03-101820 *-, • •
City of Federal Way
Community Development Services Building - ' i "+ erc . Permit #: 3 1'01820 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
0
Project Name: SACAJAWEA JR HO 'ORTABLE CLASSROOMS
Project Address: 1101 S DASH PO '•, ' 1 Parcel Number: 052104 9024
Project Description: ADD- ,ti o ' ;6 sf po• a' classrooms and associated site improvements on existing public
scho• is 1 o • ', . r uthern portable. No plumb/mech.
Owner S pp t Contractor Lender
FEDERAL AY PUBLI CHOO 1, EDERAL Y '.:LIC SCHOOL NONE FEDERAL WAY PUBLIC SCHOOL
at
31405 ' H AV S 166 S 320TH ST 1066 S 320T T
F RAL WAY It, •ERAL WAY WA 98003-5433 ERA AY WA 98003-5433
' 103-5433
Inclu
Census ` -gory. 326- - #1 # 3 #4
Occupanc' . p: E-1
Construction Type: V-B
Occupancy Load: 45 a. til
Floor Area(Sq.Ft.):' 4 • 896 — ■,V
1st Floor Proposed Sq.Feet 896 ut .g Pre-con.Meeting Required No
Census Category ...,,..... 326-New sc. . .. +ther et Fire klers
Mechanical No umber of Stories
Permit for Building Shell Only No Permit for Foundation Only ..Yes
Plumbing Will Certificate of Occupancy be Issued? .Yes
Sensitive Areas? o
CONDITIO
1)Prior to C• ;ificate of Occupan dscape inspection is r uire• on eb Barker at 253-661-4103 to schedule the
inspection.
E' S January 27,2004.
'e u ' u on July 31,2003
I hereby certify that the above information is correct and tha ,e struction 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 W. . /
/ /Owner or agent: i,, , Date: 7 / d,3
I- Code
Review
•
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use.This certificate is valid ONLY when endorsed by City staff.
Tenant Name: SACAJAWEA JR HIGH SCHOOL PO Permit number: 03 - 101820-00
Address: 1101 S DASH POINT
•
#1 #2 #3 #4
Occupancy Group: E-1
Construction Type: V-B
Occupancy Load: 45
Floor Area(Sq.Ft.): 896
Owner FEDERAL WAY PUBLIC SCHOOL*FEDERAL WAY PUBLIC SCHOOL* -
Name: 31405 18TH AVE S
Address: Af FEDERAL WAY WA
98903-5433
•
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most sa+erely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
•
POSTTIS CARD ON THE FRONT OF BUILDI Na
CITYOF iii , Feder BUIL NG DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 03-101820-00—CO
OWNER'S NAME: FEDERAL WAY PUBLIC SCHOOL *FEDERAL WAY PUBLIC S
SITE ADDRESS: 1101 S DASH POINT
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
( ) DRAINAGE: Line ( ) Connection
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
O ROUGH MECHANICAL Gas piping
() SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
() FIRE/DRAFT;TOPS
( ) FRAMING/HICST:,PPING �km
F./ :1--",413----0, x S+''; b w.... .ae x
m
np. t & n ID :1),1,. .® r i z ,tl p
:E R
» . y 4.-W
a..n
( ) INSULATION: Floors Walls Attic
() WALLBOARD NAILING () SUSPENDED CEILING i‘tar
... ., •.,n... x.x- ../... .... ,,...s, w3¢' R.,, h. e A.s....._.�^�. a.... Y£�, .. e
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
..,. ....• _.:.s,. a . u ._s am ..,_ :. w..u. >.� 3b'
. ,,, ,,,w• $ x s. . ,
( ) BUILDING FINAL
0 CONSTRU� PERMIT APPLICATION
CITY OF ./ APPLICATION NUMBER: O3- 4 i -
way - APPLICATION NUMBER: 03 - L a i a Z D - t9_C ode
i `APPLICATION NUMBER: - -
I /1' 2003 ** •-. ollowing is requird information-Please print(in ink)or type**
CITY OF FE @ Elects • . . e Gl , ,,'r eying permits may require a separate application.
