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01-102342 III Y City of Federal Way Community Development Services Building - Commercial Permit #:o1 - 102342 - 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: WAYSIDE UNITED CHURCH OF CHRIST Project Address: 2000 SW DASH POINT Parcel Number: 122103 9052 Project Description: COM ADD -Construct 94.9 square foot addition within existing roof line to create storage. Owner Applicant Contractor Lender WAYSIDE UNITED CHURCH ' WAYSIDE UNITED CHURCH ' WAYSIDE UNITED CHURCH ' NONE 2000 SW DASH POINT RD 2000 SW DASH POINT RD FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 2000 SW DASH POINT RD FEDERAL WAY WA 98023 NONE Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: A-3 A-3 Construction Type: Type V-N Type V-N Occupancy Load: 7 101 Floor Area(Sq.Ft.): 95 1512 1st Floor Proposed Sq.Feet 95 Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical No Number of Stories 1 Permit for Building Shell Only No Permit for Foundation Only No Plumbing No Special Inspection Required No Total Proposed Sq.Feet 95 Will Certificate of Occupancy be Issued? Yes Sensitive Areas? No CONDITIONS: 1.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES June 18,2002,IF NO WORK IS STARTED. Permit issued on December 20,2001 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 Way. Owner or agent: l(/J/yJg.,. ft/4' Date: �'z — O — Cit '#09yi/4' 111/ • City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance,this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: WAYSIDE UNITED CHURCH OF CI Permit number: 01 - 102342-00 Address: 2000 SW DASH PONT #1 #2 #3 #4 Occupancy Group: A-3 A-3 Construction Type: Type V-N Type V-N Occupancy Load: 7 101 Floor Area(Sq.Ft.): 95 1512 Owner WAYSIDE UNITED CHURCH *HARRY MCINTYRE* Name: 2000 SW DASH POINT RD Address: FEDERAL WAY WA 98023 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. PO4110HIS CARD ON THS,:FRONT OF BUILD. BUILDING DIVISION W AY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 01-102342-00—CO OWNER'S NAME: WAYSIDE UNITED CHURCH *HARRY MCINTYRE * SITE ADDRESS: 2000 SW DASH POINT ( ) FOOTINGS/SETBACKS (.9 — /V' 0 Z .„.CL) ( ) FOUNDATION WALL P) .. !O ,7O SCO CRETE i1 .ABOyE,IS APP,RQyED IWiligrM.n-LL , ( ) DRAINAGE: Line ( ) Connection t, ,h: 3 ! TO:7 ,OUR SLAT 8E'ABO ISS' +' .UVI1D '.. °gym A-• ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping () ROUGH MECHANICAL Gas piping ( ) SHEATHING TA 6 ®Z Roof Floor O SHEAR WALLS 4 () ELECTRICAL ROUGH-IN Q Ditch Cover ( ) FIRE/DRAFTSTOPS !J////0 i ( ) FRAMING/FIRESTOPPING xi :35 a. ,.• 10, W7_ . . . ,`, PRO.y ,DO�'I Q S _ TTNGUR .If 9�.g _ .a, s . ( ) INSULATION: Floors % Xe� �alls q Z� 7/ •ttic ( ) WALLBOARD NAILING ( ) SUSPENDED CEILING e _xn ..e 5`a ' O. e t .!1Ita.ie . () ELECTRICAL FINAL () PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL a s i iR L . /_ 'T BE APPROVEDPR OR DING EP . :,.. N N'' ( ) BUILDING FINAL L gin, D I O CUt' t S, B UILD IG UNT * BUILDING FIN APPROVED m • ! CATeT OFV"Ii CONSTRUN PERMIT APPLICATION i , -----�� �Y - APPLICATION NUMBER: .7 f - L o V,11 - c,6 � ��'i APPLICATION NUMBER: - - aAPPLICATION NUMBER: - - � , - F J AL WAY . 1 \ **The;#o o iagi+1er iiTed information-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. • ■ PROPERTY INFORMATION 12-Z / 03 -- 9t952 - 97 SITE ADDRESS: 1.660 ,. , .. ASSESSOR'S TAX/PARCEL #:0�j Q _ �0�L_ Q4O Q 5 /" LEGAL DESCRIPTION OF SUBJ PROPERTY/(ATTACH SEPARATE DESCRIPTION IF LENGTHY): See 570,-4-7‘_7Y ole se r7 ! r o ■ PROJECT INFORMATION TYPE OF PROJECT(This application): XBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM Process I let �oeo ✓ess - Q ' , ,,, PROJECT DESCRIPTION(Pro ide deta(�d description): - /d - d doe o/- Q C 14// I i _,/.(o' 6ac4 iF/ q;. --4.i" ac c oA-7o ,474' /trio e- se �o1„ I' '. J. - / - . -. o. - /rte /.C' , < / - -I- ( .a 1 4 f 9 A/ a'4/ /t/- i .... , Ah f* Milo SI p a�'^moi PROJECT NAME: (X dI te"" /,s /iv r O/I- ha'le S, ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: � / 11 DAYTIME PHONE: 1e/a�/S'Ide gA„/.e i e�Glrc4 07 gfk/ 57- (ZSR S38--09/5-I MAILING DRESS(STREET A D ESS;CITY,STATE,ZIP): 2-900 �. Gf/, 1).1 4 Xt/. RI, � / /l / Ii',y, 6_,..,. 9-9-,9?-3 CONTRACTOR: NAME: DAYTIME PHONE: ( ) I/9 Li 4/to e 1_ MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ' P ( ) / ( /�. a bee- CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - ( ) - CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: / / (copy of card required) APPLICANT: NAME: r C / DAYTIME PHONE: 11^I i /4- _' Ai /'I k e (zs3) 9V/ - 3 '51 J AILING ADDRESS ISTREET ADDRESS;CITY,STATE,ZIP): 9fie,/ Z� EVENING PHONE:/23z s, L ' . 