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11-100612 1P1un'ibii it city of Federal Way • • $, Community Development Services Permit #: 11 -100612-00-PL P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 p q Project Name: TEMPLO ALFA Y OMEGA CHURCH Project Address: 2020 S 314TH ST Parcel Number: 092104 9053 Project Description: Install plumbing fixtures for associated tenant improvement Owner Applicant Contractor HILLSIDE PLAZA ASSOCIATES TEMPLO ALFA Y OMEGA TEMPLO ALFA Y OMEGA PO BOX 5003 810 SW 307TH ST 810 SW 307TH ST BELLEVUE WA 98009-5003 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 3 � Sinks 4 Urinals 2 Water Closets 4 PERMIT EXPIRES Wednesday, August 10, 2011 Permit Issued on Friday, February 11, 2011 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. Date: 4-- •L� Owner or agent: 1, \, , t 1 r FIN ,/e4 fig fiz) e;=-7- kN THIS CARD IS T EMAIN ON-SITE , CITY OFdConstruction I ection Record Feeral Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 11-100612-00-PL Address: 2020 S 314TH ST Project: HILLSIDE PLAZA ASSOCIATES FEDERAL WAY, WA 98003-5475 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 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125) Approved to cover Approved Approved to release test By fe/7 Date,2A5/'i By �l 7L Date zAeA, By Date Final-Plumbing(4075) • ' Approved By f Date7.7/// ❑ Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY G/ •PERMIT ipmF CO ME FP Federal Way COMMUNITY DEVELOPMENT SERVICES RE�/' c ` APPLICATION 253-835.2607•FAX 253-835-2609 www.citzioffederahvau.com FEB 1 i 2+,;1 SITE ADDRESS CITY OF FL�LtL WAY PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M t � 0 2 / 04 - © 53 TYPE OF PERMIT El BUILDING 0 PLUMBING CIMECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) ItCre �,� _} �. PROJECT DESCRIPTION 9-._9-._ G v �# "h (�s - Detailed description of work to �- yZ_ _ �.-1� • 2 vv (, be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAME r)--yly, PHONE / J MAILING ADDRESS E-MAIL CONTRA. / r CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8 NAME,,. PHONE (� fps 2-(el 3y•3 APPLICANT MAILIN CRESS E-MAIL CITY/\SCG ZIP 9' �2 2 3 FAX Sc)4} �i PROJECT CONTACT NAME / ` PHONE (The individual to receive and respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME 0 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 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 '2_-(it( -1-00 PRINT NAME Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application I ' MECHANICAL FIXTURES VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial( BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING FIXTURES Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks( TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS 2 URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/utility( WATER HEATERS(Electric( ` ` HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? EYes 1 No Yes j. No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE C CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of in Square Feet p y Type Stories Additional Information NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of in Square Feet P y pl l Type Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application