08-100572 City of Federal Way Building Single Family Permit #38-100572-00-SF.
Community Development Services
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: NW CHURCH - PARSONAGE#4 p. 7,
Project Address: 1932 SW 350TH ST 1 `-" . :-) umber: 795620 0040
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Project Description: REM- Interior modifications including replacement , r with p 1 & beams,
relocation of partition walls and relocation of fixtu 'lu g and ' chanical included.
Owner Applicant Co .ct. Lender
INTL CHURCH OF FOUR SQUARE INTL CHURCH OF FOUR SQUARE IN HURCH• .• S S. ,
GOSPEL GOSPEL GOS'- a
1932 SW 350TH ST 1932 SW 350TH ST ' 2 SW 350
FEDERAL WAY WA FEDERAL WAY W 'A WA a
98023-6917 98023-6917 '9A
Census Category: 4 ' ed - e in number of units
Includes: 44)\131/k
#3 #4
Occupancy Class:
Construction T Al e:
Occupancy
Floor Area(s.. 0 0 0 0
X11 —
.,. n a °Permit fan '
s „
N dditional Sq. 3rd Floor 0 New✓Additional Sq.Feet-Basement .. 0
a ' to be Include . Yes Plumbing to be Included? { Yes
Mechanical Fixtures
Rang 1 Hot Water Tank 1
Plumbing Fixtures
Dishwashers 1 Laundry Washer Outlets 1 Lavatories 1
Sinks 1
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Saturday, February 6, 2010
Permit Issued on Wednesday, February 6, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- 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 At., / %. Date: .0-
Date:
THIS CARD IS TMAIN ON-SITE •
•
CITY OF ...,,-1-m 411°Communi Yy Developarent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100572-00-SF
Owner: INTL CHURCH OF FOUR SQUARE GOSPEL
Address: 1932 SW 350TH ST
•
FEDERAL WAY, WA 98023-6917
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.
O SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Plumbing Groundwork(4190)
Approved To be done prior to breaking ground Approved to cover
By Date By Date By Date
— 0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
0 Roof Sheathing(4220) ❑ Rough Plumbing(4230) ❑ Mechanical Rough-in(4165)
Approved to install roofing Approved Approved
By Date By AP Date 2/9/g1 By /4 '% i ,j Date Z
❑ Gas Piping(4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
�A > Rough-in and Fire/Draft Stop inspections must be
',{
By Date By t ' Date /5h5 signed-off and approved. IBC 109.3.4/UBC 108.5.4
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❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By 11/11.-Date 2./5/ By it �/ Date .17%chi By Date
1
❑ Final Erosion Control(4375) ❑ Final-Mechanical(4065) ❑ Final-Plumbing(4075)
Approved Approved Approved
By Date By ,- . Date 5/45 By 711 Date 5/ oy
,❑ Final-Building(4050) • 0 Interim Erosion Control(4370)
Approved Approved
By e..._ tN. Dates`.5-.. U By Date .
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For inspector reference only___
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
4
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Federal way RECEIVED PERMIT /a3,o — —
COMMU8Nr1YDEVELOPMENfSERVICES SF MF CO ME EL PL DE EN FP
33325NAVENUE SOUTH•POBOX 90 6 20 • PLICATION
253.835-2807FEI1E1tAt.WAY.F
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WA 25398083-9-2807189 1 �F FEB
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www.dhpirederalwatl.com
The,following is WfiiiFirjfyeetIckAtinyv Att incomplete application will not be accepted. Please print legibly(in ink)or type.
Ell PROPERTY INFORMATION
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SITE ADDRESS_ I '1 3a- 5w 35-01=-41' S4-r cek SUITE/UNIT•# P, Ap
ASSESSOR'S TAX/PARCEL7 9 5 6A D - a 0 <{ o LOT sum -G(le
/745-
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ST—A 41-5 4 0
(AtmcRseparak pog,for kngthg legal deacrtptlbN
• PROJECT INFORMATION
TYPE OF PERMIT Iil.BUILDING S.PLUMBING l5i MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
W:•11.44-,-• Yv.f.v1n.. UW 6..r. U. .r19M. w►A.uw� 6 ruc ,r4 c&tc. t--0,—r1.t., k (-t4.,Jw... / ..4 v' , k�a b edr
4.-01 4�.r , w. S{u.('( //G L�-WG.1LLe rr.(eG .er 1%0U
rl.e.v. 4.14.Ab t VJ A-1/1� N,,"dto-Itv C c:A seC'fi� i.C-
//cLC+ct�S 0.4- I•,::.40, .y i p(L+..b c++^Vr i �,r, S ATt,�i 1.01%01C. 1�0 U•$G 9 A.uL-t cK,e t e ekairc , %;..,5.1-.,-(A ax,...
1 s y re,.,.>v.c� l tie. 1.,sc,.1\ W..l� �.eeJ..& s cu�.)R- rdr(.0c4— w:44... `D ea.w. t Pv..1-s )�
PROJECT NAME(Name of Business or Owner Last Name) N ortk.J dr(.0c4-
l W 1 VGvlsor. - e itt"f
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• PEOPLE INFORMATION
PROPERTY NAME i- i 04 / '` F'00
� PRIMARY PHONE
OWNER Sr► -erhekLona-k v:Ci. o17L 1"OurSlvcv. 60Sig4 (:1.63 ) g33 - 632(
MAILING ADDRESS -til A
CITY.STATE,ZIP E-MAIL ADDRESS s r t I/6:z
(-4g00 2) p c.,r S() e WA v ,u.+A `)f023 r co 2Sr r, ).
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Duo it•tr. (.6'3 ) g't - .1
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(2-43 ) 970 - c/27
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(253 ) g3a --?goce
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
LOCANT COMPANY NAME APPLICANT NAME OFFICE PHONE
®W GOv-- ( ) -
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant Agent ❑ Other ( ) -
PROJECT NAME _ PRIMARY PHONE E-MAIL[ ADDRESS
CONTACT S e.rL_ 2,v rV-tk cgerv� (Z53 ) ?3`R' - (,3Z( 54-eve.ye Mid aou;stdcare..ut- „
LENDER NAME Per RCW 19.27.095:
Oce) •.e..v- Lender Information is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
54+ A5 AC30Jc' ( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE 5 t.►.cpc.. ¢ooev.Lyi usi PROPOSED USE L.►�'1'C..
EXISTING ASSESSED/APPRAISED VALUE$ 'L'6(p) 860 tl VALUE OF PROPOSED WORK $ /1:y /I PO
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER N LAKEHAVEN o HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o IAKEHAVEN 0 HIGHLINE PRIVATE(SEPTIC)
II
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
sq.FT. S9.FT. S$.FT.
BASEMENT
FIRST 1'3 65
/ (ag
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 m�
NUMBER OF FLOORS ascema 2AOPOB� i°7 TOTAL"
'�eL19POmO®� 13!05
"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 ,..111:5Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS '3 FANS I GAB WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commemai)
COMPRESSORS FURNACES I RANGES
DUCTS GAS LOG SETS REFRIG.SYS1'r,MS
PLUMBING
BATHTUBS(or1Lb/shower Comm) I LAYS(Bathroom Sinks) URINALS MISC(Describe)
I DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(tone()
ELECTRIC WATER HEATERS I SINKS I WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 i.e,.,e..t.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 Rf the information supplied to
the city as a part of this application.
OW
SIGNATURE: W/ / e� : .0 �/7 J l . DATE lig/b
Property er and/or Authorized Agent
FOR ornotwat ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-January 1,2008 Page 2 of 4 k\Handouts\Permit Application