03-100762 •
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City of Federal Way
ity Development Services b Mildin Q, - Commercial Permit #:03 - 100762 - 00 - CO
Commun
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 I Inspection request line: 253.835.3050
Project Name: NORTHWEST CHURCH
Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630
Project Description: TI-Interior remodel of main auditorium; no plumbing or mechanical on this permit
Owner Applicant Contractor Lender
NORTHWEST CHURCH DAVID NORCROSS DONOVAN BROTHERS COMMERC NONE
PO BOX 25110 34800 21ST AVE SW DONOVBI094O5 3/5/05
FEDERAL WAY WA 98093-2110 FEDERAL WAY WA 98023 DONOVAN BROTHERS COMMERC
1801 W VALLEY HWY N SUITE 101 NONE
Includes:
Census category: 437-Cortone #i #2 #3 I #4
Occupancy Group: -_
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Building Pre-con.Meeting Required....... .........No Census Category 437-Commercial alt/add
Fire Sprinklers ...,.,... Yes Mechanical.... „
Number of stories..... A..1' hermit for Building Shell Only... ! Na
Plumbing No Special Inspection Required.....,- ................,No
Will Certificate of Occupancy be Issued?........Yes Zoning Designation...,.♦. .... RS 7.2
PERMIT EXPIRES October 28,2003.
Permit issued on May 1,2003
I hereby certify that the a s ove information is correct and that the construction on the above described property and
the occupancy and th- se 1 be in - •ance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:_____A
, ' Date: 'S' t I
•
.45
7. .+-
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: NORTHWEST CHURCH Permit number: 03- 100762-00
Address: 34800 21ST SW
#1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Owner NORTHWEST CHURCH
Name: PO BOX 25110
Address: FEDERAL WAY WA 98093-2110
• ?xt *I C do 00/0
Building 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 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.
• 11" • -'
INSPECTION LOG
DATE INSPECTOR;. OK CORR/REJ AREA AND TYPE OF INSPECTION
zo0;9 74 keo5iveovr P1iktPo r Ioi lot 13
dI7403 CA hy ®/, s4Ir s'(r aPld
Oh five S I c orr ec ,n',i wr
Franij of J0wei' 5141r I f cIS. Ai
not-el on pa/e SI ok o /r yrval
9^ - 03 C <<frus c,..( a.„4-
4/1/03 1� flo 1'f /n i ( A'� P/Af rori rAm1 n l i3
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ar �'Y�Ih� f
io/(t1 P3 rfrpY- ilt A914/ IR, ASin b 17i `cCr44IJS' '
limy fritm L, :
100 eA" Pi/lir/frt.& A//10/f/‘ f971
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.�j anp{ rein �r d S
10/0/03 ``/ fi'l A4�/1 Gtr I 1;15-11441211711 for S440I
/0/.3®/o; f7 L- X .�llke,�-rte $ FfL C1t�7- �UU1'l71 S3uctzy t'r,�toi
iiD efrieL 108
i iLt/ 3 ; v Fr4At�IPf For 5 f r oh A 114411i
d Saaap4y CP&nol;n� l���k�ca)s
///26/03 6v R /
0
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y
p • ti
POSTHIS CARD ON THE FRONT OF BUILD
CITY OF 'p
Federal a BUI ING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-100762-00-CO
OWNER'S NAME: NORTHWEST CHURCH
SITE ADDRESS: 34800 21ST SW
() FOOTINGS/SETBACKS 7/q/o 3 '!� O FOUNDATION WALL
it V NOT '. + NCT ' CTI i ' THE SBU 'IS APP, O , FS y, q
( ) DRAINAGE: Line ( ) Connection
ilt AI' -'illjitiOy DO NO "OUR SLAB UNIIL THE,,TOMS'APPROVED ,U
O UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICA Gas piping
() SHEATHING Roof Floor
() SHEAR WALLS 0 Zi / % .
( ) ELECTRICAL ROUC a-IN x / `Ditch Cover
) FI.,E/DIU TC' �FS I2/Z"//3 v
MNXL` tE ABOVE JYIUS`I BE. `k',EO . D 'RTORY : INGEINSPECTIOt
1 ' f) ���O FRAMING/FIREGTO ?II NG / D.7 ;�`� � '
.Ea:, ,SIT ; OYtt USTE 'PRo3ED 'RIO' 'O INSULA NG zOW.HEE` RO( IIS u E ' I... ...
