12-104135@Building - Commercial
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S Permit #: 12 -104135 -00 -CO
Federal Way, WA 98003 Inspection Request Line: 253 83
Ph: (253) 835-2607 Fax: (253) 835-2809 p q � � 5050
Project Name: ST LUXES LUTHERAN CHURCH '-jp1 to 1
Project Address: 515 S 312TH ST Parcel Number: 082104 9038
Project Description: REP - Repair 4000 sqft portion of existing torch down roofing and install 60 millimeter pvc
overtop
Owner
ApRlican
Contractor
Lender
ST LUKES LUTHERAN CHURCH
ST LUKES LUTHERAN CHURCH
DOWLING INC DBA DOWLING
OWNER IS LENDER
515 S 312TH ST
515 S 312TH ST
BROTHERS ROOFING
FEDERAL WAY WA 98003-4033
FEDERAL WAY WA 98003-4033
DOWLII'936R8 (12/28/13)
3030 22ND ST SE
AUBURN WA 98092
Census Category: 555 - Non-structural roofing permits
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
Permit for Building Shell Only? .............................No
Number of Stories.................................................3
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit It
PERMIT EXPIRES Wednesday, March 6, 2013
Permit Issued on Friday, September 7, 2012
I hereby certify that the above information is correct and that the construction on the above described properly 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: ac►
FINbA,IPA lor/1 z/1z-
THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -104135 -00 -CO Address: 515 S 312TH ST
Project: ST LUKES LUTHERAN CHURCH FEDERAL WAY, WA 98003-4033
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)
❑
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
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
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
Interim Erosion Control (4370)
Framing 4120
g ( )
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
Date
approved IBC 109.3.4
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
Date
By
Date
Final - Fire Department (4060)
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
&IC Date !2_
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
crryoFIA RECEIVEt PERMIT
Federal Way
COMMUNITYDEw1n: -sAm9Fs 0 7 2ol2 APPLI CATI O N
25380F 3
mityoffederalwauco
CITY OF FEDERAL WAY
W-
_7 - I O 4
SF MF CO ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
SI SOS Sit S. �z� --r-((WA 4Q �-
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 2 sr -3 C>v
e 2( 0 - d
lid BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
('Tenant Name/Homeoumer Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
Oors R At- L",j xAi+1
s W wq 3- CoifL_
be included on this permit only
L\W-E '-\U
NAME
PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
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CITY
STATE
ZIP
NAME �,� t
PHONE
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2'S-3 - Q C CA g o -5-
MAILING ADDRESS
MAILING
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CONTRACTOR
CITY
Psu r3�
STATE
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ZIP
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FAX
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WA STATE CONTRACTOR'S LICENSE #
%VAi-Tz'� `�3b�
EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
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NAME
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PHONE
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APPLICANT
MAILING ADDRESS
1�0(ne
E-MAIL
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CITY
STATE
ZIP
FAX
I
'LS3. ct4l. ec,-R
PROJECT CONTACT
NAME
r�bt
PHONE
('The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
S tyci5V1
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
Ml--` Ef
PHONE
n b , �S 1 , t-}�1 �
E-MAIL
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PROJECT FINANCING
NAME
jy.
53" OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE. ZIP
PHONE
(RCW 19.27.095)
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I cert(fy 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 t 2
PRINT NAME:
Bulletin #100 - January 1, 2011 Page 1 of 3 01-IandoutAPermit Application
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NORTI-t
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B R0 WE LE IT
PETERSON
HAMMER
ARCHITECTS
196240 76TH AVENUE WEST
LYNN WASHINGTON 98036
PHONE
E (425) 774-4707
FAX(425) 776-5177
BPHARCH.COM
Remodel for
stluke's
lut:`:eran chUrc`
515 S. 312th St.
Federal Way, WA
98003
No./Dote Revision By
6/4110
Date
REGIS,T C T
1 , MCHITE
STEPHEN A HAMMER
SPATE OF WASHINGTON
DrRRBy
C—ked By
0718
Project Number
07181--D AL1 SPDWG
File Number
PARTIAL
SITE
PLAN
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CITY OF FEDERAL WAY
CDS
Sheet Nur^ber
' PERMIT SET'