15-104862wilding - Commercial
City of Federal Way Permit #: 15 -104862 -00 -CO
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p Q
Project Name: NINE LAKES BAPTIST CHURCH
Project Address: 1838 S 330TH. ST Parcel Number: 797880 0260
Project Description: REM - Eliminate (3) single pane aluminum windows on the west side of the building, frame
in window opening with 2 X 4 studs, insulate window area; remove existing T1-11 siding
and replace with new T1-11, sheet rock, mud, tape and paint the area where the windows
were replaced.
Owner
Applicant
Contractor
Lender
PUGET SOUND BAPTIST
JAMES ANDERSON
OWNER IS CONTRACTOR
ASSOCIATION
PUGET SOUND BAPTIST
PO BOX 3089
ASSOCIATION
FEDERAL WAY WA 98063
PO BOX 3089
FEDERAL WAY WA 98003
Census Category: 437 - Commercial altladd
Includes:
#1 #2 #3 #4
Occupancy Class:
A-3
Construction Type:
Type V - N
Occupancy Load
Floor Areas . ft.
0 1 0 1 0 1 0
Additional Permit Information
Mechanical to be Included?....................................No Number of Stories ................................................. 1
Permit for Building Shell Only9 .............................No Plumbing to be Included? ...................................... No
New / Additional Sq. Feet - Total .......................... 0 Zoning Designation ................................................ BC
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Tuesday, March 29, 2016
Permit Issued on Thursday, October 1, 2015
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 agent:Date: l0
THIS CARD IS TOIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -104862 -00 -CO Address: 1838 S 330TH ST
Project: PUGET SOUND BAPTIST ASSOCII FEDERAL WAY, WA 98003-6414
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.
Final - Building (4050)
Approved
By� Date L.I
Im-CAf, t 000lo • NGcA 'G $tG
�"tc�cYi W Cowv I �E-�
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Final - Building (4050)
Approved
By� Date L.I
Im-CAf, t 000lo • NGcA 'G $tG
�"tc�cYi W Cowv I �E-�
Foundation Wall (4115)
❑
Drainage/Downspout (4040)Re-steel
Final Electrical
Approved
(4215)
Approved to place concrete
By
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Underfloor Framing (4285)
Slab/Concrete Floor (4255)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
0
Fire/Draft Stops (4095)
Shear Walls (4245)
Roof Sheathing (4220)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
duling a Framing inspection;
Framing (4120)
0
Interim Erosion Control (4370)EFircLtDraft
Approved
bing & Mechanical Rough -in and
Approved to insulate
By
Date
nspections must be signed -off and
IBC 109.3.4
By
IMG, Date (0 (1 * (1 T
proved
Insulation (4150)
Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop the
By
, Date 10 l 1 Or ` { S
By
L -q Date { b 11 a' ((S'
By
Date
- Planning
Final Erosion Control (4375)
Final - S K F & R (4060)Final
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Building (4050)
Approved
By� Date L.I
Im-CAf, t 000lo • NGcA 'G $tG
�"tc�cYi W Cowv I �E-�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
6
CITY OF
Federal Way
R21 EIVED 0
SEP 2 4 2015
PERMIT APPLICATION
11201�
CITY OF FEDERAL WAY
PERMIT NUMBER 15 _ t o 41 _
CX0
TARGET DATE
SITE ADDRESS
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( j
SUITE/UNIT #
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
IT
jd BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLIJTIIO�N ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
L t l G y w S en y_k- S T S I
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PROJECT DESCRIPTION
Detailed description of work to
F^ 13 nu , lituuti o i s L'' S n l", i C
be included on this permit only
PROPERTY OWNERPa
NAMEI ((�� _ s
Iq ( ulid N l iS �.�wcl/+
PRIMARY PHONE
I ADDRESS
E-MAIL
CITY
F 1 kAa l tL, 4w
STATE
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ZIP
�&� 30n
NAME
M ao
PHONE
MAILING AD RE
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME—r `
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�P(RIMARY PHONE
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MAILING DRESS �1 mac,
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E-MAIL
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APPLICANT
CITY
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NAME `Ji 4/, r
PRIMARY PHONE
PROJECT CONTACT
Vii
MAILING D/ SS�l
v, C)>( 3�/�
E-MAIL
(The individual to receive and
respond to all correspondence
C1TY / F-rK' r
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FAX
concerning this application)
PROJECT FINANCING
NAME
C< OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
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 apart of this application.
�lkDATE
L
SIGNATURE:
PRINT NAME:
yi S / ►�1%�
Bulletin #100 - January 1, 2013
Page 1 of 3
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