITEM$ INSPE,CTEO:TO :::::::::: : ........ ............................... APPROVED: PLANS: ARE CONFORMING L:.J NONCONF. ©RMING Q:: x CLIENT CONTRACTOR ENGINEER x BUILDING DEPT. ARCHITECT SUPPLIER FIELD CONTACT: DATE: 'This report is provided for the information of the client only. The reproduction of this report, by any method. and its transmittal to a third party, by any means, except in full, without the full permission of Professional Service Industries, Inc., is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work. Certification shall not be construed to represent an inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries: TS - 98 -1 NAME ON OFF ST OT MILES SEMAK 530 1130 6 35 TOTAL HOURS 6 EDWARD A. SMITH Date February 5, 2008 1P.:ff.AFJToBui1d0n � ® 1 njoa tin,, SEATTLE DIVISION 24113 56TH AVE W MOUNTLAKE TERRACE, WA 98043 (425) 248 -2400 - FAX (425) 248 -2401 RECEIVED BY 55739 COMMUNP DEVELOPMENT DEPARTMEN? F JAN A 8 08 RM TACOMA DIVISION 10025 SO. TACOMA WAY, SUITE H1 TACOMA, WA 98499 (253) 589 -1804 - FAX (253) 589 -2136 PORTLAND DIVISION 6032 NO CUTTER CIR. SUITE 480 PORTLAND, OR 97217 (503) 289 -1778 ` FAX (503) 289 -1918 CLIENT Brooklake Community Church PROJECT NO -70234 DATE December 12, 2007 ADDRESS _ 629 South 356th Street _ PERMfF: NO- _742 W.O. 90295 CLEAR AND DRY MID TO LOW 400F. Federal Way, WA 9_8003 MUNICIPALITY :: City of Federal Way Building Inspection ENGINEER. ATTENTION Mr. Jim Pecota ARCHITECT P.O. NO. CONTRACTOR ::. COPIES TO: PROJECT Children's Worship Center PROJECT ADDRESS: _ 629 South 356th Street - Federal Way ON SITE BY THE REQUEST OF THE CLIENT FOR T -PROBE COMPACTION TESTING. MATERIAL WAS 5/8 CRUSHED AGGREGATE USED FOR BASE COURSE AT CONCRETE PAD AREA, GRID LINES A -D, 2 -6 ON THE APPROVED PLANS. THE MATERIAL USED WAS FIRM AND UNYIELDING AT THIS TIME TO T- PROBE, SEVERAL TESTS WERE DONE AT THIS AREA. MATERIAL IS WELL COMPACTED AT THIS TIME. NOTE: T -PROBE TESTING ARE SURFACE TESTS ONLY. CONDITIONS OF UNDERLYING MATERIAL IS UNKNOWN. WEATHER THIS DAY WAS CLEAR AND DRY MID TO LOW 400F. EQUIPMENT IDENTIFICATION AND S /N #: COPIES TO: INSPECTOR: DATE: LANCE LARUE December 12, 2007 ITEMS INSPECTED TO APPROVED PLANS ARE: CONFORMING L_:J NONCONFORMING x CLIENT CONTRACTOR ENGINEER x BUILDING DEPT. ARCHITECT SUPPLIER FIELD CONTACT: DATE: 1- report is provmeo Tor me imormanon or me client only. I ne reproduction or this report, by any method, and its transmittal to a third party, by any means, except in full, without the fun permission of Professional Service Industries, Inc , is prohibited.' NAME ON OFF ST OT MILES 'This certification attests to the accuracy of the results obtained from the actual test performed and /or observations made within the defined scope of me work.' Certification shall not be construed to represent an Inspection, approval or acceptance of other associated work or a warranty of design or L. LARUE 12:30 2.30 1 2 workability of the specification requirements.' A Certified Report by Professional Service Industries: TS - 98 -1 Edward A. Smith TOTAL HOURS Date January 2, 2008 09/-.3/2007 16:08 2533838041 BOE ARCHITECTS 4p x 1ZAL PAGE 02/03 s -a n -2 - � �—? ederalWay RECEIVED ronnrrrnrvriorMrnjV pERMTT . Rs O -L 933.1$ Or" AV1,1fug sorI7 a7 SF Mk E EN FP a- 5s -oars c U 1 s Z a53-635.2607- PAX 259.s,3 ,•2e09 APPLICATION ill1kwA c.�ftralmau.cam The following {s CITY OF FEDERAL WAS( an incomplete application u ilZ not be accepted. .Please print legibly ( {n ink) or type. SITE ADDRESS ASSESSOR'S TAX/1-ARCM i 1L SUITE UNIT # Q _ Q .�` LOT SIZE (sn LEGAL DESCRIPTION (e.g, ,gems Estates Lot 1) (AlRnnlp aoPmnlrl,apc,Itr I�n�1) rU Icpa7 dw.