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05-105373 N ! uilding - Comm-erctial . III 1113 p.ity of Federal Way Community Development Services ! Permit #: 05-105373-00-00 P.O.Box 9718 r Federal Way,WA 98063-9718 L z Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609d iii '` . Project Name: CHURCH OF BLESSING Project Address: 1430 S 330TH ST Parcel Number: 172104 9045 Project Description: TI-Phase II of overall project. Second story remodel which also creates additional square footage within the existing envelope. Includes plumbing& mechanical for restrooms.***MODIFIED 12/10/09 to add(2) mop sinks*** Owner Applicant Contractor Lender ALEX P MELNIK DAVID THORSTAD VICTORY CONSTRUCTION LLC U S BANK OF WASHINGTON CHURCH OF BLESSING 406 S 289TH ST VICTOCLOIODJ(3/11/10) 2800 E LAKE ST UNIT LAKE00 1430 S 330TH ST FEDERAL WAY WA 98003 31617 6TH AVE SW MINNEAPOLIS MN 55406-1930 FEDERAL WAY WA 98003 FEDERAL WAY WA 98023 Census Category: 437 - Commercial alt/add Includes: #1 #2 #3 #4 Occupancy Class: A-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq. ft.) 3,225 0 0 0 0s 'F , 7 j::::11 s ') € ai ot, , iii , . . 1' '::::,,,,,,,,7, Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes Number of Stories 2 Permit for Building Shell Only? No Plumbing to be Included? Yes Special Inspection(s)Required? No Will Certificate of Occupancy be Issued?..............Yes Mechanical Fixtures Fans 3 Plumbing Fixtures' Drinking Fountains 2 Lavatories 9 Sinks 2 Urinals 3 Water Closets 8 CONDITIONS: 1)Prior to Certificate of Occupancy,all frontage improvements shall be installed to the satisifaction of the Public Works Director. 2)Prior to Certificate of Occupancy,statutory warranty deeds shall be recorded for right-of-way. 3)Prior to C/O,landscape inspection must be conducted. Contact Deb Barker to schdule this inspection. 253-835-2642. 4)Prior to C/O,all rooftop mechanical equipment shall be screened based on code. 5)Prior to C/O,all improvements under 05-103457-EN shall be installed,inspected and approved. 6) The driveway relocation on South 330th Street is subject to the following condition of approval: In order for the Public Works Department to review and approve the driveway relocation,a sight distance analysis shall be submitted to confirm that the new driveway location will not have sight distance issues due to its proximity to the roadway curve at 13th Avenue South. If the site distance analysis does not provide a favorable recommendation for this new driveway location,that location cannot be approved. flMALWb :1f1ftt :' PERMJ&EXPIRES Wednesday, Novembe ,5, 2009 . - ermit Issued on Friday, May 29, 20 - 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 agen • Ag_ --c..._ Date: / 1, d City of Federal Way Certificate of Occupancy 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 City staff. Tenant Name: CHURCH OF BLESSING Permit#: 05-105373-00-CO Address: 1430 S 330TH ST Includes: #I #2 #3 #4 Occupancy Class: A-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq. ft.) 3,225 0 0 0 ALEX P MELNIK Owner Name: ALEX P MELNIK Owner Name: CHURCH OF BLESSING Owner Address: 1430 S 330TH ST FEDERAL WAY WA 98003 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. / .''', . It I .1 , 4.4 ,,,,,! . 