03-102477 1111 %
it
of Federal
Community Development a Services Building - C • i me . 1 Per t #:03 - 102477 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 . 1 • ■• ' ion request line: 253.835.3050
� a l"g' ,1 To Project Name: SACAJAWEA JR HI ; ' b�
Project Address: 1101 S , POI RD Parcel Number: 052104 9024
Project Description: ALT- ividin' • isti indust • . . &drafting room into 2 general purpose classrooms&one
access Ilway. , eati one n• door to west side of hallway.Ducting&unit ventilator only. No
p1 bin on this •rmit
Owner Applic Contractor r,. f Lender
F r • •L WA BLIC 1 OOL ' RAL WAY PU IC SCHOOL FEDERAL WAY PUBLIC SCHOOL FED, •;` L , Y PUBLIC •.HOOL
31405 18TH AVE •,e 8TH AVE S 405 1 A .
EDERAL WAY W: • GE'. L WAY WA 31405 18TH AVE S FED:' WAY WA
',`03-5433 '8003-5433 FEDERAL WAY WA !8003-
Incl ..
Censu .te_• . 437-Comme #2 #4
Occupancy Group: -I - - —
Construction Type: Type V-One-HR Fit V,,'
Occupancy Load:
Floor Area(Sq.Ft.): ._A
.A
Census Category. ............ .437-Commercial alt1.• ire Spn s Yes
Mechanical Yes tuber o tones...... ...... ...... ....
Permit f o r Building Shell Only +, No P 1.. ...................................................,
Will Certificate of Occupancy be Issued? No Zoning Designation S 9.6
Ilk i -7.nical Fixtures
D_ �l Ea r on,. : - c '
Ducts _miw •orative oolers M i
CONDITION • ■ .
This decision shall not wai compl'• ce with fut e of a Way des,policies,or standards relating to the subject
I proposal.
PE E ecember 15,2003.
Permit issued on June 18,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- i 11 .e in .' cordan •th the laws,rules and regulations of the State of Washington and
the City of Federal Way
Owner or agent: . / / Date: G' J i '7-7
, fr. A„„„„„...._
POSTS CARD ON THE FRONT OF BUILDIN� a
�rr`or BUILDING DIVISION.
ederal Way
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 03-102477-00-CO
OWNER'S NAME: FEDERAL WAY PUBLIC SCHOOL
SITE ADDRESS: 1101 S DASH POINT
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
( ) DRAINAGE: Line ( ) Connection
0 tIB . fit,,
O UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
®® i� rig
n
.-,.,.�,s�J -2'...,,. s9S.Pn ,J.aea.; "6. $a 'W ., �K.,.ciw.,«5a..... .>,.x�.
( ) FRAMING/FIRESTOPPING c
( ) INSULATION: Floors Walls Attic
() WALLBOARD NAILING 8 '"O.3 GG„.,/ O SUSPENDED CEILING
O ELECTRICAL FINAL
() PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
f .4,!1-. 'Ala?'
®,
N
O BUILDING FINAL
: 1 f
c w
CjjY OF Building Division
33530 8
ySouth Federa ay • KO.Box
Way
98063-9718
Phone 253-661-4115
Fax 253-661-4129
INSPECTION NO CE
ADDRESS: I ( Q 5 , ô& \ b 1. )Zj . #: O ` - 10 2_ 477 - OO-
frO
Agt o 4 v €._
✓` ✓� S i _ __ i r d -
- - - -
I �
IF YOU HAVE ANY QUESTIONS CALL 2-Jcv,k GL�P�-5(253) 661- /7/7/-
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
l
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE Page \ of
*eNel"")
_A_ CONSTRUCTIDI PERMIT APP ICATION
CITY OF l JuN .1 r 2013 - APPLICATION NUMBER: 03-/1,2, 9 -t20 CO
Federal Way ALWAI APPLICATION NUMBER: - -
CIIY Op FE�EpEpT. APPLICATION NUMBER: - -
�UILDtNG
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
`:I `PROPERTY INFORMATION
SITE ADDRESS: 1(O 1 it/p({ rott1r Ro • ASSESSOR'S TAX/PARCEL #: 06j1494 - 102. 4
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
<EX M 1b
- • PRO3ECT INFORMATION _ _. -
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
D t v I b S E)q cr& it-•bu tTP4M.. fPT3 Per,}4 ill elef-T1 WC. (4.bI4 Iwr" 1I,o cl r�NEE GL 41 M ONE- 1-1144
PROJECT NAME: ./vL�` WALL-
• jj}}
_ • PEOPLE INFORMATION
PROPERTY OWNER: NAME: : DAYTIME PHONE
FW S j
(153 445 -54
3c
MAILING (STREET ADDRESS; STATE,ZIP).
