99-104863City of Federal Way r
Community Development Services Building - Commercial a trmit #: 99-104863 - 00
33530 1st Way S
Federal Way, WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: LAKE GROVE ELEM(BLD)
Project Address: 303 SW 308TH ST
Parcel Number: 072104 9180
Project Description: COM ALT - REPAIR PLAY SHED ROOF - TEAR OFF ASPHALT SHINGLES & DECKING;
REPLACE 2 GLU-LAM BEAMS; REROOF W/ METAL ROOF.
Owner
Applicant
Contractor
Lender
FEDERAL WAY SCHOOL DIST #21
LAKE GROVE ELEMENTARY SCH
OWNER IS CONTRACTOR
NONE
31405 18TH AVE S
303 SW 308TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98023
NONE
Includes:
Census category: 555
#1
#2
#3
#4
Occupancy Group:
E-2
Construction Type:
Ty e V - N
Occupancy Load::
0
0
0
0
Floor Area (Sq. Ft.):
0
0
0
0
Building Pre -con. Meeting Required...................No
Ducting System .................................................
No
Over the Counter Permit......................................No
Proposed Project Valuation .................................
70000
Special Inspection Required ................................
No
Total Building Sq. Feet........................................4500
Zoning Designation .............................................
RS 7.2
Calculated Structure Valuation............................70000
New Address Required ...................:....................
No
Permit for Foundation Only.................................No
Proposed Structure Valuation..............................70000
Sq. Feet of Project Site ........................................
4500
Will Certificate of Occupancy be Issued? ............
No
Is Review to be Expedited ...................................
No
PERMIT EXPIRES July 24, 2000, IF NO WORK IS STARTED.
Permit issued on January 26, 2000
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 FederalWay.
Owner or agent: allzi�: Date:
POST IN A CONSPICUOUS PLACE
City of Federal Way
INSPECTION REPORT
Job start date:
Date ^ Hours _ Remarks Inspector
BUILDING Divis10\
C"OF r-- 33530 First Way South
EnI��CA L.. Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
PLEASE PRINT
DEC 2 C 1999
APPLICATION FOR"a6tiftbM�G PERMIT j�
APPLICATION # "t �� ��� ��
tvSite
Tenan name
address
Lot # As ass is Tax #
ildin er's N e
Address
Cit
State
Zi
Phone
Description of Work
y ��
Ti gj5bF
u
Name (F,M,L)
Address
Citv
State
Zip
Contact Person
Day Phone
Other Phone
Fax
BUILDING CONTRACTOR
FPrlaral Wav Ruginecs I icense #
Company Name `
Address
Citv
State
Zip
Contact Person
Phone
Fax
Contractor's # (card muse be presented)
Expiration Date
Verified O Yes O No
Contact Person
LEGAL DESCRIPTION
State
rasa amRgv?rga Sides
1G
Permit includes:
Existing Use
Building
❑ Plumbing
Proposed Use
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Repair
❑ # of bedrooms
❑ Garage
❑ Deck
❑ Shed
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor eq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability
❑ Sewer Availability
❑ On -Site Septic System Availability ❑
Project Valuation
s
Zoning
I
Lot Size
Existing Bldg Valuation
Is
For now residential only - Proposed sellil
Name I Address
cast: $
I City I State - _ I Zlp I
.zN =
PLUMBING : CO�V'1'�iCi't3 :;-
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Iration Date
Verified ❑ Yes ❑ No
........
PLUMBING r1X7.up.1
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total l ixttifB:•GGAint-
MECHANICAL. t#N17i C.06
MECHANICAL EVALUATION ONLY
Fuel Type (gas/electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn < 1OOK BTUs
Gas LouUnit
Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv 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 I am authorized by the owner of
the above premises to perform the work for which permit application is made. I further agree to save harmless tha 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 of this application.
OwnerlAgent Date:
Bum— An
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