( 1 INSULATION: Floors Walls r,J/4A ll..ICa Atti;
.,:.1.,,s rami e '?lrvsTgmmOm/4RId Q AZ'PL3' ,y :i E OUK,. .a� .�r ..;; s
( ) WALLBOARD NAILING )I/ZLc/0 3 -F- F ( ) SUSPENDED CEILING /24 1g3
ABb\E MUST BE APPR OV'tRIOR TO TA]'IG1 R INSTALLING CEILING TILE _
O ELECTRICAL FINAL 1/%/49 JCS ���� ��
() PLANNING FINAL ///
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL r i fr1 o lf
lb.,. r ' IIE ABOVE MUS E�APPR( I PR ORt�?wBU LD I*I D1P' 'C�E1�NT l� ALS '� " ' riii
( ) BUILDING FINAL //4'/°14/ôt-ì /i _
�N OAC Pf ThS'BUI . NNG TIT' 'IL $UI1 iNG 1..- SAASIA„ P R W'DI E
VIED
CONSTRUCWN PERMIT APPLICATION
CITY OF cy 7°1d APPLICATION NUMBER: )3 - 0 2-- OJz7
Federal Way �
�' , APPLICATION NUMBER: -
-` ' O. NG pE�'l (APPLICATION NUMBER: -
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: acts Z1 ASSESSOR'S TAX/PARCEL #: 6y c2 3 5 D - bCO ' D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑-BfJILDING ❑ PLUMBING o MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): R i.AA to r-1, O( 141,9c �Fv(�_T' '��v►�-�
PROJECT NAME: l� f ��=ST' �`i'i u�(c� k�}
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
Cl-►•Lygc. • (zC3 ) es28' - (032-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3t1 Cb 2► ST Au✓'
CONTRACTOR: NAME: DAYTIME PHONE:
iJ oVA/ .) Ge-ADS, Go iv*,oif:RS CAL S't1. (ZS 3 )9 39 - 77'77
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE'
CITY OF FEDERAL WAY BUSINESS LICENSE N NUMBER: " MLA/ s S 1 `0 I
FAX NUMBER:
(Z53 )9 - 799(
CONTRACTOR'S REGISTRATION NUMBER: i EXPIRATION DATE:
(copy of card required)
APPLICANT: I NAME:
DAYTIMEPHONE:
16SvT "yA`�\+�__] `��/j�� � C °�
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,t): s c (z }3 ) 4-1
EVENING PHONE:
7-i%-tDd Z-` r:'-or-u L, X23 I ( )
RELATIONSHIP TO PROJECT: ( j FAX NUMBER:
l ❑ ARCHITECT o TENANT [On-HER(DESCRIBE): e'^qe''.Ri'tt a—W-4 j ( ,�y )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT:A PROPERTY OWNER o APPLICANT o CONTRACTOR I WOCCR-0 .c9 14la1)C t'bc,a2$,r,. A
oto(,
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: C rc +- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 5PYvIf_- PROPOSED VALUATION FOR IMPROVEMENTS: $ I j Oho •o®
SPRINKLERED BUILDING? (BYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: V AKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ga‘KEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: • ESTIMATED SELLING PRICW$
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
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.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defe e o uch dal which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only ere s r «aim an-• out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information su plied toil- dty as a pa of this application.
NAME/TITLE: DATE: Z 1 i f -
PROPERTY OWNER o APPLICANT a CONTRACTOR
FOR OFFICE:USE ONLY:ft
NEWT_ .® ADDITION o AITERATION� RIPAIRS"7";TENANT IMPROVEMENT ,
CENSUS:CODE #)
*ZONING DESIGNATIONti4" 14 `") . :
Bl)ILDING:SHELLONLY2i3aYES ,O
COMP PLAN DESIGNATION W s ,rte - 0. BASIC;PLAN? ..£ AYES a NO
SECTION TOWNSHIP GRANGE# NE,*ADDRESS REQUIRED? �.� • YES., , a NO, .
PLATTED IOT?n,.,=o YES kr a N0 � :CHANGE OF USE7.=` ;t3 YESNO . € .
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com