04-101966City wiity Development Services Federal Way
CommwBuilding - Commercial Permit #: 04 - 101966 -.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: ALT - Enclosing the primary church building entryway with glass.
Owner
Applicant
Contractor
Lender
BETHEL CHRISTIAN CENTER *BE
BETHEL CHRISTIAN CENTER *BE
BOOTH GLASS COMPANY *Jeff Cl-
BETHEL CHRISTIAN CENTER *BE'
414 SW 312TH ST
414 SW 312TH ST
Floor Area (Sq. Ft.):
414 SW 312TH ST
FEDERAL WAY WA
FEDERAL WAY WA
BOOTH GLASS COMPANY
FEDERAL WAY WA
980234818
98023-4818
PO BOX 720
98023-4818
Includes:
Census category: 437 - Comm
Occupancy Group:
Construction Type:
#1
#2
#3
#4
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ................................................. 437 - Commercial alt/add Fire Sprinklers................................................. No
Mechanical ................................................. No Number of Stories ......... ............................... ........ 1
Permit for Building Shell Only ............................No Plumbing ................................................. No
WillCertificate of Occupancy be Issued? ............ No Sensitive Areas? ................................................. No
PERMIT EXPIRES December 13, 2004.
Permit issued on June 16, 2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u11 be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Wa .
Owner or agent: C61b, f.� ' Date: toA
THIS CARD IS TO MAIN ON-SITE
CITY OF f
ommunity Developm ,< t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -101966 -00 -CO
Owner: BETHEL CHRISTIAN CENTER
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 floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By Date
❑
❑
Roof Sheathing (4220)
Fire/Draft Stops (4095)
NOTE: to scheduling a Framing (4120)
Approved to install roofing
Approved
inspectioectrical, Plumbing & Mechanical
:Prior
Rough -in ire/Draft Stop inspections must beBy
Date
By
Date
signed -off 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
By Date
❑ Final - Public Works (4080) ❑ Final - Building (4050)
Approved Approved
By Date By �� Date
�� /
Feder la Way R P -NOP � -�� -L 6
PERMIT
COMMUNITY DEVELOPMENT SERVICES F MF O E EL PL DE EN FP
33530 FIRST WAY SOUTH . BOX71 97 A 1 9 z P P L I C A T I O N
FEDERAL WAY, WA 98063-9 718 D
253-6614115• FAX 2536614129
n'w.dWoflederalwav cpm
(i 1-ty C?F FEDERAL WAY
The followiag is reu 1�- an Inco tete ay2plication trill not be acce ted. PleaseTint le ibl (in ink) or
4/ ( •� j/ • •� E INFORMATION
SITE ADDRESS i I / SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ - LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy 1egd d—ipaonl
PROJECT INFORMATION
TYPE OF PERMIT ABUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this per nit onlul
G1�SS1`r�a E +y 6'1das,',ig �xts�l�la JiQ Ce
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME 8. PRIMARY PHONE
MAILING ADDRESS CITY, TATE, ZIP
z//y Sr w, .3.12�sf �� w� / wq a8a2-3
CO��("j�pANYN E (�/
APPLICANT NAME
�p� n
OFFICE PHONE
MAILING ADDRESS
13 2-1 Me" 4' k 01,1
CITY, STATE, ZIP
I f�� 1-t, (78 3 sY
CELLPHONE
c _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
— --= --- — — --s L l l
(Z5-3 )
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application( EXPIRATION DATE -
COMPANY NAME
BPOW ^ �� / //
��S�Q� ,.I/.nlD
APPLICANT NAME
DeAhis }Us�n
OFFICE PHONE
(-L-5.3 ) 839 - 2y86
MAILING ADDRESS
4j111s� w - 3 r z�, sf
CITY, STATE, ZIP
P
CELL PHONE
3291
RELATIONSHIP TO PROJECT
❑ Architect '❑ Tenant ❑ Agent Vthcr (Describe) 6 ,k—) ¢V-
FAX NUMBER
c -U3 )X331 -103
CONTACT N�A{ME t PRIMARY PHONE
��,A � (� /I E-MAIL ADDRESS
g
y s4r\^ ( 25'3 ) 839 - � `B� De"n(s c&S+h'
LENDER Per RCW 19.27.095: Lender information is NAME i 1� //
required if project value exceeds $5,000 e 1 ►�- I C ► r 1 r, '4 h
MAILING ADDRESSCITY, STATE, ZIP
Iv S w 31 Z s't e4 w� w� R8o23
DETAILED 1 • 1 INFORMATION
EXISTING USE Fin'- 1,7-t14 x Jr PROPOSED USE E- (/p SQ Fir- n i11 4vy
EXISTING ASSESSED/APPRAISED VALUE $ 7SD 01) O, O t -i O VALUE OF PROPOSED WORK $ ! Q / Syo
SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ')<NO
WATER SERVICE PROVIDER 'KAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 11 HIGHLINE WRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
FIRST
BASIC PLAN?o YES
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED? o YES o NO
THIRD
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o YES
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL "ISTac'
TOTAL PROPOSED
TOTAL =STING AND PROPOSED
••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 fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (—Tub/Shaver Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks(
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commercial)
RANGES
GAS WATER HEATERS
WATER CLOSETS (Toa<q
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
•BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim
arises out of the relian the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.f C.�
NAME/TITLE /W` n� �s �C f DATE I /o/
(Signature (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑ NO
BASIC PLAN?o YES
o NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU? o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
Bulletin #100 — March 30, 2004 Page 2 of 4 k\Handouts — RevisedTermit Application