44 r - c ' ` wilding - Commercial city of Federal Way Community Development Services Permit #: 05-105373-00-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: CHURCH OF BLESSING Project Address: 1430 S 330TH ST Parcel Number: 172104 9045 Project Description: TI-Phase II of overall project. Second story remodel which also creates additional square footage within the existing envelope. Includes plumbing& mechanical for restrooms. Owner Applicant Contractor Lender ALEX P MELNIK DAVID THORSTAD VICTORY CONSTRUCTION LLC U S BANK OF WASHINGTON CHURCH OF BLESSING 406 S 289TH ST VICTOCLO1ODJ(3/11/10) 2800 E LAKE ST UNIT LAKE00 1430 S 330TH ST FEDERAL WAY WA 98003 31617 6TH AVE SW MINNEAPOLIS MN 55406-1930 FEDERAL WAY WA 98003 FEDERAL WAY WA 98023 Census Category: 437 - Commercial alt/add Includes: #1 #2 #3 #4 Occupancy Class: A-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq. ft.) 3,225 0 0 0 ay yM nSp RI 0 �t��1 kYa 1 'A�, + Building Pre-con.Meeting Required? No Existing Sprinkler System in Building?..... ....:.. ..Yes Mechanical to be Included2 Yes Number of Stories 2 Permit for Building Shell Only? No Plumbing to be Included? Yes Special Inspection(s)Required? No Will Certificate of Occupancy be Issued9 Yes Eo Mechanical Fixtures Fans 3 Plumbing Fixtures Drinking Fountains 2 Lavatories 9 Urinals 3 Water Closets 8 CONDITIONS: 1)Prior to Certificate of Occupancy,all frontage improvements shall be installed to the satisifaction of the Public Works Director. 2)Prior to Certificate of Occupancy,statutory warranty deeds shall be recorded for right-of-way. 3)Prior to C/O,landscape inspection must be conducted. Contact Deb Barker to schdule this inspection. 253-835-2642. 4)Prior to C/O,all rooftop mechanical equipment shall be screened based on code. 5)Prior to C/O,all improvements under 05-103457-EN shall be installed,inspected and approved. 6) The driveway relocation on South 330th Street is subject to the following condition of approval: In order for the Public Works Department to review and approve the driveway relocation,a sight distance analysis shall be submitted to confirm that the new driveway location will not have sight distance issues due to its proximity to the roadway curve at 13th Avenue South.If the site distance analysis does not provide a favorable recommendation for this new driveway location,that location cannot be approved. PERM EXPIRES Wednesday, Novembe 5, 2009 r ` 4 A • • ermit Issued on Friday, May 29, 200 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 Cit of Federal Way. Owner or agent: 'lar. 411 ft Date: i--.2 9— 0 9 /� City of Federal Way Certificate of Occupancy 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 City staff. • Tenant Name: CHURCH OF BLESSING Permit#: 05-105373-00-CO Address: 1430 S 330TH ST Includes: #1 #2 #3 #4 Occupancy Class: A-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq. ft.) 3,225 0 0 0 ALEX P MELNIK Owner Name: ALEX P MELNIK Owner Name: CHURCH OF BLESSING Owner Address: 1430 S 330TH ST '' FEDERAL WAY WA 98003 ‘r1411-11i/49. 64f fr."4: ilding Official Date Th 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 itis situated. Such compliance is the responsibility of the owner and/or occupant of the premises. 2 • r F r + t '• '' ' DATE INSPECTOR AREA AND TYPE OF INSPECTION 63-2o-c e.,.c.`) mac.. -1 , c (/ e.,rr ..-/z7.7Ll,1,.,C ‘e...,x,/.. 5itcoe.. _ '2k 4-0 . ,‘61 e. e-fwa. .-• s'vs6cle.. 4174 6 LI /4 it , %/ .e , , Ili L ' ktill Cj _t -0'1 c.._) 1 ' (G .er t)✓'lu10-iI ( € (e-1/cdor Ul< _ q -2.)- 6( ��.�J (� LJc� t 1 Cs e)c-�2 v`;o✓• r� �`' ►1 v toe t l ia-s-cc/ :-( 5 .-r. It- t he 5-4 , e-,(4, y--- er lP/q gq - 1-/ Dry Wahl far s v v1(t' r404),,f ilA, it iOn1toi r jam; / P/4, In teva-foY . /Orti Al ti1 ed j6011- ,a 1 i cry l i_o) rikt2 irtv 3 /;./N 177/,--- s' ticplerilea c.fi- Ivy (a t7-er nofc- s-k.thicet 4 0 o/ clr1c4 ' A r0Vq THIS CARD IS TO REMAIN ON-SITE .