112 r— S U 4 F )e L U' N , WA' a Sao 3
1
CONTRACTOR: NAME: 1 DAYTIME PHONE:
IP PAP t0 DIN ( ) - -
i MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
l
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: -
I ( ) -
'
EXPIRATION DATE:
(copy of card required) ,' /
APPLICANT: NAME: DAYTIME PHONE: i
GN-vtN &ASot l - GP r G/tlm/4 1 11io 1.57) qi1 -1'137
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP):
' I EVENING PHONE:
IV 41c FemrL• ( , w� 4206/la&)81
8 - if
RELATIONSHIP TO PROJECT:
ARCHITECT 0 TENANT o OTHER(DESCRIBE):
( )
E-MAIL ADDRESS:
I �
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
•
`-■ DETAILED BUILDING INFORMATION
EXISTING USE: ilrvvri 1 taNe . EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: GVV SLR PROPOSED VALUATION FOR IMPROVEMENTS: $ '" .-' ' " K 7 -- ear
mr,SPRINKLERED BUILDING? ❑ YES /NO FIRE SUPPRESSION SYSTEM PROPOSED rT •UIRED:0 YES ❑ -O
WATER SERVICE PROVIDER: �LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: • KEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION 0 * r
NUMBER OF BEDROOMS: / ESTI;NATEDSELLING PRICE
,. • PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST i
C D 486 tr zoo S
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
•
TOTAL: O.
496 V L V 2.6 00 ! -C —
111111.11111111111111111.111111111111110212=3111111111111111111111
Indicate number of each •e of fixture
AIR HANDLING UNIT(S) EVAPORA ` •• • GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) NAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. V CUUM B EAKE o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) ASH M HINE ET
GAS PIPE OUTLET(S) SINK(S) WATER LOSET( ) MISC.( )
INTERCEPTOR(S) SUMP(S)
• DISCLAIMER/SIGNATURE BLOCK
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such d•im),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but onl w ere su aim arises out of the reliance of the city,induding Its officers and employees,upon the accuracy
of the information e o •a ty as a part of this application.
NAME/TITLE: . DATE: 17 JVN 03
o PROPERTY 0 ER APPLICANT D C TRACTOR
FOR OFFICE USE ONLY :.;
X114 NEW 11 ADDITION , o-D ALTERATION A4',.'!•13 d REPAIRS t7 TENANT-IMPRROVEMENT
.CENSUS'COD E 4+ ::°, .. .:; ,:s" - -i ' ,
:ZONING DESIGNATION; S,Y 4' ` d „, . .BUILDING SHELLPONLY?`, U YES :` d NO _.
=COMP PLAN DESIGNATION ~ ,„ BASIC PLAN? .,o YES b,NO. •
SECTION> , TOWNSHIP !RANGE Vi«_, NEW ADDRESS REQUIRED? #.`D YES -'o NO
PLATTED LOT? a YES [7 NO CHANGE OF USE?` ` k = D YES - NO
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
Consftion Permit Fee Calculation .et
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED B"?CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMQUNTS WILL NOT BE ACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus 5-400 for each additional$100.00 or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus$18.00 for each additional 51.000.00 or fraction thereof,to and
induding$25,000.00
(4)$25,001.00 to$50,000.00
(4)$504.00 for the first$25,000.00 plus .40 •r.,y .•,•-i•n.l W.ii or fraction thereof,to and
Including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9.00 for each additional$1,000,00or fraction thereof,to and
including$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus$7.00 for each additional 51,000.00 or fraction thereof,to and
including$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus$600 for each additional 51.000.00 or fraction thereof,to and
Including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus$4.50 for each additional$1,000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
Jtalldredl underlined number Is the fee Der additional specified Increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District#39 surcharge,commerdal only.
Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above.
**Electrical,plumbing,and mechanical fees are calculated separately**
• BUILDING
PROPOSED VALUATION: ' Qeo
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
• FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
• PLUMBING
Base Fee Number of Fixtures
$26.00+{ X$9.00/fixture}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)