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01-103561
• . . City of Federal Way Building - Commercial Permit #:01 0 - 103561 - 00 -.Co Community Dei elopnxnt Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: NORTHWEST CHURCH Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630 Project Description: FOUNDATION ONLY- For future construction of a basement and main floor addition to existing church for gym,chapel,storage and classrooms. Owner Applicant Contractor Lender NORTHWEST CHURCH*NORTHW RONALD D.JOHNSON DONOVAN BROTHERS INC NONE PO BOX 25110 19601 -23RD AVE NW DONOVBI094O5 exp 11/16/00 FEDERAL WAY WA 98093-2110 SEATTLE WA 98177 P.O.BOX 818 1501 W VALLEY HWY NONE Includes: Census category: 999-Unkno #1 #2 #3 #4 Occupancy Group: i Construction Type: Occupancy Load: Floor Area(Sq.Ft.): 1st Floor Proposed Sq.Feet 23568 Basement Proposed Sq.Feet 21788 Building Pre-con.Meeting Required No Census Category 999-Unknown Fire Sprinklers No Mechanical No Number of Stories 1 Permit for Building Shell Only No Permit for Foundation Only Yes Plumbing Yes Special Inspection Required Yes Will Certificate of Occupancy be Issued No Zoning Designation RS 7.2 CONDITIONS: 1.PW fees will be collected with the building permit. 2.Install temporary erosion control per the KCSWDM. PERMIT EXPIRES March 13,2002,IF NO WORK IS STARTED. Permit issued on September 14,2001 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 the City of Federa • . . Owner or agent: 1 c Date: ,y1 ,//7')/ if/ lv 0 • INSPECTION LOG DATE INSPECTOR OK CORREJ AREA AND ND TYPE OF INSPEC TION os1/.2 s) — i, 7 — b.3L � z 0 1 44„.....e ,f;d4 F-t" Sa. v......t ;4i, $5 — e..1$40.14- fi ,k ivale�i� � s rya, opo /J. «// P19/01 - � ___ (g Wit � .. _.,- r. n L to al/o/ 55 ,', ,64 “4.-// /w-.5.1- ( p 4 F-- 7. / /1/- 47'6 — .. S vt.d E L--A.., 2 he ii %. rt. PL, 1144/al .it — S l ar b C.S. y S , z N o rill Ea it Corney' 60,7k POS 'HIS CARD ON THE FRONT OF BUILDI , CRT OFp—nerzRBUIL DIVISION VV - INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 01-103561-00-CO OWNER'S NAME: NORTHWEST CHURCH *NORTHWEST CHURCH * SITE ADDRESS: 34800 21ST SW O FOOTINGS/SETBACKS () FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING O ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION () FRAMING/FIRESTOPPING THE ABOVE MUST-BE APPROVED PRIOR T O INSULATING OR SHEETROCKING ( ) INSULATION: Floors _ Walls Attic r THE ABOVE MUST PRIOR TO APPLYING SHEETROCKz , () WALLBOARD NAILING () SUSPENDED THECEILING ;{ ABOVE MUST BE APPROVED.PRIOR TO TAPING OR INSTALLING CEILING TILE ;Co, `-- ,o () ELECTRICAL FINAL ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL O BUILDING FINAL DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED • • ` +. City of Federal Way Community Development Services Building - Commercial Permit #:01 - 103561 - 00 - CO 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: NORTHWEST CHURCH Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630 Project Description: FOUNDATION ONLY- For future construction of a basement and main floor addition to existing church for gym,chapel,storage and classrooms. Owner Applicant Contractor Lender NORTHWEST CHURCH*NORTHW RONALD D.JOHNSON DONOVAN BROTHERS INC NONE PO BOX 25110 19601 -23RD AVE NW DONOVBI094O5 exp 11/16/00 FEDERAL WAY WA 98093-2110 SEATTLE WA 98177 P.O.BOX 818 1501 W VALLEY HWY NONE Includes: Census category: 999-Unkno #1 #2 #3 #4 Occupancy Group: I Construction Type: Occupancy Load: Floor Area(Sq.Ft.): � 1st Floor Proposed Sq.Feet 23568 Basement Proposed Sq.Feet 21788 Building Pre-con.Meeting Required No Census Category 999-Unknown Fire Sprinklers No Mechanical No Number of Stories I Permit for Building Shell Only No Permit for Foundation Only Yes Plumbing Yes Special Inspection Required Yes Will Certificate of Occupancy be Issued9 No Zoning Designation RS 7.2 CONDITIONS: 1.PW fees will be collected with the building permit. 