05-100311 •
City of Federal Way
Community Development Services Building lin - Commercial Perm�i #: 05 - 100311 - 00 - CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
I
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Project Name: NORTHWEST CHURCH
Project Address: 34800 21ST AVE SW Parcel Number:542350 0630
Project Description: TI-Interior modifications to chapel; adding acoustical treatments to wall and overhead soffits for
lighting fixtures. Some mechanical work,no plumbing.
Owner Applicant Contractor Lender
NR RCH BCRA*CHARLYN WINGARD* DONOVAN BROTHERS COMMER( NORM�T AST 511g CCH tiee
ROAtm S 2106 PACIFIC AVE SUITE 300 DONOVBI094O5 3/5/05 f
FEDERAL WAY WA 98093-2110 TACOMA WA 98402 DONOVAN BROTHERS COMMER( FEDERAL WAY WA 98093-2110
1801 W VALLEY HWY N SUITE 101
Includes:
Census category: 437-Comm #1 #2 #3 #4
1 Occupancy Group: A-3
Construction Type: F Type V-N
Occupancy Load 232 lff— L__ J
—>
Floor Area(Sq.Ft.): 20336
Census Category 437-Commercial alt/add Fire Sprinklers..
Mechanical.. .,..,. �, *3*es Number cif Stories ............., .r�
Permit for Building Shell Only...... No ;' Plumbing................. No
Will Certificate of Occupancy be Issued?.. .,...No = Zon�.Designation.,,,..� k,,RS 7.2
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Ducts r 1
1
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES August 27,2005.
Permit issued on February 28,2005
I hereby certify that the above information is correct and that the construction on the above described propertyand
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 W.
Owner or agent: `�''" Date: 2 ZZ eS-> e.7 Sr
\n
DATE INSPECTOR AREA AND TYPE ( INSPECTION
THIS CARD IS TO EMAIN ON-SITE
CITY OF A �:ommunity Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100311-00-CO •
Owner: NORTHWEST CHURCH
Address: 34800 21ST AVE SW
FEDERAL WAY, WA 98023-3044
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.
O Footings/Setback(4110) ❑ Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
O Re-steel(4215) 0 Plumbing Groundwork(4190) 0 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) 0 Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
k
By Date By Date By Date
❑ Roof Sheathing(4220) 0 Mechanical Rough-in(4165) 0 Gas Piping(4125)
Approved to install roofing Approved Approved to release test
By Date By Date 4//4 O J By Date
•
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) i ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical : Approved to insulate
Rough-in and Fire/Draft Stop inspections must be 1
signed-off and approved. IBC 109.3.4/UBC 108 5.4, ���
By Date ,-� By /�v/ Date '¢ 7
El Insulation (4150) ,❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
71/r.By Date By Date4/... .1_,26— By Date
•
❑ Final-Fire Department(4060) .LI Final-Planning(4070) ❑ Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
❑ Final-Mechanical(4065) VI Final-Building(4050)
Approved Approved
By DateBy.� �� l J Date
RECEIVE®
Ili '1-1Al&
Federal Vl/a JAN Silk 0 5 - 100 1 S - a
'. 1 (
COMMIIMIYDEVELOPMENT SERVICES PERMIT SF MF CO ME EL PL DE EN FP
33325 8'a+AVENUE SOUTH•PO B�pF F EDEDRA�-APPLICATION
P P L I C AT I O N
FE AvEriAYWA 98063-9 BUS • _ TD
253-835-2607•FAX 253-835-2609 ,/'''""
www.cittloffederalway.com �j^ �. 7 / O
The ollowi • is re•aired in ormation-an inco •fete • ••lication will not be acce•ted. Please •rint le,ibl in ink)or //J• .
