12-101234 uilding �Cmmercial
City of Federal Way
Community&Econ.Dev.Services ' . Permit #: 12-101234-00-CO
33325 8th Ave S #
Federal Way,WA 98003tfo. •
Ph:(253)835-2807 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: THE NEW CHURCH OF FEDERAL WAY
Project Address: 33901 9TH AVE S Parcel Number: 926480 0160
Project Description: TI-Construction of 512 square foot raised stage in gymnasium.
Owner Applicant Contractor Lender
NEW CHURCH OF FEDERAL NEW CHURCH OF FEDERAL WAY OWNER IS CONTRACTOR
WAY 33901 9TH AVE SUITE 210
33901 9TH AVE SUITE 210 FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories 1 New/Additional Sq.Feet-Other 512
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 512 Zoning Designation. OP
No Fixtures Associated With This Permit!1
CONDITIONS:
PERMIT EXPIRES Saturday, October 13, 2012
• Permit Issued on Monday,April 16, 2012
I hereby certify that the above informatio 's correct and that the construction on the above described property and
the occupancy and the use will be i ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 44/6 p_-
• THIS CARD IS TO IN ON-SITE ,
CITY OF4" Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101234-00-CO Address: 33901 9TH AVE S
Project: NEW CHURCH OF FEDERAL WAY FEDERAL WAY, WA 98003-6708
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.
0 SWM Precon Site Mtg(4400) EI Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
- . . . .
0 Re-steel(4215) ❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
.•El Floor Sheathing(4105) 0 Fire/Draft Stops(4095) '0 Interim Erosion Control(4370) ..
Approved to install flooring Approved Approved
By Date By Date By Date
• • -- --
Prior to scheduling a Framing inspection; ❑ Framing(4120) 0 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and ,�
approved. IBC 109.3.4 By / i-/ Date 7-ze, i"j By Date
0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) .0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By / :J Date cf`-/V12...,..
0 Final-Planning ❑ Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved Approved
By Date By Date By /*, Date f-3/-/2..
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
441RE /_,A - /10 / ? 3o '/
CITY of CEI
''_ Federal Way VEOPERMIT 0 MF (ME PL DE EA FP
CO253-835-,26.i07u,wIYDEVELOPMENT
rSE.rnRntVICES IAR 19 APPLICATION Vo -- /z--1 0/ 13 0
dM[
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609
CITY OF FEDERAL WAY ,lq
CDS
SITE ADDRESS SUITE/UNIT#
33 9 1 q 717 - S Fe-defrv W,
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL
TYPE OF PERMIT 1/BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) 7--k, Pe wv.v '''-i F= C&)
PROJECT DESCRIPTION t h s i/' S5-e / n1/14-A,VAA,(4.././1` .
Detailed description of work to
be included on this permit only
ti;S NAME PRIMARY PHONE
PROPERTY OWNER7-4.12 tie CA-1 VI v e of .T- G.J 7-‘)6 _ 5.57„ 2-3 7_1--
MAILING ADDRESS E-MAIL
33 'o/ 9 r6 ,Alm S' nc fw9 8 G°3C h.,ih4.,7,
CITY
STATE ZIP
Freete k/tr1 W C1 (,(/� 6, ct J '3 .
NAME !1� Nem (1V cti O f f - �/, PHONE r s-s-/'' - . 7-i-
MAHdNGADDRESS E-MAIL
CONTRACTOR 223 90 l 4 r4 4(A.,2_ S
CITY STATE Z FAX
R.c e t-o lila bop. 9,,,,..3
WA STATE CONTRACTOR'S BetENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 4
.
NAME .._,-,-,jQ ktc, 5 (A ) o'2---)
APPLICANT MAILING ADDRESS E-MAIL
3:3i / ,74 A o-g- s
CITY STATE ZIP FAX
ie- ed-J 6)61 w4 9 ea, 3
PROJECT CONTACT
T I
(The individual to receive and NAME "a rw j ,c1--) (IgNv O ' S I -01 3 7 s
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME D OWNER-FINANCED
Required value of$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 application.
SIGNATURE: DATE 3 //6 /1.d / '-
PRINT NAME: 3a ii".p 3 CO el—
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OFMECHAMCAL WORX $ (a copy of bid or estimate must be provided) t
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS ODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type . re to be installed or - .ted as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Showe •...bo) LAYS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRIN . G FOUNTAINS SINKS(Kitchen/Utdit WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES : ,'+ -,v', ,, 3
CRITICAL -. =ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
14- x;147 . C /-. Iez $
EXI- I /G/'-- OUS USE LOT SIZE(In Square Feet) EXISTING FI SPRINKLER SYSTEM? PROPOSED FIRE SUPPRES N SYSTEM?
/ es❑ No ❑Yes o
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
'4411111111111111111111111111111111111111
COVERED ENTRY _IIIM_
i, —.,.
GARAGE 0 CARPORT 0
3 §
y
R8ISTIMO PROIOaiD TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in •uare FeetStories
ADDITION
,:.
AREA DESCRIPTION
Area Occupancy Groups) Construction #of Additional Information
in .uare Feet A.a Stories
<..�,, ..,,< ,I.... $ Kik a, ,..,, ,,,l.,.�t��,..,�.,.a ,.�„<,�z:,;,zx,s4'..,z a�.s'�*Ya.�..>sa� :<tl,„s. "p., ,.,�'.6< ..x ,z✓;�a�N,w.�>zi,.�' ,.,.�daaasa:°,� -� ..��. ..�'l,
TENANT AREA ONLY
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application