15-103267 Building Commercial
City of
Commune&Econ Federal VV Services ay Permit #: 15-103267-00-CO
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: NORTHWEST CHURCH
Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630
Project Description: Remove existing plumbing and separation wall between family bathroom and nursery.
Create enclose room to make a nursery.Create a family bathroom in storage closet.
Owner Applicant Contractor Lender
NORTHWEST CHURCH NORTHWEST CHURCH GRIFFITH CONSTRUCTION
34830 21ST AVE SW 34830 21ST AVE SW GRIFFC*072C5(8/12/17)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 7417 MYERS RD E
BONNEY LAKE WA 98391
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes
Number of Stories 2 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
• Mechanical Fixtures
Ducting 1 Fans 1
Plumbing Fixtures
Lavatories 2 Water Heaters 1 Hose Bibbs
CONDITIONS:
SEPARATE PERMITS FOR ELECTRCIAL AND SPRINKLER SYSTEM RELOCATION
PERMIT EXPIRES Saturday, February 20, 2016
Permit Issued on Monday, August 24, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t e use will be in accordance with the laws, rules and regulations of the State of Washington
e City of Federal Way. 1
Owner or agent: Date: 2-`1 I �j
1CO 4011/(- ) COO (5" -
Pt rr*� r+ r r r7-7.71-14.
�p
DAZE INSPECTOR AREA AND TYPE OF INSPECTION
til ►1 J fic OK to day wad 6C:AAr0601
THIS CARD IS TO REMAIN ON-SITE
c'"" Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-103267-00-CO Address: 34800 21ST AVE SW
Project: NORTHWEST CHURCH FEDERAL WAY, WA 98023-3044
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.
El SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) 0 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) El Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
Ei Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to cover Approved to place concrete Approved to sheath floor
By kt'J Date H 1 11 l a By Date By Date
El Floor Sheathing(4105) 0 Shear Walls(4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
Rough Plumbing(4230) ❑ Mechanical Rough-in(4165) El Gas Piping(4125)
Approved Approved Approved to release test
t-fl II
By S 4 Date ` ..I) 7 By Date By Date
6 •
#0 Fire/Draft Stops(4095) El Interim Erosion Control(4370) °" Prior to scheduling Framing
innspectioon,
Approved Approved
Electrical,Plumbing&Mechanical Rough-in and
By R,NJ Date 441i) Jule By Date Fire/Draft Stop inspections must be signed-off and
approved IBC 109.3.4
0 Framing(4120) ❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By cr.ry, ) Date /, _1,1_` By Date By I/4 Date 412,Ad6
0 Suspended Ceiling Grid (4265) El Final-S K F&R(4060) El Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
El Final Erosion Control(4375) ❑ Final-Mechanical(4065) ® Final Plumbing(4075)
Approved Approved Approved
By Date By Date B3c'` Date c:----TS-46
0 Final-Building(4050)
Approved
`8C;j Date .c1 (4
Li Rough ElectricalCI Final Electrical Right of Way - ,
Approved Approved Approved
By Date By Date By Date
.. ____ ,
11111. RECEIVED
CITY OF PERMIT APPLICATION
Federal Way JUL 0 7 2015
• CITY OF FFED RA WAY
PERMIT NUMBER }
- "D _ C, 0F r
— TARGET DATE _ - J k! ) r
I
SITE ADDRESS SUITE/UNIT#
3 �o 7j 9-t" Avg S (A) ,' ,o tic-1 1.v Lookg 23
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# �� -
$ .I1.1) 30000 0. 00 J— HH �— — � �— - -
TYPE OF PERMIT ` UILDING UMBING ECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ((��1 UaSe c2�A Pao zrec -c �*
PROJECT y� trt O V .t (t 1 1 U wt Lv� ,AV`!D J F lCvt (s9rL.li
J CT DESCRIPTION ? L _ �.A,,` ii ��(
Detailed description of work to l3�? c t 1 Y'�'��1 1 ��i�e�/�Cl-V . °I r& Au
be included on this permit only �? Gr O c2.§0,44 - t N C Ca
Iiik
NAME _.. a 1 ,nLI.. .,_.1_ PRIMARY PHONE
PROPERTY OWNER �E ,i Wit--f X c3 e^r��vKJ� 2-53—93 - T321
MAILING ADDRESS �v1E-MAIL
- V f$ro `'Z. I rctleS u)ATE Z 3C Ta. du A.&`_ r
'` l Wilk-Qh. 1TY Twlf". l a 7-3
AM.F.„ PHONE
N a l-0-c (4-k Cop'54-0.4.z..4-10A 753-orY3- 24"1"/
III CONTRACTOR �J
MAILING ADDRESS
�/17 y'-e�2 S 47 Edd app cs41441,4,1(dotti
C STATE FAX
ohne . Lam_ WA 1 Q'391 -
WA ATE CONTRA•'u R'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
rCS 7 /Z`}/ I S Ye
-
NAME C. PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
N PRIMARY PHONE
PROJECT CONTACT L['j'�r-bc."0 8d.,,vs 253 -3'17 *12-440
(The individual to receive and MAILING ADDRESS E-MAIL1
respond to all correspondence 12-33 c 7� 3�5�� �1 �G07C�'( (,INc}Qrvt 9, i/
concerning this application) CITY STATE FAX
!T
( Le _ L At)z3 253 -`/09'-7808-
NAME
PROJECT FINANCING \ 0 OWNER-FINANCED
Required value of$5,000 or more MAILING DRES TY,STATE,ZIP PHONE
(RCW 19.27095)
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 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 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 claim),which may be made by any person, including the undersigned,and filed against the city,
albut only where su - claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli d the city as a part of this application.
