07-105565r ..nityDFederal
pmentWay -• :` Electrical Permit #• 07-105565' 00 -ti..
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Line: (253) 835-3050
Project Name: INTL CHURCH OF FOUR SQUARE GOSPEL
Project Address: 1932 SW 350TH ST tuber: 795620 0040
Project Description: Installing new service/wiring in gutted house
Owner
Applicant
INTL. CHURCH OF THE FOURSQUARE
TANDEM ELECT
GOSPEL
5836 S 228
1932 SW 350TH ST
KENT WA 98
FEDERAL WAY WA 98023
Addition!
Service greater than 1000 Amps?...........................No
the occupan use
O or ag
VE
ontrwtor
INC L�.ECTRIC, INC
I044DF 3/6/08
AS2ATH 3
KENT WA 98032
EXPIRES Friday, October 3, 2008
sued on Tuesday, October 9, 2007
in is correct and that the construction on the above described property and
;cordance WIN laws, rules and regulations of the State of Washington
a City o Federal Way.
Date: --
- THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105565 -00 -EL
Owner: INTL. CHURCH OF THE FOURSQUARE GOSPEL
Address: 1932 SW 350TH ST
FEDERAL WAY, WA 98023-6917
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.
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date
By
Date
❑
Temporary Power (4275)
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date 1-,36 -Q�`
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
Approved
By
Date l l
By
Date
By
Date
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved > Approved
B Date ' 1 By Date 'b "(S•a
an a
Festal y
RECEIVED
PERMIT
co"uA4IYwmw.PmwseRY1UT o 9 2007
93915 DBX4LAV?US, WA 9 • POBOX 9718 , p LI C AT I O N
PBO$RAL WAY, WA 9.069.9713
253-=4607• PAx?ss4QOW o 0 rr M
BUILDING DEPT.
SF MF CO MOM L DE EN FP
r— 77-1
The following is required information -an incomplete application will not be accepted. Please print.legibly (in ink) or type.
=—tWf1ERTT111F0FA1TAT10N
SITE ADDRESS I 3 S L Cl �T SUITE/UNI`P i
ASSESSOR'S TAX/PARCEL • -a LOT SIZE (sn
LEGAL DESCRIPTION (e g. Acme Estates, Lot 1)
(Itta& av-atepwf-hmft ladd-OP-!
PROJECT• •
TYPE OF PERMIT
D BUILDING D PLUMBING . D MECHANICAL
D DEMOLITION )('ELECTRICAL D ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Dernit onlq)
Al rf_
PROJECT. NAME (Name of Business or Owner
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
77 I a -MAIL AUURE53
S [/yy/n l.va i1 �c�0o2�
NY NAME
MMAILJNO
APPLICANT NAME
APPLCANT
� ✓ �/
O CE PHONE
) , q > -
ADDRESS
STAT$ ZIP
CELLPHONE
D Architect O Tenant O Agent o Other
) _
'
^ 7`
_ W
CITY OF FEDERAL WAY BU 1NE93
CENSE NUMBER.
EXPIRATION DATE
FAX NUMBER
0,21
CONTRACTOR'S REGI OR NUMBER
EXP TION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
D Architect O Tenant O Agent o Other
) _
NAME PRIMARY PHONE &MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
hOWNO ADDRESS
CffY, STATE, ZIP
fPHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? O YES O NO
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? D YES D NO
CATER SERVICE PROVIDER D LAKEHAVEN o HIGHLINE
SEWER SERVICE PROVIDER D LAKEHAVEN 0 HIGHLINE
D TACOMA D PRIVATE (WELL)
O PRIVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
.EXISTING
80. FT.
o REPAIR o TENANT IMPROVEMENT
PROPOSED
SO. FT.
TOTAL
80. FT.
FIRST
a YES
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
a NO
THIRD .
a YES a NO
UP/SEPA/SII?
o YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
DECK (❑ COVEREDOR ❑ UNCOVERED?)
o NO.
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
mernrs
raorosss
TOTet,,
rorecssomwu
ronursaroemu
TOTAL Sr
"NEW HOMES ONLY",.. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fudures to remain,
Value of Mechanical Work $ _(ACOP OF BID OR ESTIMA7E MUST BE INCLUDED WITH APPLICA770NJ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS �o<Tub/slwsercom6o)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LAG SETS
LAVS IB ft. sk*q
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
(IAS WATER HEATERS
HOODS �commordq
RANGES
REFRIG. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS (reBeq
WASHING MACHINES
WOODSTOVES
T_ MISC (Describe)
MISC (Describe)
I certtfg under penalty of pajury that I am the property owner or authorised agent of the property owner. I eertVy that to the best of my
knowledge, the it formation submitted in support of this permit application is true and correct. I cert(& that I will comply with all applicable
City of Irederal.Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the ownsee responsibiltty for compliance with local, state, or federal laws regulating construction or enotronmentai laws.
I further agree to hold harmless the City of re Way as to any claim (including costs, expenses, and attorneys' fess incurred in the
investigation and d e gJMs eh claimh which be by any person, including the undersigned, and flied against the city, but only
the city as art o this f incl ding its ofriears and employees; upon•the accuracy of the information supplied to
ty j applica on.
o NEW a ADDITION
a ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SIIELL ONLY?
a YES. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP/SEPA/SII?
o YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
o NO.
Bulletin #100=August 16, 2007 Page 2 of 4 . fdHandouts\Pennit Application