09-104535f t
. - s wilding 7 Commercial
City of Federal Way 0
�Community Development Services Permit #: 09- 104535 -00 -CO
P.O. Box 9718 �?
Federal Way, WA 98063 -9718 �+ F Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p 4
Project Name: WORLD VISION
Project Address: 3455 S 344TH WAY Parcel Number: 222104 9006
Project Description: REM - Installation of dock - leveler at existing loading bay door.
5TF( -J I PIaAs
Owner
A[mlicant
Contractor
Lender
WORLD VISION US
NORTH WEST HANDLING
NORTH WEST HANDLING
PO BOX 9716
SYSTEMS INC
SYSTEMS INC
FEDERAL WAY WA 98063 -9716
1100 SW 7TH ST
NORTHWH275JF (10/9/11)
Occupancy Load:
RENTON WA 98055
1100 SW 7TH ST
Floor Areas . ft.
0
RENTON WA 98055
1 0
Census Category: 437 - Commercial alt / add / conversion
Includes:
# 1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft.
0
0
1 0
0
Permit for Building Shell Only ? ..........................
New / Additional Sq. Feet - Total ..........................
PERMIT EXPIRES Tuesday, May 18, 2010
Permit Issued on Thursday, November 19, 2009
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
the City of Federal Way.
Owner or agent: Date: ( �'
;rlouGA 3/1 ; //0
' THIS'CARDIIS Tg&EMAIN ON -SITE
c�of Construction I eetion Record
Federal Way INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 09- 104535 -00 -CO Address: 3455 S 344TH WAY
Owner: WORLD VISION US FEDERAL WAY, WA
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 ( 400)
Initial Erosion Control (4365)
Final Electrical
Approved
Footings /Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
0
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Approved
Re -steel (4215)
Approved to place concrete
By
Approved to backfll
Approved to place concrete or grout
By
Date
By
Date
By
Date
0
0
0
Slab /Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
0
0
Shear Walls (4245)
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
0
Interim Erosion Control (4370)
Framing 4120
g ( )
Peduling a Framing inspection;
Approved
bing & Mechanical Rough -in and
Approved to insulate
By
Date
inspections must be signed -o ff and
By
Date
pproved. IBC 109.3.4
0
Insulation (4150)
0 Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
0
0
Final - Fire Department (4060)
0
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By �C-F D a t e 3 j7 /ZC:2/b_
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
— "EIVFRRMIT
Federal 6yRt
COMMUNITY DEVELOPMENT SERVICES LI CATID N
253- 835- 2607•FAX 253- 835 -2609
wwwxfh4oifederalwau.rnm t,
q - /o `535
SF MF CTME EL PL D N FP
Bulletin DATE
PRINT NAME: �v ` 1 /� �2Y1 dun
#100 - 4/21/2009 Page 1 of 4 k: HandoutAPermit Application
SITE ADDRESS
y5s 3L/ti
3UITE /UNIT # Z
ZONING S
S TAX/PARCEL #
-
-
NAME OF PROJECT
V
(Tenant or Homeowner Name) V
iNKBUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERNIIT
❑ DEMOLITION ❑ELECTRICAL ❑ENGINEERING ❑FIRE PREVENTION
i u -1, --') C) f X2 i' i" Cam, S u6 e- d d
Z S ,. ci <t Wes( l
PROJECT DESCRIPTION Z
Detailed description of work to -
G r� ., d f ' uc.� i c Jr
be included on this permit only G
NAME P
PRIMARY PHONE
PROPERTY OWNER v
viO r -
- ( 000
MAILING ADDRESS, CITY, STATE, ZIP -
-E-NAIL
CONTRACTOR APPLICANT El PROJECT CONTACT
OWNER IS ALSO: C
NAME JJ // P
PRIMARY PHONE
CONTRAC°TO M
MAILING ADDRESS, CITY, STATE, ZIP F
FAX
WA STATE CONTRACTOR'S LICENSE # E
EXPIRATION DATE F
FEDERAL WAY BUSINESS LICENSE #
„j W
1 k
k ---`N, wh a�g T F -
-1o5-YV3.00 -OIL-
NAME P
PRIMARY PHONE
APPLICANT (
( )
MAILING ADDRESS, CITY, STATE, ZIP F
FAX
PROJECT CONTACT N
NAM P
PRIMARY PHONE
(The individual to receive and I
MAILING ADDRESS. CITY. STATE, ZIP 7 F
FAX
respond to all correspondence M
IV 0 S
ALTERNATE CONTACT NAME: P
PRIMARY PHONE E
E-MAIL
BUSS S7�6rrZ� %a .2z✓1 (
(tlaS)�55 - 5-p ✓
✓�Ser�n1 "CnC�it+,.AJ'•Lv
PROJECT FINANCING N
NAME
OWNER - FINANCED
Requiredfor projects with
MAILING ADDRESS, CITY, STATE, ZIP P
PRIMARY PHONE
value of $5,000 or more M
(RCV 19.27.095) _
_ (
( ) _
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 000fflcers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: _ (
((''__ Jo-
#100 - 4/21/2009 Page 1 of 4 k: HandoutAPermit Application
MECHANICAL FIXTURES
Value of Mechanical Work $ a COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Dp-not include existing fixtures to remain.
AIR HANDLING UNITS FANS GASEIWObTLETS OTHER (Describe)
AIR CONDITIONER \FIREPLACE INSERTS NOODS (commerc,a)
BOILERS URNACES HOT WATER TANKS (Gas)
COMPRESSORS G OG SETS REFRIGERATION SYST
DUCTING GAS PI WOODSTOVES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWElt PURVEYOR
MBING
S
Indicate number of each type ofjixture
a installed or relocated as part of this proje o not include existingfixtures to remain.
BATHTUBS (or Tub /Shower combo)
LAVS (Nand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS 7,
DRINKING FOU S
SINKS (Kitehen /utffity)
WATER HEATERS (Fieetrte)
HOSE BIBB
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWElt PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING I= SPRINKLER SYSTEM?
PROPOSED TM SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
COMMERC
- NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
O panty (fro, (s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMM CIAL - REMODEUTENANT ROVEMENTS
AREA DESCRIPTION
Z Area
in Square Feet
Occupancy Group(s)
p
Construe i
# of
-Stories
Additional Information
TOTAL B=IN
\,
TENANT ONLY
AREA ONLY
Bulletin #100 — 4/21/2009 Page 2 of 4 k: HandoutsTermit Application