12-103846 a.
iBuilding- Clommercial
City of Econ. Way Permit #: 12-103846-00-CO
Community 8 Econ.Dev.Services
33325 8th Ave S
Federal Way,Fax 98003 s Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 � � � q
Project Name: LAKOTA WASTE WATER TREATMENT PLANT-MAINTENANCE BLDG
Project Address: 3203 SW DASH POINT RD Parcel Number 122103 9105
Project Description: REP-Replace existing membrane roofing system.
Owner Applicant Contractor Lender
LAKEHAVEN UTILITY DISTRICT BOSNICK ROOFING INC BOSNICK ROOFING INC LAKEHAVEN UTILITY DISTRICT
PO BOX 4249 PO BOX 64640 BOSNIR*2910L(4/18/14) PO BOX 4249
FEDERAL WAY WA 98063 UNIVERSITY PLACE WA 98464-06 PO BOX 64640 FEDERAL WAY WA 98063
UNIVERSITY PLACE WA 98464-0(
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit li
PERMIT EXPIRES Saturday, February 16, 2013
Permit Issued on Monday, August 20, 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: 7 19J�tit,C.�•u) Date: r poi 1 Z
I
1 Zfri IZ
THIS CARD IS TO REMAIN ON-SITE '' '
Federal VNa 3 • Construction Infection Record
INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-103846-00-CO Address: 3203 SW DASH POINT RD
Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98023-2340
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) ' -0 Initial Erosion Control(4365) - ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
o Foundation Wall(4115) ❑ Drainage/Downspout(4040) 0 Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
El Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) 0 Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
El Shear Walls(4245) 0 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 must be signed-off and B
approved. IBC 1093.4 By Date
o Insulation(4150) 0 Gypsum Wallboard Nailing(4130) El Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
El Final-Fire Department(4060) 0 Final Erosion Control(4375) *0 Final-Building(4050)
Approved Approved Approved
By Date By Date Date 2---..c --/ �•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. ♦ ,
CITY Of
SPERMIT
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•
Federal Way SCE (co ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
A
253-835-2607•FAX 253-835-2609 Ot!
' u.gt,'W rtUffileralu;alt.cols. 0 Z ifFt.
rip FEDER4 N%1AY
SITE ADDRESS / / P� ' j `O' ®5 SUITE/UNIT P
PR•• ' VALUATION ZONING ASSESSOR'S TAX/PARCEL i
�7 JJQQ, ((jjQ� itf /r 8 2_ / « 3 - 9 O s-
TYPE OF PERMIT DING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT _
(Tenant Name/FlomeownerLast Name) ( 7/-64.0a - Matt-. lf—(641 t,
PROJECT DESCRIPTION �� 14.1-1/A ` V '°
Detailed description of work to ‘.4." • /L*"..
be included on this permit only l
- 4.- .1-r* -
NAM - PRIMARY PHONE
PROPERTY OWNER )^_ �Ai ,t
MAILING ADDRESS (�C E-MAIL
I if
" c
CITY STA ZIP
NAME /.. / rd PHONE
MAILING\ADDRRESSS_ F/^/ E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE X
/ / -
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME . PHONE /�
(The individual to receive and Ad.-, ��7 5—(o
respond to all correspondence MAILING ADDRESS E-MAIL �\7�
concerning this application) J C.1 V
CITY I STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
--- ---------–___.---- ------ ----------------
PROJECT FINANCING NAME •WNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) _ - •• •-- r ATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized ageritoproperty 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 a costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made, y ding the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the My, siding its officers and employees, upon the accuracy of the
1 information supplied to the city as a part of this application. 0 an
// AUG �/lZ0 t Z
SIGNATURE: 7,140//4 ` . z L WAY DATE 0 G
PRINT NAME:
�E 2 k 1)U�C l6 OF FCDSRA
Bulletin#100—January 1,2011 Page 1 of 3 10-3andouts\Permit Application