13-105087City of Federal way ° a
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 w_
Ph: (253) 835-2607 Fax (253) 835-2609
euilding -Tol' m' ercial
Permit #: 13 -105087 -00 -CO
Project Name: KENYAN CHRISTIAN FELLOWSHIP CHURCH
Project Address: 30315 PACIFIC HWY S Unit A
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9237
Project Description: TI - Interior tenant improvement work to include new ceiling and partition walls.
Plumbing and mechanical included
Owner
ARRlicant
Contractor _
Lender
VAN VUONG
O M S CONSTRUCTION
O M S CONSTRUCTION
V C INVESTMENTS LLC
32840 41ST WAY S
OMSCOCI881R7 (12127/14)
14349 SE 92ND ST
FEDERAL WAY WA 98001
32840 41 ST WAY S
NEWCASTLE WA 98059
FEDERAL WAY WA 98001
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1 #2 #3 #4
Occupancy Class:
A-3
Construction T
Type V - B
Occupancy Load-
oadFloor
FloorAreas . ft
2,300 1 0 1 0 1 0
Additional Permit Information
Existing Sprinkler System in Building?.................No
Plumbing Work Valuation?...................................2000.00
Permit for Building Shell Only?............................No
New / Additional Sq. Feet - Total .......................... 0
Mechanical to be Included?...................................Yes
Number of Stories.................................................1
Plumbing to be Included? ....................................... es
Occupancy #I - Use ............................................... Church
Mechanical Fixtures'
Ducting.......................................... 1
Plumbing Fixtures
Lavatories ....................................... 2 Water Closets................................. 2
PERMIT EXPIRES Saturday, June 7, 2014
Permit Issued on Monday, December 9, 2013
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 a dance with the laws, rules and regulations of the State of Washington
an ity of Federal Way.
Owner or agent Date: �
VVVk Fri.w<<h9 ,G
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City of Federal Way W
Certificate of Occ�Opancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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 C�fi' y staff.
Tenant Name: KENYAN CHRISTIAN FELLOWSHIP CHURCH Permit #: 13 -105087 -00 -CO
Address: 30315 PACIFIC HWY S UnitA
Includes:
#1 #2 #3 #4
Occupancy Class:
A-3
Construction T
Type V - B
Occupancy Load
Floor Area . ft.) 1
2,300 1 0 0 0
Owner Name: VAN VUONG
VAN VUONG
Owner Name: V C INVESTMENTS LLC
Owner Address: 14349 SE 92ND ST
NEWCASTLE WA 98059
Building Official
2'1 1 1 t4
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 sevedy 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 neitherguarantees 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
CITY OF * PIERMI*APPLICATI®N
Federal Way RECEIVED
�j 1 NOV 13 2013 .
PERMIT NUMBER / _ I O G O g _
— — — — — — — — — CITY OFRO
�4OTC
�AM4�
me
SITE ADDRESS
SUITE/UNIT #
/
^
f?
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/ ARCEL #
TYPE OF PERMIT
BUILDING I PLUMBING XMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
-
G•�
✓C a
PROJECT DESCRIPTION
l
Detailed description of work to
�L4UV y1 -I
i • Ylc5',
be included on this permit only
'`.:4�
NAMP
PRIMARY PHONE
PROPERTY OWNER
t :($ 4
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
GG'
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
W ,; 4_45;4
cost
CITY /,
STATE
ZIP ,
FAR
WA STATE CONTRACTOR'S ICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
011 ✓i' 64
MAILING ADDRESS
E-MAIL l
APPLICANT
CITY
�4
STATE
ZIP
FAX
-;�_, - /-
t��
.i
-4 S_; - - - - 5---�-.
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME i � •
OWNER -FINANCED
i
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE;, P
.�.
PHONE
r
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal
Way regulations pertaining to the work
authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility
for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim
(including costs, expenses, and attorneys' fees incurred in
the investigation and defense
of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a -part of this ap lication.
G
SIGNATURE:
DATE
PRINT NAME:(/i
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
1ww
CRITICAL AREAS ON PROPERTY?
PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT$
# of
Stories
(WATE/R'
3 p o p � =
Indicate how many of each ty e of fixture
to be installed or relocated as
part of this project. Do not include existing ures to remain. .
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commercial)
DISHWASHERS
BOILERS
FURNACES
HOT WATER TANKS (Gas)
DRAINS
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DRINKING FOUNTAINS
DUCTING
GAS PIPING
WOODSTOVES
HOSE BIBBS
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
(WATE/R'
1—I' Ve,
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many o each type offixture
to be installed or relocated as part o this project. Do not include existing ures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand Sinks) 1--
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Additional Information
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
(WATE/R'
1—I' Ve,
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes )c No
❑ YesA'No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
) L7 O
/
q
4 --
/
_
PROJECT AREA ONLY
Bulletin # 100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -105087 -00 -CO Address: 30315 PACIFIC HWY S Unit A
VAN VUONG FEDERAL WAY, WA 98003
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.
Mechanical Rough -in (4165) Gas Piping (4125) Fire/Draft Stops (4095)
Approved Approved to release test Approved
By Date By Date By Q..� Date !�,_ `may
0
SWM Precon Site Mtg (4400)
prior to scheduling a Framing inspection;
Initial Erosion Control (4365)
0
Footings/Setback (4110)
Slab/Concrete Floor (4255)
Approved to place concrete
Approved
Date
To be done prior to breaking ground
By
Approved to place concrete
By
Date
By
Date
By
Date
Mechanical Rough -in (4165) Gas Piping (4125) Fire/Draft Stops (4095)
Approved Approved to release test Approved
By Date By Date By Q..� Date !�,_ `may
0
Re -steel (4215)
Approved to place concrete or grout
prior to scheduling a Framing inspection;
Q
Plumbing Groundwork (4190)
Approved to cover
Slab/Concrete Floor (4255)
Approved to place concrete
By
Date
Approved to insulate
By
hArS Date 1Z ( I y l 14
By
Date
By
Underfloor Framing (4285)
Approved to sheath floor
Floor Sheathing (4105)
Approved to install flooring
Rough Plumbing (4230)
Approved
By
Date
0
By
Date
By o
Date t
Mechanical Rough -in (4165) Gas Piping (4125) Fire/Draft Stops (4095)
Approved Approved to release test Approved
By Date By Date By Q..� Date !�,_ `may
0
Interim Erosion Control (4370)
prior to scheduling a Framing inspection;
0
Framing (4120)
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 1093.4
BY Date
By
Date
0 Gypsum Wallboard Nailing (4130)
Insulation (4150)
0
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By Date
By
Date
0
Final - Fire Department (4060)
0 Final - Planning
0
Final Erosion Control (4375)
Approved
Approved
Approved
By
Date
By Date
By
Date
0
Final - Mechanical (4065)
0 Final - Plumbing (4075)
0
Final - Building (4050)
Approved
Approved
Approved
By
`6 Date 2,1(4
By i Date
By
(-4 Date iq
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
DAT E INSPECTOR AREAANDTYPEOFINSPECTION