• . cirYat itommunity Developnnnt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105373-00-CO Owner: ALEX P MELNIK Address: 1430 S 330TH ST FEDERAL WAY, WA 98003-6302 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. • ❑ Footings/Setback(4110) 0 Re-steel (4215) ❑ Plumbing Groundwork(4190) Approved to place concrete Approved to place concrete or grout Approved to cover By G„ 4.4._.) Date 7../e, .. 7. By Date By ) t— ' Date /0'4 - �❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By • Date By Date •❑ Rough Plumbing(4230) ,❑ Mechanical Rough-in (4165) 0 Gas Piping(4125) Approved Approved Approved to release test By •1-77%-•"" Date /1 i , By A.--- -----Date i/i0 By Date ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) 1 0 Framing(4120) Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate Rough-in and Fire/Draft Stop inspections must be . ' Lned -off and approved. IBC 109.3.4/UBC 108.5.4 i / By ; ' Date Z By �%! Date G' . I . O Insulation (4150) ❑ Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile • By i'' . ^E�, �'t�/Date / de 41 By (� Date 2 —Z2- /0 , By $ :�Date f ,d • O Final-Fire Department(4060) ❑ Final-Planning(4070) ❑ Final-Mechanical(4065) Approved Approved Approved By pc- Date 1 ?J2/4/(c. By 17 "9 Date .-// . ByC-, ',�..v Date 1 "I S I �� O Final-Plumbing(4075)1 • ❑ Final-Building(4050) Approved Approved By C , Date\ \- 1 5.-1 G By �f Date 9-9- v • For inspector reference only j 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date 44ECEIV / 0 C Federal WaSEC ;' PERMIT SF MF CO E EL PL DE EN FP 10 2C COMMUNITY DEVELOPMENT SERVICES PLICATION 253-835-"'CR 383 Y 1;.EDERie PROPERTY , SITE ADDRESS �9 0 �^�--- SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# ( Q _ 9 PROJECT NAME or PROJECT (-(�„ ger. -L D F- ��`y�c► , N // (Tenant or Homeowner Name) w (�j ❑ BUILDING FLUMBING ❑ MECHANICAL TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION ,?)Q - PROJECT DESCRIPTION / ,Or/ (4= -//67/0 Detailed description of work to be included on this permit only PEOPLE NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDHESS,CITY,STATE,ZIP E-MAIL OWNER IS ALSO: El CONTRACTOR APPLICANT 0 PROJECT CONTACT N PRIMARY PHONE l4 t iC ie�te�eli/'7s L?Y ) c/3f /09 OTCONTRACTOR MAILING ADDRESS,CITY,STATE ZIP FAX S 3 f,44/. //WA aJr�a eo,/ g 9 ��3 ) 9.3 y-6-23'7 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# �vcPL ux 9PaP 2 /O /0q ' /d)0 /� r / PRIMARY PHONE o, APPLICANT N A/La_S ( �6 �/ll� /� d7'�3) �3 7- / d e/ MAILING ADDRESS,CITY,STATE,ZIP 'e .1 FAX keg i / (f? 9,02, ( ) - PROJECT CONTACT NAME PRIMARY PHONE Q (The individual to receive and /� %G.0 S3 P ) 9 /' /d(1/ respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP 4, /'/*, FAX O/ concerning this application) r 7 44 i 9yo Z S,) ALTERNATE CONTACT NAME: �•c- PRIMARY PHONE E-MAIL /te¢ __ - . . i C, L -5 ) 9 3/ - JD Y9 ekcetifil65t ( ('� 11,0 PROJECT FINANCING NAME ❑ OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE (RCW 19.27.095) ( ) - 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 application. SIGNATURE: / �'�� DATE jC 7� PRINT NAME: ;4 Ldp / A Bulletin#100—4/21/2009 Page 1 of 4 k:AHandouts\Permit Application I I p , REDr.: -D 2--'f ufks esM Federal Way OCT 1 9 2005 a COMMUNTYDEVELOPMENT SERVICES PERMIT SF MF CO PL DE EIV FP 33325 8m AVENUE SOUTH•PO BOX 97180F FEDER 2F5E3D-8E3R5AL2WA7•Y,FAXWA 259380-863352761089 ,UILDING p L I C AT I O N 4<_ �� a' ' i/www.aWoIederdwau.rnm • S / 9.1 The ollowi • is re•uired in ormation-an incom. Dnot ��( fete a..lication will be acce.ted. Please .Tint le•ibl in in or .e. , ■ PROPERTY INFORMATION SITE ADDRESS 1i'47 4., �7 7A) _411 SUITE/UNIT# ASSESSOR'S TAX/PARCEL it 7 Z• _. , LOT SIZE(fl 4f ,Z„7Q LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 4 A 111111,_ 4. (( tt (Attach separate.