05-102032 # •
City of Federalmunity WayDevelopment Services Building - Commercial Permit #: 05 - 102032 - 00 - CO
Com
P.O.Box 9718
Federal Way,WA 98063-9718 'V
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: OUR SAVIORS BAPTIST CHURCH
Project Address: 701 S 320TH ST Parcel Number:172104 9075
Project Description: REP-Remove existing roof,install ice&water shield,install 301bs felts,metal rake and starter; new
40L Algate Block shingles.For Portable Building
Owner Applicant Contractor Lender
OUR SAVIORS BAPT CHURCH LYNX ENTERPRISES LYNX ENTERPRISES NONE
701 S 320TH ST 1911 SW CAMPUS DR SUITE 451 LYNXEI*077JH(08/03/06)
FEDERAL WAY WA FEDERAL WAY WA 98032-7350 1911 SW CAMPUS DR SUITE 451
98003-5223 FEDERAL WAY WA 98032-7350 NONE
Includes:
Census category: 437-Comm j #1 #2 #3 I-
J.____ #4
Occupancy Group:
Construction Type:
Occupancy 4 4."
Floor Area(fir Ft.): — H-
Census Ca ory....._.., ,.,..... 437-Comalyatld MechanicaL.,,, . ,�....i... No
Number ofStori s ,,. .......1 Permit fpr Buildingshell Only...,.s Yes
Plumbing...... ......... ....... No
PERMIT EXPIRES October 30,2005.
Permit issued on May 3,2005
I hereby certify that the above information is cA ect and that the construction on the above described property and
the occupancy and the use will be in ac ip 'th the laws,rules and regulations of the State of Washington and
the City of FederV.
Owner or agent: 4L/.., 01"=" Date: 5 O
THIS CARD IS TO WAIN ON-SITE
Cl4Y OF .
tommunity Develo me t Inspection Record
Federal WayIVR INSPECTION REQUEST PHONE# (253) 835-3050
�
PERMIT#: 05-102032-00-CO
Owner:
Address: 701 S 320TH ST
FEDERAL WAY, WA 98003-5223
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.
0 Footings/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
1 I
❑ Re-steel(4215) 0 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) 0 Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
Roof Sheathing Fire/Draft Stops
❑ (4220)
S4095❑ pl ( ) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
h� signed off and approved. IBC 109.3.4/UBC 108.5.4
By Date (1r By Date
,❑ Framing(4120)
0
Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
1
0 Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works (4080) 0 Final-Building(4050)
Approved Approved
By Date By Date
I
A. • RECEIVEPO 5-- d
Federal Way Q
PERMITMAY r SF MF 0 E EL PL DE EN FP
COMMUM7YDEVELOP6fBNT SERVICES u z c a3
33325 8^e AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063.9718 APPLICATION o / /
253.835.2607•FAX 253-835-2609
www.atuofederatway.com t f;t`_. U`% I
UIL DING DEP1
The ollowl • is re• ired in ormattion-an Inco •lete a••lication will not be acce•ted. Please •rint le•ibl n in or
■ PROPERTY INFORMATION
SITE ADDRESS 70 1 S• 5 -- SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Alred•aeporare pagefor legthif legal de="Pden)
■ PROJECT INFORMATION
-
TYPE OF PERMIT ,B BUILDING 0 PLUMBING 0 MECHANICAL
p-DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRO.MT DESCRIPTION(Provide detailed 4estriptio of work included on this permit only)
((((jj1111ea,4 0"4. l cS:rr PJ
/ rA-L.•1_. la-4X ' W As c 1.)..4...e.,C
i u 'u — 30 L 6 re -s rtxt,i-o-Q.. . e 4 cSr0.4.f
Nzu� 4o L. Arg (u (co sc-ias6-t 5
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PROJECT NAME(Name of Business or Owner Last Name) OILY V l'�7 TA()f-r S f ( Litt reti
R PEOPLE INFORMATION
PROPERTY NAME
pore. SPsitd - /'� PRIMARY PHONE 4
OWNER ��'�"�SIS" l�`EV GG j`� I (25'31 �� -44-1-2.-
MAILING ADDRESS CITY,STATE,ZIP
7ci 5. 31-t)-
- W,hrt(( u Pc 4,8oZ3
CONTRACTOR COMPANY NAME • APPLICANT NAME OFFICE PHONE
1--.�-(u 1�c. Owme-(�(1Av tG S tO. iPsys L1 i 1e- (3)9 - 1571 3
MAILIr4O ADDDRRRE�SSS 1 CITY,STATE,ZIP CELL PHONE
CITY Li L FEDERAL WAY BGU`SINESS !CENSE NUMBERfmtNS . 45t ca fr O (FA)( 16
- -
-B L / / ('s.3) 9- "--- 1521
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
r VS-) L 1 inn n -1.) '-k-— _ ' l / of
APPLICANT COMPANY NAME APPLICANT NAME • OFFICE PHONE
0 v - Edt�`t" �r�� L-i1J IC- ( ) _
MAILINGADDRESS ,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect 0 Tenant a Agent a Other(Describe) ( ) _
CONTACT NA lav 1G t.� PRIMARY PHONE E-MAIL ADDRESS
�V (2e05"�"C3 fict t$ 1:t-41. 113ceISSIi.
LENDER $€:f; t f'.2,- e k . l Y .C,(0,,a....t.Y s �. i NAME
t,tt, $t trrC s,,,P4.-`-±e.:.(<44.) >'r.'z'
MAILING ADDRESS CITY,STATE,ZIP
. ■ DETAILED BUILDING INFORMATION
EXISTING USE O)-k)1c_e.N- PROPOSED USE SiklOVL
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ #3 I 7 6", is `'
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE . ❑PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT �,1 Q
FIRST �-A 1 V� .+-V 0 00 a.Cs L eteriD
SECOND
•
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
2, bo..-r Ex `t S .Z. 4'0 0
NUMBER OF FLOORS EXISTING PROPOSED rorm. n tg„t zv ' i y r • sr,�t. s sa
**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.
MECHAHICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS poinsettias WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roseo MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify wider 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,includi its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE Q�I N G 'p..0. DATE 5(3 f 0 5
(Signature) (Title( +
RELATIONSHIP TO PROJECT 0 Owner 0 Agent qontractor 0 Architect 0 Other
r*qf (mla aO vfkrtrl IKI.)Z,4,6) AAP
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Bulletin#100—lamely 7,2005 Page 2 of 4 k\Handouts\Permit Application