06-101886 ty of Federal
Comm n'tyD veopmentServices Fi Bu>l�in Commer „ial Perm#: 06-1018$$-00-CO
P.O.Box 9718 E
•
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: NORTHWEST CHURCH
Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630
Project Description: ALT-Remove existing restroom materials, remove section of wall adjoining existing
restroom and foyer and convert room into Childrens ministry office.
Owner Applicant Contractor Lender
NORTHWEST CHURCH NORTHWEST CHURCH NORTHWEST CHURCH NORTHWEST CHURCH
POBOX25110 POBOX25110 POBOX 25110 POBOX 25110
FEDERAL WAY WA 98093-2110 FEDERAL WAY WA 98093-2110 FEDERAL WAY WA 98093-2110 FEDERAL WAY WA 98093-2110
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: A-3
Construction Type: Type V-A
Occupancy Load:
Floor Area(sq. ft.) 966 0 0 0
6yxF ,r4tdlti+ na(l
Building Pre--€on.Meeting Required'..:... ...... No Existing Sprinkler System in Building" YDS
Mechanical to be Included? No 14`°' Number of stories.. 3
Permit for Building Shell Only? No Plumbing to be Included? No
Special Inspection(s)Required? No Occupancy#1 -Use Church
Zoning Designation RS 7.2
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Saturday, May 10, 2008
Permit Issued on Wednesday, May 10, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use, ill be in accordance with the laws, rules and regulations of the State of Washington
and t City of Federal Way.
Owner or agent: '- ` ' te: 0 0
City of Federal Way 411 •
-certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the Internatipnal 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#: 06-101886-00-CO
Address: 34800 21ST AVE SW
Includes: #1 #2 #3 #4
Occupancy Class: A-3
Construction Type: Type V-A
Occupancy Load:
Floor Area(sq.ft.) 966 0 0 0
Owner Name: NORTHWEST CHURCH
Owner Address: PO BOX 25110
FEDERAL WAY WA 98093-2110
� (A.) )— S — C) -
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 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
CITY OF sem' ',- •ommunity Developnlpt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101886-00-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.
0 Footings/Setback(4110) 0 Re-steel(4215) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops (4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be s
signed-off and approved. IBC 109.3.4/UBC 108.5.4
,,.. .. . „,,a By Date_j- 3t" d(�j By Date
• �
0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By,7-.� Date j/13 By Date By Date ,?,29.
7
•❑ Final-Planning (4070) 0 Final-Building(4050)
Approved Approved
By Date By ,�l Date /_, 8_ c.7
REC ED •
Ai
EL OF011 " V — / 0 1 7 (�
Feder�alway APR 14 2oo�,ERMIT`
COAIMUNI7YDEVBLOPA�NTSBRV/CBS SF MF� ME EL PL DE EN FP
333158n,AVENUE SOUTH•M"97ICITMOF FE. ( I CATI O N
FEDERAL WAY,WA 98089-9718 gUILDIN'•�o ncli. / riC:Alip FE 83 AL WA•FAX 253-835-2609-9718
www,dluoffedemhwn u.cam
The ollowing is required information-an incom'lete application will not be accepted. Please print legibly in ink)or type.
2 O D
III PROPERTY INFORMATION
SITE ADDRESS T 0 -/ _ AVE- -.5-1A-/ irepklAt1(4,t1y SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 5 / 2 3 S 0 - D 6 3 d LOT SIZE(sj7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) / / 711c-
/4 z1x)L' ' 4' 44e-c- —
(Mtachaeparatepage/' lengthy legal description/ D/V ,,
■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
731- --- SXR$77Aq w o/140. S , 7-72-0 o/-1 Cz rolz rs)
GF ' / j c'-- 7 , . 271L— 1 / 4-
i ,02zd / ' rte, . v FF LC- •40.A/ .7a 7y2
PROJECT NAME(Name of Business or Owner Last Name) f/0A/r( WAST CilL Aa cA/
Ill PEOPLE INFORMATION
PROPERTY NAME 4(6 4 &i
�D,,� /QTjJN/ -5-T r1�LL.i2 PRIMARY PHONE
OWNER �R e.- ,M rvukS4t(/6 4Ic
rc i .(Z53)5'38 - 63 2/
MAILING ADDRESS LJ CITY,STATE,ZIP
344ao 2-1 :TT 4 VE SL.&) F&-12�n.4L LA417v WA- 9$D2?
CONTRACTOR COMPANY NAME
/� APPLICANT NAME
OFFICE PHONE
/"�� ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
•
- _ B L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
-$4744 I°M'peRry PtAm4 rZ 57;47gwj2/L6&J ( ) -
MAILING ADDRESS CITY, ATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PR ECT FAX NUMBER
0 Architect Tenant 0 Agent 0 Other(Describe) ( ) . -
CONTACT NAME /// ___ PRIMARY PHONE �01 E-MAIL ADDRESS
glcyr zu12tLc4 A/ (253.) s138 - (03z( ICiz9 SAVE X4)A, wer-15aa atarE,o
si '¢y
LENDER
j t< 1 aha ar�sr ;� NAME A//4
MAILING ADDRESS CITY,STATE,ZIP PHONE
iM 4S .�i3e ve-- ( ` 1---- -
III DETAILED BUILDING INFORMATION
EXISTING USE L✓l71llt:71/s ,ESTRaooiy AU PROPOSED USE /x.401. S emili iS4 Df�%/L
%CX;>
EXISTING ASSESSED/APPRAISED VALUE $ ' 0, p ot. ,`. VALUE OF PROPOSED WORK $ ` OUD•a'�
SPRINKLERED BUILDING? RYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES XNO
WATER SERVICE PROVIDER XLAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER XLAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
i
PROJECT FLOOR AREAS
¢ * t AREA DFSCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
=sum PROPOSED
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS 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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commerdd) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING '
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roses MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom scare) 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 authorised 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.
NAME/TITLE i . 7 /�"40-44-DATE 7 —1/—op
(Signature) (T )
RELATIONSHIP TO PROJECT tkOwner 0 Agent O Contractor a Architect U Other
et, a"
y �,1�
sl ��ti ) .�Y, , .a
ut nn r.....w:_..1 'IANC - D..,.e 7,J A _ L\T-7o„AnttrAllnrmit Anniinotinn