18-103230City of Federal way
Community Development Dept.
33325 8th Ave s
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NEW APOSTOLIC CHURCH USA
Project Address: 2106 S 314TH ST
Building - Commercial
Permit #:18 -103230 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9053
Project Description: TI - Tenant improvement work to include soft demotion of non load bearing walls.
Construction of new walls to create storage, office and classroom. Plumbing included. No
mechanical.
Owner
Applicant
Contractor
Lender
HILLSIDE PLAZA ASSOCIATES
STEPHEN DORSEY
ARCHITECTURAL INTERIORS &
OWNER IS LENDER
PO BOX 5003
734 23RD ST SW
CONSTRUCTION SERVICES INC
Is this an Online or O.T.C. application? ..................
BELLEVUE WA 98009-5003
PUYALLUP WA 98373
10004 66TH AVE E
Plumbing to be Included? ........................................
Yes
USA
PUYALLUP WA 98373
Comprehensive Plan Designation ........................... City Center Frame
Zoning Designation .................................................
CC -F
USA
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1 #2 #3 #4
occupancy Class:
A-3
Construction Type:
Type III - A
Occupancy Load:
Mechanical Work Valuation? ..................................
Floor Area (sq. ft.) 1
5,973.00 10.00 1 0.00 0.00
Additional Permit Information
Occupancy 41 - Area (Sq. Feet) .............................. 5973
Occupancy #1 - Construction Type .........................
Type III - A
Mechanical to be Included? .....................................
No
Plumbing Work Valuation?.....................................
18500
Mechanical Work Valuation? ..................................
0
Number of Stories...................................................
I
Is this an Online or O.T.C. application? ..................
No
Permit for Building Shell Only? .............................
No
Plumbing to be Included? ........................................
Yes
Occupancy 41 -Use ................................................
Church
Comprehensive Plan Designation ........................... City Center Frame
Zoning Designation .................................................
CC -F
Total Valuation: 30,000.00
_ ,.. 35'!7 I� �.Irr
114 ��f.- ';.
i.:. 3ry��..
.�
., :..
i14201e �.x r+.., ... i ,. .r „
cx 3. ....
Dishwashers 1
Drinking Fountains
2 Lavatories
1
Other Plumbing Fixtures 1 Sinks
CONDITIONS:
Separate Electrical Permit
Separate Fire Sprinkler and Fire Alarm Permits
Water Closets
PERMIT EXPIRES Monday, 25 March, 2019
Permit Issued on Wednesday, September 26, 2018
2
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
h' ton and the City of Federal Way.
Owner or agent: t Date: Z- 'r6
RECEIVED
i
JUL 2 3 ora PERMIT APPLICATION
CITY OF
Federal Way PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003'6315
CpMTY OF F DEVELOPMENT 253-835-2607 + FAX 253-835-2609 + permitcenterc�cityoffederalway.com
PERMIT NUMBER I I O --3230 0-0 /Z
- - - - - - - - TARGET DATE
SITE ADDRESS
7H
SUITE/UNIT #
2 /OCA '4/0 g 2 //0 5 3<v r �.otA,
oe
2 /0( 2/mr /C)
PROJE T VALUATION
$ 06th 400
ZONING
ASSESSOR'S TAX/PARCEL #
0 Cl 2
3D,
Cr
TYPE OF PERMIT
BUILDINGPLUMBING ElMECHANICAL DEMOLITION ElENGINEERING ElFIRE PREVENTION
NAME OF PROJECT
f4L `%'/ t4x' QD 5- 0 L kC <-Pt)FZCN 0 S A
WA- 1 -f- gorl
PROJECT DESCRIPTION
Detailed description of work to
�• C, �✓ F��O
be included on this permit only
NAME,/
PRIMARY PHONE
ter Pt c5p
PROPERTY OWNER
MAILING ADDRESS
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CITY
STATE
ZIP
NAME
PHONE
MAILING ADDRESS �J'`/r�C1 !�`jj
-
E-MAIL /
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CONTRACTOR
CIT>� /I �`
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ZIP
FAX
g S -I — r&7 g'"' Q /
WA STATE C TRACT R'S LICENSE #
"O r � � Ot47,G
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
MAILING ADD
y 3 sTFy — t cv
MAIL
se.uC-6&2a4r-
APPLICANT-
(
T 1.i �
STA1 t
)W/ /
ZIP � v 3 9
FAX
A l-ct [R,
NAME
PRIMARY PHONE
PROJECT CONTACT
eti
LING RESSxWOSM l 3
E-MAIL
--
C, �G
(The individual to receive and
respond to all correspondence
/,Q o[i.N
CITYW /�
STATE
A
ZIP
FAX
concerning this application)
(�,CJ,
PROJECT FINANCING
NAME
u
tv' k
,� OWNER -FINANCED
When value is $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 applicatio
—7
SIGNATURE: DATE I � •• �/y
PRINT NAME:
Bulletin #100 - January 29, 2016 Page 1 of 2 kAHandouts\Permit Application
:c7vlce..
Cp M
=�Ca►N
` I MECHANICAL PERMIT VALUE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or rel s part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE I TS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (r,-)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
N � [ D
SEWER PURVEYOR
1.-U
LU
$N _
WORK —7:)
PLUMBING PERMIT
PROPOSED FIRE SUPPRESSIO SYSTEM?
❑Yes No
(Q�
!
Indicate how many of each type o
re to be installed or relocated as part
of this project. Do not include existin res to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
(Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
�OTHER
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
A-3
J
V- IL1 NA
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
N � [ D
SEWER PURVEYOR
1.-U
VALUE OF EXISTI PROVEMENTS
EXISTIII,�G/PRE ��' S_E / LOT SIZE (In Squaze Feet)
� `'�� a'c
_IAop 1 L
EXISTING FIRE� SPRINKLER SYSTEM?
F Yes ❑ No
PROPOSED FIRE SUPPRESSIO SYSTEM?
❑Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR CE USE
BASEMENT
ADDITION
FIRST FLOOR (or Mobile Home)
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area In
Square Feet
SECOND FLOOR
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
COVERED ENTRY
DECK
� 9'73
A-3
J
V- IL1 NA
'
GARAGE ❑ CARPORT ❑
PROJECT AREA ONLY
5-9 ? S
......._......_.....__..... _.._...........
OTHER (describe)
-- ---—.._...-.._.............. __...... .... ....... _........-....-_... _.__........ .
Area Totals
EXISTING
PROPOSED
TOTAL
_.
**NEW HOMES ONLY**
ESTIMATE LLING PRICE $
# OF BEDROOMS
CIAL — NEW/ADDITION
— — --
AREA DESCRIPTION
Area in Construction
__- -- Occupancy Gr up(s)
S ware -Feel --.-__ ._ �___ __ -
# of
. ories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
� 9'73
A-3
J
V- IL1 NA
'
PROJECT AREA ONLY
5-9 ? S
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application