12-101590 wilding -Commercial Way
City of Fedeal Community&EconrDev.Services Permit #: 12-101590-00-CO
33325 8th Ave S
Federal Way,WA 98003 k Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 ¢ p Q
Project Name: LAKOTA PARK-RESTROOM BLDG ADDITION
Project Address: 31334 SW DASH POINT RD Parcel Number: 122103 9016
Project Description: ADD-Construct 285 sqft storage equipment room to existing restroom building.Add new
sloped roof to existing building and addition,No plumbing or mechanical on this permit
Owner Applicant Contractor Lender
CITY OF FEDERAL WAY-PARKS CITY OF FEDERAL WAY-PARKS OWNER IS CONTRACTOR
33325 8TH AVE S 33325 8TH AVE S
FEDERAL WAY WA 98003-6325 FEDERAL WAY WA 98003-6325
Census Category: 437 -Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: S-1
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Building Pre-con.Meeting Required? No Mechanical to be Included? No
Number of Stories. 1 Permit for Building Shell Only? No
Plumbing to be Included? No Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 0 Occupancy#1-Use Storage-Low
Hazard
Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation. SE
No Fixtures Associated With This Permit li
CONDITIONS:
All work in the restroom shall meet the ICC/ANSI A117-2003 for accessiblity.
PERMIT EXPIRES Saturday, November 3, 2012
Permit Issued on Monday, May 7, 2012
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: -� di Date: 5-1- 17_
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{ THIS CARD IS TO MAIN ON-SITE f
Y
CITY OF
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101590-00-CO Address: 31334 SW DASH POINT RD
Project: CITY OF FEDERAL WAY - PARKS FEDERAL WAY, WA 98023
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(4400) -❑ Initial Erosion Control(4365) ' "0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date .By Date `By /`-� Date 6,22-
O Foundation Wall(4115) ❑ Drainage/Downspout(4040) ❑ Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By flf Date 7_IZ-/Z By Date By Date
O Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
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
O Interim Erosion Control(4370) Prior to scheduling a Framing inspection; Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
By Date Fire/Draft Stop inspections IBC must be signed off and By � Date 2 2.iz
approved. IBC 1093.4 Y
O Insulation(4150) '❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
O Final-Fire Department(4060) ❑ Final-Planning ❑ Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
I
O Final Erosion Control(4375) *0 Final-Building(4050)
Approved Approved
By Date Date I 1— ( --— 1 -- -
o Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I 1a
V II It_ _ 1 o ( 5- 9 0
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SF MF CO ME PL DE EN FP
y COMMUNITY DEVELOPMENT SER 1 (� pp LI CATI O N U�1 � °
253 835 2607•FAX 253-835-2�1 tJ 2�, (^�t '
❑: P':v1,2R01.T;lyzo.tnrn 11 lJ l v LJ`J �/
CITY OF FEDERAL WAY
SITE ADDRESS SUITE M
'31334 D4(4, PT. Q.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1 2 2 / e 3 - 7 4 ( C?
TYPE OF PERMIT XBUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Namel A U PARK- t (1912 - c 4a)t TO X. i�^o�
PROJECT DESCRIPTION k A tX ^ a 4- c I x 3 `v i e4 `e k s,(-0,,,,f,.,G `( 0(3(3 AWE
Detailed description of work to ( i. S ;....- r�.e $ '�/'O p N� L,A;.(.�l i- 4 a cQ i l
be included on this permit only
a KW) S to A e a 49v c1- 1-- a. + tta
-24c.,S :bt.,I i'4
NAME PRIMARY PHONE
PROPERTY OWNER L ,t, O F c -U s A( P & e S ?L.P
( --a1-O o
MAILING ADDRESS E-MAIL
';';';7-c 3.i Ave s
CITY STA E ZIP
CE-.DL.R }-iii- A _L(A 9t1005
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
PHONE
Q- Mt� AS
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT
NAME IL .N.t i - Qom.-mr�c,w.l PHONE
ZS'S v3S .Z- 3 4
(The individual to receive and
respond to all correspondence MAILING ADDRESS e� E-MAIL
concerning this application) S"A - A s 0 vi Kt d`z-
CITY 1 STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
'1t� l kc--Q.1) OH (
PROJECT FINANCING
OWNER-FINANCED
Required value of$5,000 or more
IRC W 19.27.095) MAILING ADDRESS.CITY,STATE.ZIP PHONE
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 officers and employees, upon the accuracy of the
information supplied to the city as a part of X his application.
SIGNATURE: (4)
( At...—
,1
DATE 'T 1 6 fi 7--
6
PRINT NAME: ~{'v'i Ykk- ec .-1rj L`
Bulletin#100—January 1,2011 Page 1 of 3 k:\l-Iandouts\Permit Application
•
FIXTURES
VALVE OF MECHANICAL WORK $ (a copy of bid or estimate mus =-provided)
Indicate how many of each type of fixture to be installed or relocated as part of this pro'-- . Do not include existing futures to remain.
AIR HANDLING UNITS FANS GAS • •E OUTLEIS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS •ODS(Commerce)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
a, s rye �k` 1`°t° x"3 �a;+ An
..... ,✓.,'.' � �'s 4URLF7. ,os,, -'s "': :.�`
Indicate how many of each type of fixture to be' - led or relocated as part of this project. Do not incbtrlo existing fixtures to remain.
BATHTUBS(or Mb/Shower Combo) (Hand Sinks) TOILETS WATER PIPING
DISHWASHERS '• NWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(e.iecbtc)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
�.; G , ° 1 ATION
CRITICAL AREAS ON OPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
• 1 iz iztk+ll)
Lio t tq-1{ e-/•40 C--+1. ; L ktic !-(I. $ (/ 00 0 00
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
,t1Rt4— k k 4i q S ❑Yes`e(No ❑Yes XNo
t f
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMN1`
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING �..
Area Totals
± IVEW.HOMESOIF <:° J�
ESTIMATED SELLING PRICE$ #OF BEDROOMS
C .v'
OM gym c *r�
AREA DESCRIPTION Area Occupancy Group(s)
Construction #of Additional Information
in Square Feet Type Stories
NEW BITh D sa
ADDITION Z 1,5 4f V$
. :CdM ERCIAL-R;' R T JMPROVE
AREA DESCRIPTION Area Occupancy Group(s)
Construction #of
in Square Feet Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January I,2011 Page 2 of 3 k:\Handouts\Permit Application