04-103853City of Federal Way
Community Development Services Building - Commercial Permit #: 04 -103853 - 00 - CO
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: BETHEL CHRISTIAN CENTER
Project Address: 414 SW 312TH ST
Parcel Number: 072104 9003
Project Description: Remove existing interior wall in childcare area to create a larger space for younger toddler care.
Permit is for demolition of interior non-bearing wall.
Owner
Applicant
Contractor
Lender
BETHEL CHRISTIAN CENTER I
BETHEL CHRISTIAN CENTER I
BETHEL CHRISTIAN CENTER I
NONE
414 SW 312TH ST
414 SW 312TH ST
FEDERAL WAY WA
FEDERAL WAY WA
414 SW 312TH ST
98023-4818
98023-4818
FEDERAL WAY WA
NONE
Includes:
Census category: 437 - Comm #1 _ _
#2
#3
#4 1
Occupancy Group:
Construction Type:
Occupancy Load::
Floor Area (Sq. Ft):
Mechanical ................................................. No Number of Stories............................... ..........2
Permit for Building ShellCM1y ............................No Plumbing ................................................. No
PERMIT EXPIRES March 21, 2005.
Permit issued on September 22, 2004
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
Owner or agent: La& Date:
FINAL -ED
THIS CARD IS TO#,MAIN ON-SITE
CITY ofA tommunityDevelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -103853 -00 -CO
Owner:
Address: 414 SW 312TH ST
FEDERAL WAY, WA 98023-4818
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.
❑
Footings/Setback (4110)
❑
Foundation Wall (4115)
❑ Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By
Date
By
Date
By Date
❑
❑
Re -steel (4215)
Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to place concrete or grout
Approved to cover
Approved to place concrete
By
Date
By
Date
By Date
❑
❑
Underfloor Framing (4285)
Floor Sheathing (4105)
❑ Shear Walls (4245)
Approved to sheath door
Approved to install flooring
Approved to install siding
By
Date
By
Date
By Date
❑
NOTE: Prior to scheduling a Framing (4120)
❑
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Approved to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑
❑
Framing (4120)
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
❑
❑
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
❑ Final - Planning (4070)
Approved to drop tile
Approved
Approved
By
Date
By
Date
BX Date
❑ Final - Public Works (4080) final - Building (4050)
Approved I Approved
By Date I rft\G� Date l0 6
'#D
Federal Federal Way PERMIT
COMMUNITY DEVELOPMENr SERVICES
33325 8ru AVENUE SOUTH • Pb BOX
9 718
I C A T I O NFEDERAL WAY, WA -9718
253-835-2607•FAX253m609
Unuw.dtuofederalCITY OF FED,,
BUILDING DEPT.
The following is required information - an incomplete application trill not be
SF M CO E EL PL DE EN FP
D / /
meted. Please print legibly (in ink) or tune.
SITE ADDRESS 4SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # O - LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Asad+ separate pay. j k oh81oga1 d—pa-)
TYPE OF PERMIT ❑DING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prolride detaile description of work included on this permit onlul
�►1-� On
-+PROJECT NAME (Name of Business or Owner Last Name) be I " a I C hy-, 'S - `,Ov.\ Cad'/ -kr
PEOPLE 1 • i •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME A �f C 1 PRIMARY PHONE
6KJ t,�1r_� 1\/ o ,O 1, 1 , (zS3Q)
MAIL l 1 ADDRESS a Vv i 3 1� J f- CI I �Ttje�TE IC! I V�/-' 1/ V'�� �t7 0 Z2,
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
.CELLPHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
/ /
( )
- - - - - - - - - - B L
CONTRACTOR'S REGISTRATION NUMBER (copy of cud required with each application) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
.CELLPHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
NAME PRIMARY PHONE E-MAIL ADDRESS
s Per RCW I9 27 095 Lender in orntatioa is"'
NAME
Tequired J protect value a $5,000
zceeiis
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE z L�
VALUE OF PROPOSED WORK cJ ` D
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
fudure to be utstattea or rULVtu«`^ r=
Value of Mechanical Work
a NEW o ADDITION
EVAPORATIVE COOLERS
AIR HANDLING UNITS
FANS
_
BBQS
FIREPLACE INSERTS
�— BOILERS
FURNACES
COMPRESSORSGAS
PIPEOUTLE S
DUCTS �—
rpj_UMB-r,N G
SHOWERS
BATHTUBS (orTub/Sho—C—boj
SINKS
DISHWASHERS
SUMPS
GAS PIPE OUTLETS
URINALS
WASHING MACHINES
VACUUM BREAKERS
project. Do not include existing fixtures to remain
GAS LOGS
HOODS (com erdall
RANGES
GAS WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS Roil<q
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
knowledge, and her, that I
under penalty of perjury or which the permit application is made. I further agree to hold
that the information furnished by me is true and correct to the best of my
per
the
I certify
am authorized by the owner of the above premtsesincluding c sts work j
harmless the City of Federal Way as to any claim (including expenses, and attorneys' fees in in the in
and defense o
such cla{m) which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claret
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. e � (off � t O /
\/ I., 1 n/i � t 41&, fr l �'t DATE
NAME/TITLE (Signature)`/
RELATIONSHIP TO PROJECT Weer ❑ Agent ❑ Contractor
FOROFFICE var.u1-"Li'
a NEW o ADDITION
o ALTERATION
BUILDING SHELL ONLY?
o YES ❑ NO
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
❑YES ONO
PLATTED LOT?
❑ YES o NO
Bulletin # 100 — March 30, 2004
(Title)
❑ Architect ❑ Other.
i
b 9EQUIRED?
TENANT IMPROVEMENT
YES o NO
o YES a N0 o ES o NO ❑ YES o NO
N
f
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