07-100995 f ,
ty of
t Comm n' Deve eralWpmentServices Bui ng - Commercial Perml< #: 07-100995-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: WEST CAMPUS CONGREGATION ,, a. fri
Project Address: 31519 6TH AVE S iii 1 . �,X Parcel Number: 082104 9252
Project Description: ADD- Add 476 sqft storage area to the rear of the building and replace existing heat pump
and plumbing fixtures. **includes plumbing and Mechanical**
Owner Applicant Contractor Lender
RICHARD A HULTZ RICHARD A HULTZ 32917 49TH AVE SW
32917 49TH AVE SW 32917 49TH AVE SW FEDERAL WAY WA
FEDERAL WAY WA FEDERAL WAY WA 98023-3323
98023-3323 98023-3323
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: S-1
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 476 0 0 0
Additional Permit information
New/Additional Sq.Feet-2nd Floor 476 Existing Sprinkler System in Building9 No
Mechanical to be Included9 Yes Number of Stories 1
Permit for Building Shell Only9 No Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 476 Occupancy#1 -Use Storage-Low
Hazard
Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation RS 7.2
Mechanical Fixtures
Air Handling Units 2
Plumbing Fixtures
Lavatories 4 Urinals 2 Water Closets 6
PERMIT EXPIRES Monday, April 27, 2009
Permit Issued on Friday, April 27, 2007
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: ttli fuzz' 0: i.% Date: 4.7-47—
THIS CARD IS TO EMAIN ON-SITE
CITY OF tommunitY DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100995-00-CO
Owner: RICHARD A HULTZ
Address: 31519 6TH AVE S
FEDERAL WAY, WA 98003-5268
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.
•
e❑ Footings/Setback(4110) 0 Foundation Wall (4115) ❑ Drainage/Downspout (4040)
Approved to place concrete Approved to place concrete Approved to backfill
Date 6_ 4-0 ) By Date By Date
•
0 Re-steel(4215) ❑ 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) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date (� Dat• mss_ • tA Date9
❑ Roof Sheathing (4220) 0 Rough Plumbing (4230) ❑ Mechanical Rough-in (4165)
Approved to install roofing li/1: Approved Approved ^�By G Date 9 "- 7-4;2,7_, By Date g O 7 By / Date / 2 //
0 Gas Piping(4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By G Date 5,„29�
�❑ Framing (4120) ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date — .. By (1.;2,f Date 9 Zy02 By G j Dateg. 'O2
❑ Suspended Ceiling Grid (4265) ❑ Final- Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By /=. Date /Q �ABy /j Date
•
❑ Final-Public Works (4080) ❑ Final -Mechanical(4065) ❑ Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
�❑ Final-Building (4050) For inspector reference only
0 ApprT ed Electrical 0 FINAL-Electrical
Approved Approved
ByDate/0•
lra
y (J„ f'I Date �= ro By Date
V
•
•
t f
•
CI OF RECE&D
Federal Way PFR IT Li
COMMUNl7YDEVELOPMENTSERV!CE3 ES 2 8 2007 f SF MF6 ME EL PL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718 EYPLICATION
FEDERAL WAV,WA 98063-9 T�
253-835-2607•FAX 259
835VII Y OF FEDER / /
wurw.cI,iofederatwa4.com. BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
•.G . NI PROPERTY INFORMATION •
•
SITE ADDRESS 3 ( �( / (o -1-k fl V C S 0 Kt (4 SUITE/UNIT #
=t p
ASSESSOR'S TAX/PARCEL# O V) Z t 0 - 1 ro? S Z LOT SIZE (Si) 6 4 l 0 S-I
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) $ E� P L i-id
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION '
TYPE OF PERMIT W.BUILDING 'PLUMBING ( MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onhO
QU(L 0 (e-r4 : slo(L4c.0 P2-0 t P.-DOI-7( a.,-/ (47 , SF)
Pi..-✓.a,.a I.re. . P-cl L-A-e.-�- E...),-($1 f t )c-t e-3 tr-/ (.r e--w
friv +4 A-t-r Lurc_.l p-el'LAI--(-- •E-KL 17 s PL-t-7 S'/f-7 F^-( r1 - 4--7 P.--ti..p s ( r-b--t,,
P,°r-c-(( -" t'I p 6 •
PROJECT NAME(Name of Business or Owner Last Name) V-1-€:-S ( C.-- ik : p LZ S a 4/LEGam"(( s.J •
•
PEOPLE INFORMATION
PROPERTY NAME - "PRIMARY PHONE
OWNER Wes-.---( c-pcfr()tt5 coN4/2 A-1 ( 3lU (Ls- ) 3t- 3 -3zs7
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS •
32-9 (-7 4-1+4, P'.f s •,/ F-er)GrIA-(-- 1'!-AY' `i b'a L3
CONTRACTOR COMPANY NAME APPLICANT NAME • OFFICE PHONE
A
MAILING ADDRESS CITY,STATE,7�IP CELL PHONE
• • ?2-et (-1 ¢4 t171 4-‘(- -- -S-t ' FC,cCer 6 f t8a Z 3 (ZS-3) 2 `t..? c-7 ( .
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATIO'N ,.�# 98a2-3
DATE FAX NUMBER -
( ZC3ss3 -3z -3
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION"DATE E-MAIL ADDRESS
COPY of card required I n
with each application. J
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5, Mt= tcs 0w1✓U—I. . t-( -- l- tt t.A.L7 L ( LS3) 3If1 - 3t-C7 t
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE '
(LS3 ) L?9 - Lgi8'
' RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 54 Other e—P`' k K e=c"---It.
( zc3) 3 -34-ff3
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT l`--(CK- ( tk LT Z (2---.)) 33 - 3 7.-S-7• r i C"k h EL 1+z b(n cq
•
LENDER NAME , , ,- Per ROW 19.27.095: G o-r+Sf,Cu'..1 l
0
�':flf - Lender information is required if project value exceeds$5,000
MAILING ADDRESS i CITY,STATE,ZIP PHONE
N/'CS (bila a (a-n t-e,54/- ( ) -
• - ■ DETAILED BUILDING INFORMATION •
EXISTING USE C..-t-F L'IZ c (:{- PROPOSED USE C t4 `'a-6 Cf
•
•
EXISTING ASSESSED/APPRAISED VALUE $ -VALUE OF PROPOSED WORK $ 4•(-C i 0 O 0
SPRINKLERED BUILDING? 0 YES .,if NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? DYES I<NO
WATER SERVICE PROVIDER A LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) a
SEWER SERVICE PROVIDER *LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST 4-6 Z f 47(c 5 t 0 0
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SFTOTAL
NUMBER OF FLOORS i 1 i 4 G.. .L 4- C-(2b S�O 6
**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 -
% Sa, ' b 0 32,38
Value of Mechanical Work $ - �- 31 A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
L AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial) 5-4c7 •
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING `'
BATHTUBS(or Tub/Shower Combo) 4 LAVS(Bathroom Sinks) 2.. URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS tti WATER CLOSETS(toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 /at
DATE 2---(2-3/ d 7
(Signature (Title) t
RELATIONSHIP TO PROJECT 0 Owner Agent 0 Contractor 0 Architect 0 Other
a NEW a ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application