96-101231 CITY OF FEDERAL WAY PERMIT NO: BLD96-0150
.5
3330 First Way South .311.„,N I. N...... .D I. H 0P In ift.t1 I "1- ISSUED: 05/21/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 11/17/96
ADDRESS : 28815 PACIFIC HWY S 96-JO/.7,j )
NO. : 042104-9024
PROJECT DESCRIPTION:CHURCH ALTERATION - DIVIDE ONE CLASSROOM INTO 2 SMALLER ONES (ALTERATION)
s- OWNER .__...-- _:- _ -- _W� w�___ _- __::== CONTRACTOR _t:_ --. ::_ :._._.._ ... _== = ______-= LENDER __..- - .. _..__ :: __,-=_:•=w- ,__�
CHURCH OF CHRIST OWNER IS CONTRACTOR
28815 PACIFIC HWY S ,
FEDERAL WAY WA 98003
I
941-6600 I
*** CONTRACTORS, PLEASE USE-LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 I COMP PLAN •B ` FEES:
TYPE OF WORK:TEN USE:RES 1ST.: 0: 187:sf STORIES • 0 I REQUIRED PARKING..: 50 SPRINKLERS? •' + PLAN CHECK FEE $ 14.30
CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 22.00
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 917500 I FRONT • 30.00 ft 1 PLCK-FIR comml only* $ 1.10
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 500 SIDE • 30.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N :? :? :? : DECK: 0: O:sf REAR • 30.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:05/07/96
: 0: 0: 0: 0: TOIL: 0: 187:sf 1MPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS..........: O BOILERS/COMPRESSORS WATER CLOSETS • 0 • URINALS • 0 ( TOTAL FEES $ 41.90
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 , BA`H TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
V BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
0 MISC • 0 5+ HP • 0 {�{ DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 , AIR HANDLING UNITS FUEL TANKS I ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT EHE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTce� '.. 1-'�rt- - DATE :'(...... 6.
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SETBACKS& FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
...........................
. ............................
PLUMBING ROUGH-IN
Date By
....................... ............................
.....................................................
...................................................
GAS PIPING
Date By •
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date T 3 IL B—
INSULATION
Date By
GWB - 1ST LAYER
Date 7-23 '(o BYSIQrvI
GWB - 2ND LAYER
Date By
rm171.11 .1.11.6'USPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date Z—l 3 — 9 BY-)cry
BUILDING FINAL
Date I— — 5 By-1)j.
OTHER
Date By
OTHER
Date By
CD01 93
City of Federal Way S RECEIVED
C
vv rwr'� APPLICATION FOR BUILDING PERMIT -( 0 71996
'y 118'.. CITY OF FEDERAL WAY
• � 7 � ' � BUILDING DEPT.
PLEASE PRINT APPLICATION #: 'L-Dq — 050
SITE LOCATION Address z. g/c Prkcl Fic (4t.,y 5a., 50.701, f co CRA t- wA V, WA. g 8v o3
Tenant (if known) Lot # Assessor's Tax #
LJ 5T CAmPLUS Cl4u,R.CN dF CIS 0 2.I0y- — 0Z f
Building Owner Name Address
Sov7'!-I 7—t5Srii 3Tr26C-7— !-tssOcZsaTes' zsQ,/S-- ?Ac,F/c k tu Y. So .
City F EocQ L. (..!A t' State UPJ A Zip 'CJ O 3 Phone(Lo 6) 9 Y/ — G Cn o
Nature of Work (Divr/(JE ONE CLissRooM I N rc a 5Mr4LLER ONE
APPLICANT
Name (F,M,L)
WEST C11/1-tPCLS CHclRCA OF Cr{ 2(.ST
Address Z1 8 / g '31 h ,4tC ci '
G/o �.4cK V: C(S�NtAN �
City D =T M O[N State Ail Zip ( g l q F
Contact Person Day Phone Other Phone Fax
TA QC V. E, t5�r�-is a� ( c ) g' 72.—7S—c3 C0
BUILDING CONTRACTOR
Company Name At/ Iq
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name /
Address 4/ A
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
The North 205 feet of the East 202.42 feet of the West 222.42 feet of government lot 4,
Section 1,Township 21 North,Range 4 East,W.M.,in King County,Washington;Except
that portion lying with PSH No. 1,as conveyed by deed recorded wider recording
number 2115246:and except that portion lying within So. 288th Street.
s
Please Complete Reverse Side
CD0492(Rev 4/931
STRUCTURE •istin Use c LgSs/Ro oM •roposed Use C LA.S's,‘OOM,s
Permit includes: L$[ Building ❑ Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New U Remodel 0 Number of Units_ ❑ Deck
❑ Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation SSD/2490 LEST./
Zoning Lot Size Existing Bldg Valuation S a ',,1,pub
LENDER
NameiNt / A Address
City State Zip
•
MECHANICAL CONTRACTOR
Contractor Name N /, Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACTOR
Contractor Name n' /il Address
City `V State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains -Total Fixture Count-
MECHANICAL UNIT COUNT MECHANICAL VALUATION ONLY $
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count-
DISCLAIMER: 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 lam authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in 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 Cf this
application. � q
Owner/Agent: da....eje4( Date: 7-2-i . /// L/ /4wtiHPu
EST CA-ill C/40RcV/ 0F CuRIST ✓ ''