08-1035234L
Im
City of Federal Way BuilOng - Single Family Per #• 08-103523-00-S F
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BETHEL CHRISTIAN CHURCH UNIT 115
Project Address: 414
Project Description: ALT - STFI - Replacement of sheetrock due to fire damage.
Number: 072104 9003
Owner
Applicant
Contractor
Lender
DENNIS C. AUSTIN
DENNIS C. AUSTIN
BETHEL CHRISTIAN CENTER
BETHEL CHRISTIAN CENTER
BETHEL CHRISTIAN CENTER
414 SE 312TH ST
414 SE 312TH ST
414 SE 312TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
5;Zu anc Load:
Floor Areas . ft. 0 0 0 1 0
PERMIT EXPIRES Monday, January 19, 2009
Permit Issued on Wednesday, July 23, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the a will be in accordance with the laws, rules and regulations of the State of Washington
d' the C' of Federal Way. I %
Owner or agent: - ,� 21, CNV Date: 7 — [
THIS CARD IS TOCAIN ON-SITE
pm Inspection `
Cl of Community Develo ection Recor d
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -103523 -00 -SF
Owner: DENNIS C. AUSTIN
Address: 115 MIRROR LAKE PARK
FEDERAL WAY, WA 98023
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.
For inspector reference _only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
Underfloor Framing (4285)
Approved
To be done prior to breaking ground
Approved to sheath floor
By
Date
By
Date
By Date
—
E] Roof Sheathing (4220)
Floor Sheathing (4105)
Shear Walls (4245)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By
Date
By Date
scheduling a Framing (4120)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved
Approved
rical, Plumbing & Mechanical
F7P
e/Draft Stop inspections must beroved.
By
Date
By
Date
IBC 109.3.4/UBC 108.5.4
E]
Gypsum Wallboard Nailing (4130)
Framing (4120)
Insulation (4150)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date O
Final Erosion Control (4375)
Final - Building (4050)
Approved
�s Approved /� Z
By
Date
By
Date / (1J�'/
For inspector reference _only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
FaoralmmyRECEIV&RMIT
comwmIYDavS60P11 wsSRvxm MF CO ME EL PL DE EN FP
9ddYSd=AUWAY,WA -po98 0=718 711 JUL 2 3APPLI CATI O N
FSDSRAL WAY, WA 9d069.977d ,..�
9Sd.d35.2W7•FAX25d26SJ60 t5 -TF
/
The fonowim application will not bs accepted Please print.kgibiy ft ink) or type.
SITE ADDRESS il S
!L Fee e-.. M %7 W't 9 -CV z 3 sUrrE/UNIT #
ASSESSOR'S TAR/PARCEL %� L Z LOT SIZE (sfi
LEGAL DESCRIPTION (ag. Acme Estates, Lot 1) �' C ^
r�
I PROJECT INFORMATION
TYPE OF PERMIT BUILDING O PLUMBING . O MECHANICAL
O DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlul
PROJECT. NAME (Name of $usmL ess or Owner Last Name)
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
N E
C4,-,.;rr4,4 Cep
el' JF /%ASt-t4- 640
PRII,CART PHONE
(i':s�7 39 - Z Sod''
WNO ADDRESSCITY
W J1211;
CITY, STATE,
ST TE, ZIP �v Z
VIM
D
MAI ARESS
COMPANY NAME
APPWCANT NAME
OFFICE PHONE
MAILINO ADDRESS
CITY, STATE,
CEMWONZ
C 1TY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
(
CO R'S RE018TRATION i5W9W WMIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
AP CANT NAME
OFFICE PHONE
CITY, STATS, ZIP
PHONE
AILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
SW-.�-7y/.
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect O Tenant gent o Other
(25-3) /v?l-
-Ic`s"W er
A
NAME PRIMARY PHO�KIE EMAIL D
Lefnw—vl i,u1 i�-✓ �" Cj� !� - e c e'vr Cp eu s,': A el—
E
Per RCW 19.9.7.0951
Lender igformation is required if project value exceeds $5,000
MARJN0 ADDRESS
CITY, STATS, ZIP
PHONE
EXISTING USE }vet PROPOSED USE G rrr
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORKS SOL ac7
SPRINKLERED BUILDING? o YES ,"O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YESO
CATER SERVICE PROVIDER�)B�EAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O PRIVATE (SEPTIC)
PROJECT ••-
AREAS
OAS PIPE OUTLETS
WOODSTOVES
AREA DES ON
BASEMENT
ERIS
SQ. FT.
PROPOSED
80. FT.
TOTAL
SO. FT.
FIRST
FIREPLACE INSERTS
HOODS �Comm«dq
CHANGE OF USE?
SECOND
FURNACES
RANGES
o YES o NO
THIRD
GAS LOG SETS
REFRIO. SYSTEMS
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
o NO.
DECK (❑ COVERED OR ❑ UNCOVERED?)
LAVS p►Nlueemft*4
URINALS
MISC (Describe)
GARAGE •❑ CARPORT ❑
RAINWATER SYST
VACUUM BREAKERS
NUMBER OF FLOORS
=MM"
raoro•sa
TOTAL
roretanrrnwar
rormAvrofaaar
rorecar
"NEW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLMG PRICE $
FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not vtclude existing fixtures to remain.
Value of Medtanical Work $ (A COPY OFBID OR ESTI1 mm MUST BE INCLUDED WJTHAPPLIC,4?701g
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS �Comm«dq
CHANGE OF USE?
COMPRESSORS
FURNACES
RANGES
o YES o NO
DUCTS
GAS LOG SETS
REFRIO. SYSTEMS
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
BATHTUBS (w Tub/Show.rC.b.)
LAVS p►Nlueemft*4
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS rmi q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I eerft under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best of my
knowledge, the igrormation submitted in support of this permit application is true and correct. I eertft that I will comply with all applicable
City of Tederal .Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of thispermit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating constraction or envirorunental laws.
I jkrther agree to hold harmless the City of lrederal Way as to any claim (including costs, ixpensss, and attorneya'tees incurred in the
investigation and defense of such claim4 which may be made by any person, including the undersigned, and flied against the city, but only
whore 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 lication
SIGNATURE:DATE
Property Owner end/or Authorized Agent
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/BEPA/$U?
o YES.
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\HandoutslPennit Application