•. 1. lengthy legal desciip6on) . -- ` ■ PROJECT INFO RMATION 'l TYPE OF PERMIT :UILDING .•,PLUMBING 0 MECHANICAL 0 DEMOLITION t ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM yPROJECT DESCRIPTION(Provide detailed description of work included on this permit only) /' -3 14-44 - i. •r e',.-.4.,,,.-1s___1L,s.. _ a -. % IIS a' y, t7 ty..a ry .^r,,:, mmmi, `•iim.:-€' (ns91i3"i+u �aaa:.i � bb �,��:w -- _. PROJECT NAME(Name of Business or Owner Last Name) Li � PEOPLE'INFORMATION �'•". _ PROPERTY NAME f . PRIMARY PHONE f OWNER * J4 .r- N.. fl�iCr7 l r 7,„,_7„.7 �A�N�RES�, �� CITTA STATE,ZIP A <4 1 CONTRACTOR `COMPANY NAME ' f-�� ' I , � � a?`f"^' f[ 1 1 APPLICANT NAME '$�,I OFFi7 ICE ONE MAILING41:246/111 .271141 DDRESS CITY, ATE,ZIP CELL t [ 7 1 l G14l 20 .f�T'L-�.�.` •, PHONE i 1® . r 1 ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATIO DM IE FAX NUMBER / — / (� ��—/ fid / tJ � ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card reequired with each application) 9 1_ 4... i L P 4 V /RATION DATE APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 17AIDR 1 171 r IP id - I'IIT ( Q AILING ADDRESS CIT ,STATE,ZIP 4� �• IL. tt `/ (CEL {ONE _ ELATIONSHIP TO PROJE'T ', "��/ • ) FAX NUMBER • Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) - CONTACT NAME }1ab ' ( ' PRIMARY PHONE E-MAIL ADDRESS Y 14.14.1-1141 CT. 2 7,a-7,Z.7 I LENDER y� NAME ori -^...-.s MAILINgA•DRESS ...., CITY,STATE, tic--1-- - rcr` ' ■ DETAILED BUILDING INFORMATION . EXISTING USE 1 PROPOSED USE 44. 1.1/27�•1 171 � EXISTING ASSESSED/APPRAISED VALUE $ I`"D. ' VALUE OF PROPOSED WORK---"' �"�7.11:;•=7' ' SPRINKLERED BUILDING? i YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? • YES 0 NO WATER SERVICE PROVIDER .i LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ■ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) t\ _./ PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTA., SQ.FT. SQ.FT. SQ.FT. ' , BASEMENT FIRST i6-7401 Z 1 I,7$. SECOND — ' � THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) • DECK(COVERED?) GARAGE ❑ CARPORT❑ waSTINO PROPOSED TOTAL .047* O*R , ' ROPOSED 9P OTAL S .'. �`.s' '�$' NUMBER OF FLOORS .A.,?,.,,7. .., �' t.', p �( ,,� , **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES. , Indicate number of each o re . .- installed or relocated as part of this project. Do not include existing fixtures to remain. hIECIiANICAL -�o Value of Mechanical W k 0.7-431.Q. l) 575 ' AIR HANDLING UN �" EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS �u� FANS HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS ,f, WATER CLOSETS(TOS,[ MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST _ 9 _ WASHING MACHINES / URINALS HOSE BIB59/---- _ i- _ LAVS(Bathroom sinks) VACUUM BREAKERS &. II A ELECTRXI WATER HEATERS �1 • 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 ',"Al ,,, AP a, i DATE L 2.://:).. .i.L-).. .i (Sig,ature) (Title) RELATIONSHIP TO PROJ T • Owner 0 A: nt 0 Contractor 4v Architect 0 Other "� s � KCL F®R SSE [tole,. t .S . ¢aOa 7 ®} I '� R1 ® MENT 'h a , ar , r .-_ • ten. Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\I'ermit Application