,/ p� • PROPERTY INFORMATION
SITE ADDRESS _3TO ®00 ` 2/5 i- AL`(I - / SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4 5' 2 3 D - 3 .0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separatelJor lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ,BUILDING C] PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide del iled description of work included on this permit onlq)
ln.7/er/tor rnoei 'ce.Yto-. 10 e-/ ac'ctr' /,' , San
har4 sicits of re-e-777 add /;` ,f!I- ' /u re.5 a.cei(,51�'c Y.,��' kr�eu7L
maa f 'CGL�`!c-74 -lc) c.`71toor k /
PROJECT NAME(Name of Business or Owner Last Name) Al A...) (./t u Irk / 21 . C , i. 4i ,
In PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER Al IN ehGGLr /l
(Z5.' ) ?5-2-3
MAILING ADDRESS CITY,STATE,ZIP
34 '30- 2/s t Ave- sw f ierraifttl, yl toil 18'a 23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
DOKav44A &r vs (h /e-rd- (2Y3 ) 73 - 77-2-7
MAIE
/8LING ADDRESS ,0/ Guest � le /TW `o/ Rubor'', Gc4 73o7I-e8t8CRY,STATE,ZIP cELL(�e )N3f - ��3/
CITY OF FEDERAL WAY BUSINESS CENSE I JMBER /EXPIRATION DATE FAX NUMBER
L .7-1s _o 0 0 0 5Z.- B L /z13/ /O5 (2-53) `73? -7?/-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
D JO N'd' 1/ P 1 0q 4- Q 5 ales / 5-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Cit.—,/'...'. :.7liar . 4, ' , ' ,-. i.�.: (a5'3) 2.7 - 4 4; 7
MAILING ADDRESS CITY,STATE/zip. -'' CELL PHONE
21010 Pa( C 14v-e, S 3o 7rceme() Guff '7S402- (Z53 ) bol, -72F•j
RELATIONSHIP TO PROJECT FAX NUMBER
Architect ❑ Tenant o Agent ❑ Other(Describe) (253) 627 - 4Y/5
CONTACT NAME j PRIMARY PHONE E-MAIL ADDRESS
,512 v 2.t..1/4/ ,-'fl✓ (2.53 ) ?5-2 - 3-5-De) �TeV.2 )11WCreiti#'f-,7"; e-,ec, ,0.
LENDERo ° • , T--,.•-...-. .•• NAME' a +
,e /ae/y/ 1J / / �u./�C1.G /�,f r' . �
MAILING ADDRESS CITY,STATE,ZIP
41,Yoa 2/?- ,41vE 5L,) &-Ps&-PtvA , W4
nn ■ DETAILED BUILDING INFORMATION ///
EXISTING USE eita 64 PROPOSED USE C`i t,
EXISTING ASSESSED/APPRAISED VALUE SI to s , O0 O VALUE OF PROPOSED WORK $ I� 3 3, 24c) •
r
SPRINKLERED BUILDING? AYES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? $.YES 0 NOOtr�..�l
WATER SERVICE PROVIDER *LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) 410
SEWER SERVICE PROVIDERLAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC) 1:16
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
�
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) NA.
DECK(COVERED?)
GARAGE 0 CARPORT 0 ��
NUMBER OF FLOORS ,�
m O PROPOS® TOTAL Al.- zr .
'^'"
"*NEW HOMES ONLY"* NUMBER OF BEDROOMS AU/4— ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MZSC HAMC*L _ �^
Value of Mechanical Work $ / W
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS FRIG.SYSTEMS
BBQS FANS H DS(commercial) WO TOVES
BOILERS FIREPLACE INSERTS RANG MISC(Des 'be)
COMPRESSORS FURNACES GAS WATE TERS
DUCTS GAS PIPE OUTLET
PLUMBING NM
BATHTUBS(orrub/shower combo( SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 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. .may
/!'
NAME/TITLE �� — j DATE `'/214
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor o Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
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'EXPIRES: 8 r 14 05.______ ,
NW Church Iry G JOB N°: 04.215
Putnam Collins ScottAssociates Federal Way i-1LI-05
. t#4,4*---, 950 Pacific Ave..Smile 1100 up DATE:
(253) 301 98402
','` (253)3a3-2797-(253)383-1557 for
1 all r:r Ave., Sar.570 Ceiling Support DRAWN: �P
e, Mk 98rW
SlructU�/So/utio/Is »W (206)292-5076-(206)467-7788 fax
No Scale SHEET: I/1