2.Install temporary erosion control per the KCSWDM. PERMIT EXPIRES April 7,2002,IF NO WORK IS STARTED. Permit issued on September 14,2001 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 the City of Federal Way. Owner or agent: ' I // 'v/ 79 ./ Date: POSSHIS CARD ON THE FRONT OF BUILDI �"•°` 1_0=_� BUI ING DIVISION ErZFiI_ uv Ry INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 01-103561-00-CO OWNER'S NAME: NORTHWEST CHURCH *NORTHWEST CHURCH * SITE ADDRESS: 34800 21ST SW O FOOTINGS/SETBACKS () FOUNDATION WALL 11,1 . DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS'APPROVED • ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping () SHEATHING Roof Floor ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS =p - ALL-THE ABOVE, ,MUST BE APPROVED PRIOR TO FRAMING INSPECTION � . ( ) FRAMING/FIRESTOPPING x THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ., `- ( ) INSULATION: Floors Walls Attic 44 s '' 1 'THE ABOVE MUST BE APPROVED PRIOR TO APPLYING'SHEETROCK O WALLBOARD NAILING () SUSPENDED CEILING THE ABOVE MUST;BE APPROVED PRIOR TO'TAPING OR INSTALLING'CEILING TILE () ELECTRICAL FINAL ( ) PLANNING FINAL O PUBLIC WORKS FINAL O FIRE FINAL THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL O BUILDING FINAL DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED l r KrazanA si-s-L=---; r. & ASSOCIATES , INCEcElvEa GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ETIGINOCITAci 2001 CONSTRUCTION TESTING & INSPECTION CITY OF FEDERAL WAY' PUBLIC WORKS 17EPARMENT! September 28, 2001 KA No. 066-01177 Permit No. 01-103561-00-00 Mr. Dave Norcross NORTHWEST CHURCH 34800 21"Avenue SW Federal Way, WA 98023 RE: Special Inspections Northwest Church 34800 21" Avenue SW Federal Way, Washington Dear Mr. Norcross, In accordance with your request and authorization, our firm performed special inspections for the above- referenced project. The inspections were performed by our inspectors on September 26, 2001. Copies of our inspector's field reports are attached. Unless otherwise indicated, the structural activities noted on the attached daily field reports were in accordance with the approved project plans and specifications, and the 1997 Uniform Building Code. A guarantee that the contractor has necessarily constructed the structure in full accord with the plans and specifications is neither intended nor implied. If you have any questions or if we can be of further assistance,please do not hesitate to contact our office. Respectfully submitted, KRAZAN & ASSOCIATES, INC. ,--\.....)61 William B. Throne Auburn Division Manager Pacific Northwest Division WBT\pc cc: CITY OF FEDERAL WAY Offices Serving The Western United States 1501 — 15`"Street NW Suite 106•Auburn,Washington 98002• (253)939-2500•Fax:(253)939-2556 01177 d1,do: 'Pt( N acs C144-e- 5 C)(1i . mor • CONSTRUON PERMIT APPLICATION � APPLICATION NUMBER: oi_ - I ©,3 16I - OO-Gd ElY APPLICATION NUMBER: - 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: 3-I g(_'Z) (S`f IQfV1 J (- ASSESSOR'S TAX/PARCEL #: 5 A 2 3 , 0- 0 3 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ti f ,. ... <.. • PRO3ECT INFORMATION TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION (FN.( ❑ ELECTRICAL CIENGINEERING❑ FIRE PREVENTION SYSTEM NS1F} TION 0n1Lif PROJECT DESCRIPTION(Provide detailed description-):: ` -�nAO/.•e(1r1cJ f r 'I^��t- �i/ti ST��"�J,i-fue _i_. PROJECT NAME: N C 1-1-ck. 12 a H - • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: IJo eA-1-1 t r C-t\-)Net)A ( Z-SS) I S$ - C3-2- MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 3`i600 zl" / S . W/kl j F0Z3 CONTRACTOR: NAME: DAYTIME PHONE: aa-s ov�oy,� $ Comic I�� C (2 S3) 9•3`(- 7-174 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 415 EVENING PHONE: X701 W 5r JA 1<,JAM Nzaa-t-i 10 I WA ( Z-06) 35 '- 4 CITY OF FEDERAL WAY BUSINESS LICENSE NU ER: l FAX NUMBER: 9 - $ t v U_o c� 5�.- 00-D. (7-53 ) 91`t- -4- CONTRACTOR'S REGISTRATION NUMBER: t� EXPIRATION DATE: (copy of card required) Q N.10 v 1.- 746 9 Q� — _/�_�/ 61 / t (o / Z0122.APPLICANT' NAME: VI1� DAYTIME PHONE: PON.) C Gy -c i A, •s �t� �' (Z 55) 139 - '11'44- MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP): ,3v EVENING PHONE: /Volt i 0"61 .u ( O co) RELATIONSHIP TO PROJECT: 1 FAX NUMBER: ❑ ARCHITECT ❑ TENANT �j OTHER(DESCRIBE): Cvest•JAN. ., Cjwa .., 253) C. - C Y E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT )CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 13Cf. 9 k SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION OS** • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ 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: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 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: 1624.,z11624.,z1 . P✓'o.A_t_tq lAkc1p- DATE: I - I • a i ❑ PROPERTY OWNER ❑ APPLICANT l CONTRACTOR . ...........__...................... ...... FOR OFFICE USE ONLY: ANEW ❑ ADDITION ❑ ALTERATION ❑(REPAIR CI TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO COMP.PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129