�p}lay TYPE OF PERMIT 1BtlILDINd KPLUMIIING kMRcuANICAAL U DEMOLITION ❑ ELECTRICAL ❑ ENGINMRINO ❑ FIRE PREVENTION SYSTxrxx PROJECT DESCRIPTION (Pr-Qvide detailed descrcption of work included on f A `7QCMc• _ — . _ _ f1L5.1Jerm.it o�chil PROPERTY OWNER CONTRACTOR �,No .APPLICANT PROJECT CONTACT LENDER aw- L WArebi.tect n 'Tenant ❑ Agent o Other Tsco*-ia.wa a /PRIMARY PI'IONE 3m Per RCW ,9.27.095; ,render information is If P—Ject value exceeds $s,000 PHONE E7iiSTING VSE AC3, F PROPOSED USE EMSTING ASSESSED /APPRAISED VALUE S, •50 may►^ VALVE OF PROPOSED WORT{ sPlu - fiTRI.T,,RED BUILDING? X YES Cl NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATIrR SERVICE PROVIDER X LAKMAVEN 0 HIMMINE ❑'TACOMA ❑ PRIVATE (urELL) SEWER SERVICE PROVIDER I.AiIEHAVEN ❑ HIGHLINE a PRIVATE MEPTMi t J1 CP,LL PI-10 NP RAX NUmBr-R 2— X53 ► 851 ` (v47 C1MAILAnp.FSs ormccs PHONE •-� _ ( S- )_ 383 - / G- CI'LL PFrON11; FAX NUMIaER ^ (Z53) 3 804 E-MAIL ADDR +R98 If P—Ject value exceeds $s,000 PHONE E7iiSTING VSE AC3, F PROPOSED USE EMSTING ASSESSED /APPRAISED VALUE S, •50 may►^ VALVE OF PROPOSED WORT{ sPlu - fiTRI.T,,RED BUILDING? X YES Cl NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATIrR SERVICE PROVIDER X LAKMAVEN 0 HIMMINE ❑'TACOMA ❑ PRIVATE (urELL) SEWER SERVICE PROVIDER I.AiIEHAVEN ❑ HIGHLINE a PRIVATE MEPTMi -09/ -13/2007 16:08 2533838041 BOE ARCHITECTS . PAGE 03103 PROJECT •s AREA DESCRIPTl[ON =STMG SO. FT. PROPOSED 13Q. FT. TOTAL S . FT. BASEMENT W OODSTOVES i� 1313Q$ FIRST �.DD1 v►J ...� —7995 -Iq p 5 _1 SSCOND BOILERS FIREPLACE msrit n / HOODS tcommoroit+]1 THIRD CHANGE OF USE? COMPRESSORS i ADDITIONAL FLOORS (DESCRIBE) _G_ RANG.S$ UP /SEPA /SU? o iTFS DECK (❑ COVERED OR ❑ UNCOVERED ?) PLATTED LOT? ❑ YW ONO GAS 1.00 SETS / REFRTG. SYSTEMS GARAGE Cl CARPORT d 8MU7,I WNIG NUMBER OF FLOORS swdrtso rnorosan TOTAL TOM swim Fir rvrnr.MWIMMdr 7MMar * "IVEWHOME$ ONLY" NUMBER OF BEDROOMS _,,,...r..__ ESTIMATED SETT TNG PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Vales of Work. �; 27��5�~ f fA �Q�" OP BTD OR ESTIMATE MUST BF INCLUDED WITII APPLICtITION) I cart(& fender penalty of perfury that I am the property owner or authortmed agent of the property owner, I eartify that to the best of my knowledge, the irtier cation submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit doaR net remove the owner's rasponsibUity for compliance with toeal, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Wag as to any claim (including casts, expenses, and attornegi s' fees incurred in the investigation and defense of such claim), which may be made by any parson, including the undersigned, and flied against the city, but only where such claim arises out a reliance of the city, including its offleers and emplogeor, upon the accuracy of the information supplied to the city as a part of t application. SIGNATURE: ' _ `y��TT�� ncrty ner and/or AlAhorized Aa_crit• `Ci1:4iL'txE SV9L:0 %LY': AIR HANDLING UNITS -0"" EVAPoRATin COOLERS _� GAS PIFr OUTLETS W OODSTOVES i� 1313Q$ MANS fi GAS WATER HEATERS MISC (Deacribol n YES BOILERS FIREPLACE msrit n / HOODS tcommoroit+]1 CHANGE OF USE? COMPRESSORS i FuRNACrs _G_ RANG.S$ UP /SEPA /SU? o iTFS DUCTS PLATTED LOT? ❑ YW ONO GAS 1.00 SETS / REFRTG. SYSTEMS a YES 8MU7,I WNIG BATHTUBS (ar7ab /sh .c mue) LAVS (pnthm RfnkM URINALS MISC (Deacribo) _ DISHWASHERS Of RAINWATER SYST VACUUM BREAKERS / DRINKING FOUNTAINS / SHOWERS WATER CLOSETS rrAw) $1XCT9lC WATER HEATERS SINKS WASHING MACHINES / HOSE BIBBS _ SUMPS I cart(& fender penalty of perfury that I am the property owner or authortmed agent of the property owner, I eartify that to the best of my knowledge, the irtier cation submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit doaR net remove the owner's rasponsibUity for compliance with toeal, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Wag as to any claim (including casts, expenses, and attornegi s' fees incurred in the investigation and defense of such claim), which may be made by any parson, including the undersigned, and flied against the city, but only where such claim arises out a reliance of the city, including its offleers and emplogeor, upon the accuracy of the information supplied to the city as a part of t application. SIGNATURE: ' _ `y��TT�� ncrty ner and/or AlAhorized Aa_crit• `Ci1:4iL'txE SV9L:0 %LY': rr NEW n ADDITION o ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDINGr SHELL ONLY? o T" ❑ NO BASIC PLAN? n YES a NO ZONING DESIGNATION CHANGE OF USE? o y .S o NO NEW ADDRESS REQUIRED? o y" ONO UP /SEPA /SU? o iTFS ❑ NO PLATTED LOT? ❑ YW ONO DEMO PER11'IIT REQUIRED? a YES a NO Bulletin #100 —August 1 G, 2007 Page 2 of 4 MRandouts\Pennit Application