11-100615 t . f
, it
City
03uilding - Commercial
City of Fedccal Way
Commurty Orelopment Services Permit #: 11 -100615-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: 253 835-3050
Ph.(253)835-2607 Fax (253)835-2609 p q
Project Name: WORLD HARVEST CHURCH
Project Address: 02 TH AVE S Unit C3 Parcel Number: 926480 0110
Project Description: TI-Verification of occupancy for church. ***NO CONSTRUCTION WORK TO BE
DONE ON THIS PERMIT***
•
Owner Applicant Contractor Lender
CAMPUS BUSINESS PARK DANIEL ARROYO
1019 PACIFIC AVE#1119 PO BOX 729
TACOMA WA MILTON WA 98354
98402-4468
Census Category: 999 -Unknown
Includes: #1 #2 #3 #4
Occupancy Class: A-3
Construction Type: Type V-B
Occupancy Load: 165
Floor Area(sq.ft.) 2,478 0 0 0
}
Mechanical to be Included' No Number of Stories.....,..!! ... . .........1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Church
Zoning Designation CE
_ t ! U y
.. .r'y .ii.,„ f'�. ..�.i ,,.a... �" i ,, .. ,.,, '.� „ a �t ... F2 40'J
PERMIT EXPIRES Wednesday, August 24, 2011
Permit Issued on Friday, February 25, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use e in a ALL dance with the laws, rules and regulations of the State of Washington
the City of •-.al Way.
Owner or agent: , 4
Date:
rIN ,64c,w4/Z. /(i
��City of Federal Way •
4
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 us-. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: WO'4. 1 HARVEST CHURCH Permit#: 11-1006 -00-CO
Address: .3:408 4-9 AVE S UnitC3
34'tz.
Includes: #1 #2 o'b #4
Occupancy Class: A-s
Construction Type: Type V-
Occupancy Load: 165
Floor Area(sq. ft.) 2,478 0 1 0 0
Owner Name: CAMPUS .US -' PARK
Owner Address: 1019 PACIF VE#1119
TACO 1 ' WA
984 -4468
Buildi.. Official Date
The priority focus in the revi- and inspection made by the City prior to issuan - of this Certificate was on those matters which
experience has shown = t severly affect the health and safety of the general pu• ic. Although the City has made as complete.a
review and inspecti.- as is reasonably possible(within budgetary time and personn: limitations), the City neither guarantees nor
warrants to the• mer/occupant or to any other person that this Certificate evidences ,trict compliance with each and every
ordinance • egulation of the City or the State of Washington affecting the construction • use of said structure or the land upon
which ' ' situated. Such compliance is the responsibility of the owner and/or occupant o e premises.
' THIS CARD IS TO REMAIN ON-SITE ` `
CITY
°F • Construction Iilaection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
31740/Z
PERMIT#: 11-100615-00-CO Address:„3Q04. 9TH AVE S Unit C3
Project: CO-OP USA INTER III FEDERAL WAY, WA 98063
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 SWM Precon Site Mtg(4400) EI Initial Erosion Control(4365) El
Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
El Re-steel (4215) 0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) El Fire/Draft Stops(4095) El Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date By Date
❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final -Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
El Final-Planning El Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved Approved
By Date By Date By Date y/27///
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Id - 100 (0 . 15
°'emI PERMIT
Federal Way """ FP
l COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609 FEB "J� ry j 1 O S
www.dtuoffederalwau.com D ��0
SITE ADDRESS 1/'�� �i3 CITY OF FED
960' FRAL WAY
3 LI L/ ` ./n 4(•'" 5,1/ f�� ./`/' 3 -3
PROJECT VALUATION ZONING /ASSESSOR'S TAX/PARCEL.A_. j y�
$ 9 2 6 4 C� O - V i / O
TYPE OF PERMIT Q"BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) / , ,b n/� /Jd P.� �� `�
PROJECT DESCRIPTION
lit''
V be/La/
Detailed description of work to Ch,Q17(J(2'+ r-,(' 0 CG L,/�2,7G LA
be included on this permit only i/f
NAME PRIMARY PHONE
PROPERTY OWNER Ci /) g�/n�5 i€k 7/C 253 7'?
G S .
i3 cox C2/Q /q 2 f vE MAIL
STATE ZIP
//kb4/X/ 417/4 9g-V.2
NAME PHONE
MAILING ADDRESS E-MAIL
C(!]I� CTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
/ /
NAME PHONE
T MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME ` PHONE
(The individual to receive and t 4l2/(/Aril, r,
MAILING ADDRESS
respond to all correspondence �nJE-MAIL
concerning this application) 34/ 94 `S 3- 9Vi' 7I
C STATE ZIPFAR
c,6c ,44 k/A- Ute/
ALTERNATE CONTACT NAME: PHONE E-MAIL
.25 -
S 3F S-6tg3"7el,./4a/:Armor ' tf,#-CA#441
T FIN G NAME 0 OWNER-FINANCED
Required value 000 or more
19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I 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 authorised 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 ci ,which may be made by any person,including the undersigned,and filed against the city,
but only where such ciai , ses t o the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to a part of this application.
3IGNAl! s' DATE o2/ //
PRINT NAME: I i i ' Q_ 0
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
£z ty4C< V44T""r•Fq ,.
VALUE OFMECXAMCAL WORK $ (a copy of bid or estimate must be provided)
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(commercial)
BOILERS FURNACES HOT WATER TANKS(cos(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
e .... ,.. f ,x.. .. r e,. �r,. � � � ;x
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include - r ting fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utdity) WATER HEATERS( - tno)
HOSE BIBBS SUMPS WASHING MACH 'ES TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR ,-EWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRF�4PRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
p'Yes ❑ No ❑Yes 0 No
dfi 3 ,z� ,y,'f
AREA DESCRIPTION(in square feet) D+. `TING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
SECOND FLOOR /
COVERED ENTRY
GARAGE 0 CARPORT 0
OTHER.(describe �" .......... ...........__._........ - --...--------------..__._................ ..........
(OUSTING PROPOSED TOTAL
Area Totals
."NEW HOMES OM.Y
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILD G
ADDITION
Area Construction #of
AREA DESCRIPTION q Occupancy Group(s) ape Stories Additional Information
in Square Feet
TOTAL BUTT DING
TENANT AREA ONLY
PROJECT ARES'ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application