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14-105662City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: CHURCH OF GOOD SHEPERD Project Address: 345 S 312TH ST Project Description: Drywall installation. fRuilding - Commercial Permit #: 14 -105662 -00 -CO Inspection Request Line: (253) 835-3050 Parcel Number: 082104 9161 Owner Al2RI*can Contractor Lender EPISCOPAL PARISH CHURCH CHRIS PARLY OWNER IS CONTRACTOR PO BOX 3108 3610 33RD ST NE FEDERAL WAY WA 98063-3108 TACOMA WA 98422 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load Floor Areas . ft. 0 0 0 0 Additional Permit Information Mechanical to be Included?....................................No Number of Stories ................................................. 1 Permit for Building Shell Only? .............................No Plumbing to be Included? ....................................... No No Fixtures Associated With This Permit 11 RMIT EXPLeFederal sday, April 28, 2015 P rmit Issuedy, October 30, 2014 I hereby certify that the above i fo mation is cot the construction on the above described property and the occupancy and the use wil b in ccordanaws, rules and regulations of the State of Washington Way. Owner or agent: Date: f1 3b CITY OF Ahl' Federal Way PERMIT #: Project: THIS CARD IS TO IN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 14 -105662 -00 -CO Address: 345 S 312TH ST EPISCOPAL PARISH CHURCH FEDERAL WAY, WA 98003-4031 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. ❑ SWM Precon Site Mtg (4400) El Initial Erosion Control (4365) Final Electrical Approved Footings/Setback (4110) 1:1Approved Approved By To be done prior to breaking ground Approved to place concrete By Date By Date By Date ❑ Foundation Wall (4115) El Drainage/Downspout (4040) Final Electrical Approved Re -steel (4215) 1:1Approved Approved to place concrete By Approved to backfill Approved to place concrete or grout By Date By Date By Date 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 ❑ Shear Walls (4245) Roof Sheathing (4220) Fire/Draft Stops (4095) Approved to install siding Approved to install roofing Approved By Date By Date By Date 1 — Interim Erosion Control (4370) Framing g (4120 ) Prior to scheduling a Framing inspection; Approved Electrical, Plumbing & Mechanical Rough -in and Approved to insulate By Date Fire/Draft Stop inspections must be signed -off and BY - ' `^ 43 • 11 " Date approved. IBC 109.3.4 4 ., Insulation (4150) Gypsum Wallboard Nailing (4130) [:] Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud & tape Approved to drop tile By Date By C� Date>D , By Date ® Final - Fire Department (4060) Final Erosion Control (4375) Final - Building (4050) Approved Approved Approved By Date By Date By Date 7' O -' Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date 41 CIT/ OF ` Federal Way PERMIT NUMBER / � _ / 6 0 PERMIT APPLICATION 61?L— '12 C 0 TARGET DATE OCT 3 0 2014 SITE ADDRESS CITY lMOVIAL WAY .-� `C S© 7 CDS PROJECT VALUATION c� ZONING ASSESS � S TAX/PAL 4 -22- L � - CE%1j -9 t &- � TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME �w�� �. PRIMARY PHONE - MAILING ADDRESS C> 3c l Z E-MAIL CFW, t ^ ` a STATE ZIP NAM () PHONE MAILING ADDRESS LU MM E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME , /y� LOU`Fc \ Ly PRIMARY PHONE ��3- i - s-"Icd MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACTl� NAME //ss j� /�� L S t"f i� (� PRIMARY PHONE ZZ (— —(The MAILING ADDRESS E-MAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME E] OWNER -FINANCED Required value of $5, 000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP - PHONE 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 a work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's resp ibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless t ity of Federal Way to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such l im), hich may be de by any person, including the undersigned, and filed against the city, but only where such claim arises ou t reliance oft city, including its officers and employees, upon the accuracy of the .. Iri OrmLL�7.01t 5u "lie tO`tTie Ci _ _ ." is p ' ---------......._. _.._.._. .___. __...... ....._ ........ ._..._. ........_ __. __. ._.._. as a .o atcatl SIGNATURE: DATE (� 1 PRINT NAME: �`1 " `� L Bulletin #100 — January 1, 2013 Page 1 of 3 k: l-landoutsTermit Application j9— - 1—b— L �moF • PERMIT Federal Way MF CO ME PL DE EN(FP COMMUNITY DEVELOPMENT SERVICES 253-835-2607• FAX 253-835-2609 u:u w. ituotfederaimau. corn APPLICATION ,ED APR 0 2014 SITE 4DDRESS AAO d 3 -5, 3 O L/ OF FEDERAL WAY SUITE/UNIT # PROJECT VALUATION ZONING ASSESSOR'S TAX PARCEL #CDS 0 ( 4(), 2J} , 00_A Q z '1 Q — TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION NAME OF PROJECT rfenant Name/Homeowner Last Name) I > 'rr lea r watc r ' t—1 �✓ lylSA ` °Mof k G "TA 1'5D FiicC) H �. r ' �r,,11. PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME ' PRIMARY PHONE ;N9 -36-3 I J O MAILING ADDRESS E -MAH, CITY STATE WA ZIP ,13510 ��390 NAME Oe,,f-erv% 5+A+es Firs Ty-c+ec ie., PHONE Lf�i $$1 C) 160 MAILING ADDRESS r ii � � N E 95 t" � 4) o) E-MAIL herr�yg�� CONTRACTOR CITY "Qed,M©v,d STATE Q A ZIP g865Z FAX 425- g i x630 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # ijf.STE5F13io6?F vz / 31 / 1q 19 ��-log -flO- BL NAME ��t vn.e. Q lt3 NT f L PHONE MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT NAMEPHONE rS fy' - �Cl, }V (The individual to receive and vv%A, Q`O n A G r MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING N %� ,} L V este f s / A �f-�1 /C �8"r�i �1°8 V► E] OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) i (I (p P *` i f1 /O I Ked. d aJ 9 `i 42S � ► a il9r� 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: `7 - DATE - 8 PRINT NAME: Bulletin #100 -January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application