<I PROPERTY INFORMATION .: . :
SITE ADDRESS: I k 0\ OP\51,-\ ic7OIN IF RD. ASSESSOR'S TAX/PARCEL #: QQQ_5-2 1 Oct _ - 3, a -y.
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): E>�J6,- c' • i •
■ PROJECT INFORMATION - -
TYPE OF PROJECT(This application): ■ *- ILDING o PLUMBING o MECHANICAL 0 DEMOLITION
❑ •LECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PR CT DES IPTION(Provide detailed scription): ) N S f I L..L_ !L.J 0 Po2TH-(3Le GL.fj'S.,2Lao r`L3
3 14(314-141 Y -nom c(. (9I -00 RECEIVED
V- L 1,�.-f1 I - - t.D032 -- co
MAY 0 7 2003
PROJECT NAME: 5/4-ex-,3—A-koe-R. cJ72- �'/6`7' J * _ CITY OF FEDERAL WAY
-•::■ PEOPLE INFORMATION - ,- .
PROPERTY OWNER: NAME: i DAYTIME PHONE
F1.) t'3 - 6-0 N7/kc7: MIrE- C-Pre-1.-1 3LC ('.5 3 945 -6-930
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
)0(t:. . s. 32_011i 5T F��O -I c_ 1.i , VI c IS00 3
CONTRACTOR: NAME: '/�` DAYTIME PHONE:
MAILING ADDRESS-(STREET ADDRESS;CITY,STATE.ZIP).
) EVENING PHONE:
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: { FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
/ /
(copy of card required)
APPLICANT: ( NAME: DAYTIME PHONE:
C.C.A - v,>3 G%.r�spwPc-( (251) 19.1 -4937
MAILING ADDRESS(STREET AADD�CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP P o ¶3 )( L1 I SO , Fc D e2-ric_ w Pr,r, v.JA 9l i0c 3 /1 1 ( ) -
j FAX NUMBER:
L 0 ARCHITECT 0 TENANT o OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT 0 CONTRACTOR
-■ DETAILED BUILDING INFORMATION -
EXISTING USE: PQE31-IL-cSC#je t_ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 7,000, 0o 0
PROPOSED USE: PO13L-I C._.- SC-�-n�` PROPOSED VALUATION FOR IMPROVEMENTS: $ 76, O 0 O 1t'(V 3i'
SPRINKLERED BUILDING? o YES ENO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES A9 NO �t(�'
WATER SERVICE PROVIDER: NA o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: AM ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
*NEW RESIDENTIAL CONSTRUCTION O.*
* *
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT Fs.. 71 'I ,
FLOOR EXISTING SQ.FT. • • ' 'il i.. -- ,, 4= TOTAL
BASEMENT
FIRST r Vi c-7 2
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
TOTAL: , I , 7 4)Z ',.' ( 1
• FIXTURES .
Indicate number of each type of fixture
MECHANICAL
IAIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) 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: LECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) 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 daim(induding costs,expenses,and attorneys'fees Incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only whey uch im ises o of the reliance of the ' ,induding its officers and employees,upon the accuracy
of the information suppli e ty part is application. -7 /
NAME/TITLE: DATE: ` ' ' l e3
❑ PROPERTY OWNER APPLICAN ❑ CONTRACTOR
.FOR.OFFICE,USE ONLY:,.
,ANEW ' ' r ADDIT ON _ 6 ALTERATION i n:REPAIRS d TENANT IMPROVEMENT a.Y _ ".
s P '`e LOT:SIZE� - . ^', , c - -,a.;
'CENSUSCODE: ��s�,,,,-'�.�-r� � �'�,. . _ ,� ��,
,ZONING DESIGNATION 4 0 1- BUILDING SHELL ONLY? d YES*n NO .,1
-COMP PLAN DESIGNATION .BASIC PLAN? r AYES:, `:a'NO,
SECTION TOWNSHIP_*x RANGE = :,,iiiiiiksolics S REQUIRED?, . o YES • U NO
711LATTED LOT? .❑YES=„a NO , F °CHANGE'OF'USE? . ,..,'--•.n YES : •u 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