SIGNATURE: .. DATE f' G.- 2-0
G0 �-y 111110PRINT NAME: S \ r ri iss-v
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
v
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ OF,
0
Indicate how many of each type offust e to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS P FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
VI DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ Z 0 V
Indicate how many of each type._ . be installed or relocated as of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) !'1%• AVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS ta_ VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES { / TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
LA62-Votv'evk L0642-e_'Awe_
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
/,e'k'es ❑ No o Yes)2(-lt(o
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
'f
00*
.',";`,7< .'';(1.,":),;'
" ,
r'r711#"4 -4.A,',":,.4/4;,P4-',47:144 /
,G ✓ , % j/c/ s:. /�/ ,,,, W� ; -----_._. ...-'--'--__..._.. _...__.--....__...._._..—. ......_ .
FIRST FLOOR(or Mobile Home)
: '7 '
/ 7 / Fr - ,/,: r'0' /" fri j2, ✓ f
,/�,d•, ���, �?f /� , r ," sF ; i�l� fi� �i � �:,,F /f/��
COVERED ENTRY
/ /k ti ✓/ <ryfr��`f f // /� r/ -'fr/ i,`',/ ", r; 4/ , // j:! .+'
GARAGE 0 CARPORT 0
/4/V$'1//, /'/f//` k,'o4/47 r�'�/',,r%4 4dF{ �A11/' // ,fr/44 4////�/4 /7'4 f'* l///�;/r./;';//`
v,,i/ a�7,:. ;,.,./ r',/ g`,'/ /";�`r,, ,x /,�r''. ,,,�; ',rte/ ***,, ''`f j/ ;'
iii,:rr;//i.,�,f,�,�,r�tr��"::,/%�,�rL,.��1Wi,�er�f, is,�// a. / , ---__._._ ...._...----._.....—.____...—.—...___.._.
EXISTING PROPOSED TOTAL
Area Totals d
*000, a'.:��,'. ',s/%`",,%,/r'^`',,,///''.'','%,'�r,,/'/ .i '/ f3P/i,"/ig. '" r/`,�'/,/rF. ff!/"`,e'/'"�ii✓"/f`
��ar��// ,3�',//�%/Y,�` '/rrr�'-�.,'�✓r',-°,',",,f��z,./ .;,_,,.. � .�r �� Fir �.r
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
,i 'Yf ',4,/'0.,,,,„/,
/ ; ,< ,/a r ez / '/ /%/ .4-,4.44,44,44:40/0 ' �4444,,
444 {4
,W4-47.4-44-/-
� 44 � / / f; •,:.,,,i / r /er / r/
/ ! � •;; � fJ �k/� ,/y�i:�. � � �ff /',/ s ,//i � /mo� ,/ ,�//„ e ////'/,0'.
�,,� ;.„„ , r / !// ,), /"� ;;, , ' ,./<,,,,,, „,./.,/,. .s f .
, /;
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
7,1444..
„ C ,,O,,, /;,/,,,;/-, , .- '/ g °($ / // /'/ � '''',,,,,,,4," / ”
�//, //�//,rte/ ./ : .,/ 4 A',Ar/ /4` / , ' s^,,./,r ',/ /„ / / 0, /
TENANT AREA ONLY (\ /A IW k A
:1;4 //r / / %..../ ,*;. f/ ti /,,� /� ,/ / / A 1, . 'r/ / ,; / /s
1`9 / r' rf / / '�/`�G j3,'''z:/l /s"✓ ,"i`/,r/ // ! / /// � /i/ r.9 / ; .`
//,//%/r'� 03E ,4� A,ONLI' ,', � % ® ';, "�w��IGa�=���'�G�. � :` f i/r
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application