11-105060 City of Federal Way •
!Building - Commercial
Community&Econ.Dev.Services Permit #: 11-105060-00-CO
33325 8th Ave S
Federal Way,WA 98003 °' °'3
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: LIGHTHOUSE KOREAN REFORMED CHURCH
Project Address: 30333 PACIFIC HWY S Parcel Number: 042104 9040
Project Description: ADD-Tenant improvements to create church use in existing building,including partition
walls. New canopies over primary and secondary entrances on east side of building.No
plumbing or mechanical.
l �
Owner Applicant Contractor Lender
LIGHTHOUSE KOREAN SAM YUN LIGHTHOUSE KOREAN LIGHTHOUSE KOREAN
REFORMED CHURCH 1124 S 287TH PL REFORMED CHURCH REFORMED CHURCH
3807 REITH RD FEDERAL WAY WA 98003 3807 REITH RD 3807 REITH RD
RENTON WA 98032 RENTON WA 98032 RENTON WA 98032
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: A-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 7,300 0 0 0
' y 9s 'fit.1,4 .... erg I: f F z ;,Y res
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Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only9 No
Plumbing to be Included? No Occupancy#1 -Use Church.
Zoning Designation BC
q 0 ll�ur 12ited With This Perini . *a
PERMIT EXPIRES Tuesday, July 31, 2012
Permit Issued on Thursday, February 2, 2012
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 he City of Federal Way.
Owner or agent: Date:
FIN efei/,z..
� T [
of Federal Way y • !
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: LIGHTHOUSE KOREAN REFORMED CHURCH Permit#: 11-105060-00-CO
Address: 30333 PACIFIC HWY S
Includes: #1 #2 #3 #4
Occupancy Class: A-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 7,300 0 0 0
Owner Name: LIGHTHOUSE KOREAN REFORMED
Owner Address: 3807 REITH RD
/ RENTON WA 98032
Buildi r. Official 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 severly 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
Federal Way • Construction In ction Record . - -
INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-105060-00-CO Address: 30333 PACIFIC HWY S
Project: LIGHTHOUSE KOREAN REFORME FEDERAL WAY, WA 98003-4235
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) ❑ Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
Foundation Wall(4115) 0 Drainage/Downspout(4040) ❑ Re-steel (4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) 0 Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
Shear Walls(4245) 0Roof Sheathing(4220) Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved 2,�O4�-
By Date By f- , Date 313 ./L By f‘,1--- Date 3.,--/14/2_
0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection; �_i Framing(4120)
Approved Approved to insulate 240405
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. 1BC 109.3.4 By r Date 3,-�' -�&
0 Insulation (4150) Gypsum Wallboard Nailing(4130) Suspended Ceiling Grid (4265
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date 3-27 /Z, By Date
J'4
_[7( Final-Fire Department(4060) g Final-Planning 0 Final-Public Works(4080)
Approved Approv approved
By V Date �- j( - By Date By Date
El Final Erosion Control(4375) �12k Final-Building(4050)
Approved Approved
By Date By Date PZ/-/z
0 Rough Electrical1:1 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1
CITY Of '''V''''''',,,,,,,.,. SERM1T S 1F CO E PL DE EN FP
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Federal a t
COMMUNITY DEVELOP61EN7-SER,,,,d C 2 2 *'OA p p L I C A T I O N //i -
253-83;2607 FAX 253835260
COM NY
riaSRA
SITE ADDRESS w SUITE/UNIT#
/ (3*-3
e6cc / �iC 1'.c-t1e..YHI w'4 GOA iif'
PROJECT VALUATION ZONINGASSESSOR'S TAX/PARCEL#
$ 0: IT U `03
C _ 0 7-It ' t U -
TYPE OF PERMIT UILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ,,
(Tenant Name/Homeowner Last Name) t a) frtli^ I( 0.'/ •�C�.{-y`il‘ dC.-1%.a y
PROJECT DESCRIPTIONa. /,
Detailed description of work to DESCRIPTION „,
j 12 Pr 1'4I 'AA "IN- r A41 Lt C( `VN & 1)9 >UI1 t)
be included on this permit only
NAME / viC^� PRIMARY PHONE
PROPERTY OWNER '�i'S �V��I1� .)1.u1C!r, i -�oTh C- f J l^ohY t4 1-t-3 37 -6 t' 'LY-
MAILING ADDRESSE-MAIL
17P7 /L ,rh /(cA d
CITY STATE ZIP
NAME0 �`J�\`� PHONE
MAILING ADDRESS IY/�'' E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME 5A'II Yt4 N PHONE
APPLICANT MAILING ADDRESS E-MAIL
11—it- S--; 0 '' i,
CITY / STATE ZIP FAX
PROJECT CONTACT NAME �� �� PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) Sr”f! 'r
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 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
an 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 Iaws 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 ma •e made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the relia - -f the ci , inclu ing its officers and employees, upon the accuracy of the
information supplied to the city,as a partof
/of this a.• • ,*on.
r
SIGNATURE: \ DATE 2 Z Z /1
PRINT NAME: 5/'//II if A.,
Bulletin#100-January I,2011
` Page 1 of 3 k:\Handouts\Perrnit Application
•
VALUE OF MECHANICAL WORK $ �- L° (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(comm, ti
BOILERS FURNACES HOT WAT TANKS(cas(
COMPRESSORS GAS LOG SETS REF ERATION SYST
DUCTING GAS PIPING OODSTOVES
Indicate how many of each type of fixture to be inst. i or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) 1. (Hand stairs( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAI t . SINKS(Kitchen/Utility( WATER HEATERS(Elecenc(
HOSE : B: SUMPS WASHING MACHINES /-a•. TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE pa Square Feet) 1 EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
es CINo , eYes D No
' : 'tam' -,4:444t..--., , ±: j z:ittgi; ,.,,a ro.. 4 ..- p"a. . -°,..f F ,, .: ,,
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
P :rte_ w'� 'Sa $ 1 ,3- kt ✓3"", 3a:_A ._ _.._ ... _._ -...._.. .....
FIRST FLOOR(or Mobile Home)
z + y -� ,.
lir Q0 2 110 �'Y y 4:-x5, y v4t e
COVERED ENTRY
a
GARAGE ❑ CARPORT ❑
10,amssoolusoktompoWt:'-'•
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EXISTING PROPOSED TOTAL
Area Totals
y; rl JJ K 3 m- `S Y p1 ws,r Ho aOW AA y", is,,..;.,. . i it4,Y
ESTIMATED SELLING PRICE$ I # OF BEDROOMS
`" is t '
Construction #of
AREA DESCRIPTION 111§Mil Occupancy Group(s) ,e Stories Additional Information
.a. �. "CJs t ?a�� S'y� ��:' J
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ADDITION
,.: ,ro , - cfiN V $fid frPr, A'ffi , 4 t,�'Y�
#of
AREA DESCRIPTIONIMES Occupancy Group(s) Construction Stories Additional Information
TENANT AREA ONLY 1111=1 MIMI
t
n�
G,,.,
Bulletin#100—January I,2011 Page 2 of3 k:\Handouts\Permit Application