2- , /€ dei,/ may, a. ( ) s4 e E TIONSHIP TO PROJECT: KOTHER FAX NUMBER: CI TENANT (DESCRIBE): ,PJy f/s /1404/ ( ) SQ/77 e E-MAIL ADDRESS: iii CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER 1. APPLICANT ❑ CONTRACTOR NY ■ DETAILED BUILDING INFORMATION - / EXISTING USE: C (/{^L EXISTING BUILDING ASSESSED/APPRAISED VALUATION $/.:.1/ Q /5>"'''7"r'CL _ � j OlD PROPOSED USE: S /-at-17 e PROPOSED VALUATION FOR IMPROVEMENTS: $ ®. f IuS lec-5 SPRINKLERED BUILDING? ❑ YES )NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES XNO -7 WATER SERVICE PROVIDER: ❑ LAKEHAVEN CI HIGHLINE CI TACOMA ❑ PRIVATE(WELL) // \\ SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROTECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST * 9 y. I/ 9 Y 7 SECOND / THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? � � TOTAL: 9 7 . 7y Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) E • .•RATIVE COOLER(S) GAS LOG(S) • • -. - STEM(S) BBQ(S) FAN(S) H••6 - WOODSTOVE(S) BOILER(S) FIREPLACE INS • RANGE(S) MISC.( ) COMPRESSOR(S) FURNA - DUCT(S) •S PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) ■ DISCLAIMER/SIGNATURE 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 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. / NAME/TITLE: eA, ' "sa'7 c 40 DATE: --- / �' ❑ PROPERTY OWNER •.! APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: - ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 • • Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building, mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1)$1.00 to$500.00 (1)$24.25 (2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus$3.27 for each additional$100.00 or fraction thereof,to and including$2,000.00 (3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$15.00 for each additional$1,000.00 or fraction thereof,to and including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10.82 for each additional$1,000.00 or fraction thereof,to and including $50,000.00. (5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus$7.50 for each additional$1,000.00 or fraction thereof,to and including $100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00 for each addition/$1,000.00 or fraction thereof,to and including $500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus$509for each additional$1,000.00 or fraction thereof,to and including $1,000,000.00. (8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3.91 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the fee per additional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. ** Electrical,plumbing,and mechanical fees are calculated separately** • BUILDING ,p PROPOSED VALUATION: �S2 Ct. a S FEE FACTOR FROM TABLE A: Number: (a)Base Fee: 3 1 p 2 4,7 (b)Additional Increment Fee: Estimated Permit Fee: (1) ` r �^ C 04f ILL" your .eP`S`�'v'ieL es-iv/"n4TJ e, f�/�l-Nesnr�v) / V Estimated Plan Review Fee: (2) �L Estimated FW Fire Department Surcharge: (3) ' / o O (COMMERCIAL ONLY) w u So .LL z S 2.. PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) 1) Vi\— Estimated Plan Review Fee: (5) ■ FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: /Y /A Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) • ■ PLUMBING • - Base Fee Number of Fixtures $21.00+{ X$7.00/fixture) = (8)Estimated Permit Fee I Estimated Permit Fee N/A„/� X .65= (9) Estimated Plan Review Fee N V / ' Miscellaneous Fixture Charge:(10) Sub Total (Page One): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11) 4. TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$10.50ea) (First 1300 f12-567.00;Each add'n 500 ft'-$21.50) _Service and feeder $72.25 #of Low voltage lire or burglar alarms Square Feet: First 2500 ti'-$38.75;Each add'n 2500 ft1-$10.50 Each outhuildingor garage $28.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders ' Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign (Inspected separately) feeder-$28 each) $16.00 each) _Progress inspection per 1/2 hr $33.50 _Swimming pool.hot tub.spa 67.00 Yard Pole meter loops 44.25 1 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL 1 (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 $72.25 _Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00 _201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 -601-1000 254.50 _401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75 _601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits _Over 800 amp 225.25 169.00 _40l-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits.$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25 (When inspected separately from the services.) -801-1000 310.75 129.75 Temporary Service Service or Feeder _Over 1000 339.00 181.00 0 to 60 $38.75 _0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61- 100 44.25 _201-600 amp 89.75 -Mast or meter repair 61.50 _101-200 56.25 over 600 amp 135.25 _201 -400 67.00 _Mast or meter repair 33.50 _401-600 89.75 -#of circuits _over 600 97.75 (1-4 circuits-$44.25;Add'n circuits$5 ca) - If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Addl plan review for other submissions is$67.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN(D): Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25+ X.35 = (13) • DEMOLITION Estimated Permit Fee: (14) / Bond Amount:(15) Estimated Permit Fee:(16) /) Bond Amount: (17) • OTHER FEES r Mitigation Fee: (18) (20) (22) I A SBCC Surcharge: (19) (21) (23) Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100-January 3, 2001