08-102271iy of Foderal Way
Community Development Services BuYllding - Commercial Permit #: 08 -102271 -00 -CO
P.O. Box 9718
Federa!,tNay, WA 98063-9718
Ph: (253) 835-2607 Fax: (253)835-2609 — Inspection Request Line: (253) 835-3050
Project Name: THE CHURCH OF JESUS CHRIST OF LATTER DAY SAINTS
Project Address: 841 S 308TH ST
Parcel Number: 082104 9148
Project Description: REP - Reroof and voluntary seismic upgrade project. While roofing is off, seismic anchors
will be installed between roof plane & wall planes. Some windows are being removed and
openings filled-in to increase shear wall panel resistance.
Owner
Applicant
Contractor
Lender
CH JESUS CHRIST BISHOP
GARY SCHOENFELDT
JACOBSEN CONSTRUCTION
50 E NORTH TEMPLE
M S G S ARCHITECTS
JACOBCC006137 (5/30/09)
SALT LAKE CITY UT 84150-0002
510 CAPITOL WAY S
PO BOX 2760
OLYMPIA WA 98501
SALT LAKE CITY UT 84127
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 43 94
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.) 0 0 0 0
Additional Permit Information
Existing Sprinkler System in Building?.................No Mechanical to be Included?.......:................ No
Number of Stories..................................................1 Permit for Building Shell Only?............................ No
Plumbing to be Included?......................................No New / Additional Sq. Feet - Total........................-, 0
Zoning Designation ............................................... RS 7.2
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, February 8, 2009
Permit Issued on Tuesday, August 12, 2008
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:
Date:
THIS CARD IS TO I'MAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -102271 -00 -CO
Owner: CH JESUS CHRIST BISHOP
Address: 841 S 308TH ST
FEDERAL WAY, WA 98003-4705
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�ARM
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
❑ Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
❑
Re -steel (4215)
Approved to place concrete or grout
Approved to place concrete
Approved to sheath floor
By
Date
By Date
By
Date
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
❑
Floor Sheathing (4105)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By Date
By
Date
❑
Framing (4120)
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved
inspection; Electrical, Plumbing &Mechanical
Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By
Date
❑ Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
❑
Insulation (4150)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By Date
By
Date
❑ Final - Planning (4070)
❑
Final - Building (4050)
❑
Final - Fire Department (4060)
Approved
Approved
Approved
By
Date
By Date
By
G Date/0-/Z-0
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED .7
CITY OF ` � � 3
Federal Way ;AY 0 8 2008 PERMIT
COMMUNITYDEVELOPMENT SERVICES T
333258mAVENUE SOVrH•PO13OX&,7rs ❑ ,` LI CATION
MEW IVA 98009 9738(-1 (V OF 4� F[]� � I
253.835-2SD7• FAX 253-835.2509
warro.r.4rrrrffi H�rrfLtfm+.ram C. D -
SF MF CD ME EL PL DE EN FP
r 15 /4.z / ORO
The following is required illfbrmation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS - J� i nt rIn '--") ^3 - �J SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # S ` J� v C� - },�, `� Z6—' ^0`'1 LOT SIZE (sfl �+ T• S, �
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Sec Dlz,&, Y) w Y 911, S
(Attach separate page for lengthy legal descrtptfon)
PROJECT• •
TYPE OF PERMIT )< BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
.1r16Va uH AIS S 14N11G IN �
4014MI G AKGI• a h Wn.L 56 1146TAI.1 60 JBISTW-FEN 940F AN 9 1 W AL 1- eL N,9-+ .
�, ►.[SHL-'`.■L'frc��-7�I.r�1!au•+��1a��.7.r• =••r�:Il:r= ff•=IZra149
r
5Q, AS
OWNER TY 6141wril.. 10q J9506 ow *q L•a ACY- %4 Sal 46A'Lr] ] 3°�'Z -1'� Com
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
ISTATE. ZIP
A6^. LING ADDRESS
A2�a .,cwr�..�►L1 ■.fa'AQ..r1•1-nIJ.G �1�p1�W�rIQ'13
COMPANY NAME
JAW 5� C0N I�uGT1oh1
APPLICANT' NAME
c N
;
OFFICE PHONE
($o ?
-05
ILI ADDRESS
salt yi, C, CITY. ATE, XIP 1
U� 1
LL PHONE
L`Eii
3*
-15l 30
CnY OF FEDERALWAY BUSINESS LICENSE NUMBER
0(5--- I0
EXPI TIO
�� 3l
'iE
�
FAX NUMBER
(8o1) 9,56
-0403
CONTRACTOR'S REGISTRATION BER
.1A G02) GG 130!0
ERP
5 3�0
TION DATE
200
E-MAIL ADD�2ES$�O�`h 600
byIce. F��JJ
*o6floo .
cora
COMPANY NAME
APPLSCAN'C N E
OFFICE P
V C'S
C'.: ❑
IHONE r
1A - —6 n 4
MAI ING ADDRESS
qCAPITOL WV S.
CITY, ST ., ZIP
owm ej A WA 98150 1
CELL PHONE
( 951 - 03
RELATIONSHIP TO PROJECT
Tenant Agent Other
FAX NUMBER
(340) 3-51--'7005l
Architect ❑ ❑ ❑
14E E E MND4 r" ah or"o Cad xD rc
NAME Per RCW 19.27.095:
Ng�m ( Q W Lender information is required ifprgjaet value exceeds $5,000
MAILING ADDRESS CITY, STATE, ZEP
PHONE
EXISTING USE GNU CH PROPOSED USE G41) 0G H
EXISTING ASSESSED/APPRAISED VALUE $�.0a�V ALUE OF PROPOSED WORK $ �f1JV s�
SPRINKLERED BUILDING? ❑ YES �i0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES )(NO
WATER SERVICE PROVIDER N LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER LAItEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION I
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
FIRST
SINKS
HOSE BIBBS
SUMPS
SECOND
❑ YES ❑ NOUP/SEPA/SU?
❑ YES ❑ NO
THIRD�-
❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
.�
GARAGE ❑ CARPORT ❑
�,
NUMBER OF FLOORS
E SrINa
PROPOSED
TOTAL
AL EX79TlNO F
TOTALPNO�SSP
.�ii�.,_�777�
TMAL SF
2 261
"*NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ••' N9 .6
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing furfures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR
MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITSEVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commcmlap
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS Nk
PLUMBING
❑ REPAIR ❑ TENANT IMPROVEMENT
BATHTUBS (or 1)lb/Shower Combo)
LAVS (Bathroom sinks)
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
URINALS
CUUM BREAKERS
TER CLOSETS (Totict)
WASHING MACHINES
MISC (Describe)
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 responsibilityfor compliance with local, state, orfederal 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,_ f/tcIuding its officers and employees, upon the accuracy of the information supplied to
the city as apart of tW application. -A A
SIGNATURE:
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
PLATTED LOT?
Owner
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
❑ YES o NO
BASIC PLAN?
❑ YES
ONO
CHANGE OF USE?
❑ YES
❑ NO
❑ YES ❑ NOUP/SEPA/SU?
❑ YES ❑ NO
❑YES
❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Permit Application