02-103798 S •
City of Federal Way
Community Development Services Building - Commercial Permit #:02 - 103798 - 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
Project Name: CITY OF FEDERAL WAY-CITY HALL
Project Address: 33530 1ST WAY S Parcel Number: 926500 0360
Project Description: TI-Non-structural interior alterations to construct partition wall(approximately 13 lineal feet),
subject to field inspection.
Owner Applicant Contractor Lender
CITY OF FEDERAL WAY-PUBLIC CITY OF FEDERAL WAY-PUBLIC CITY OF FEDERAL WAY-PUBLIC NONE
33530 1ST WAYS 33530 1ST WAY S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 33530 1ST WAY S
FEDERAL WAY WA 98003 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: B t
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 437-Commercial alt/add Fire Sprinklers No
Mechanical No Number of Stories 2
Permit for Building Shell Only No Permit for Foundation Only No
Plumbing No Will Certificate of Occupancy be Issued? No
Zoning Designation OP
PERMIT EXPIRES March 4,2003,IF NO WORK IS STARTED.
Permit issued on September 5,2002
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 Wa .
el
Owner or agent: / Date: g/ O 2
V.
• •
City°f Federal Way Building - Commercial Permit #:02 - 103798 - 00 - CO
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CITY OF FEDERAL WAY-CITY HALL
Project Address: 33530 1ST WAY S Parcel Number: 926500 0360
Project Description: TI-Non-structural interior alterations to construct partition wall(approximately 13 lineal feet),
subject to field inspection.
Owner Applicant Contractor Lender
CITY OF FEDERAL WAY-PUBLIC CITY OF FEDERAL WAY-PUBLIC CITY OF FEDERAL WAY-PUBLIC NONE
33530 1ST WAYS 33530 1ST WAY S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 33530 1ST WAY S
FEDERAL WAY WA 98003 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 437-Commercial alt/add Fire Sprinklers No
Mechanical No Number of Stories 2
Permit for Building Shell Only No Permit for Foundation Only No
Plumbing No Will Certificate of Occupancy be Issued' No
Zoning Designation OP
PERMIT EXPIRES March 4,2003,IF NO WORK IS STARTED.
Permit issued on September 5,2002
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: _l _ AO '- , - Date: 7/5"A-2._
POSDIS CARD ON THE FRONT OF BUILD.
• EperxRL BUILDING DIVISION
NW Ry INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 02-103798-00-CO
OWNER'S NAME: CITY OF FEDERAL WAY- PUBLIC WORKS
SITE ADDRESS: 33530 1ST S
( ) FOOTINGS/SETBACKS H) FOUNDATION WALL
a Pte'® 0-P-,.K11:06. NC2ETE 41,24 ��:K .. :2 4afr
( ) DRAINAGE: Line ( ) Connection
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
() SHEAR WALLS
()() ELECTRICAL ROUGH-IN 9 / L — Ditch Cover
() FIRE/DRAFTSTOPS
S.� Effirk• DaidittrAVIVA_fixw ., ._O .
( FRAMING/FIRESTOPPING G'k 'i1i�'i a fr✓r 5"h ► ' � ‘S" -c _
:airy
iI OV"EED °d R aY ORS` ' ET,4361. u.
( ) INSULATION: Floors Walls Attic
®firMUST APPRO D RIOR TO APP NGS tt:E KOC
(4yQ WALLBOARD NAILING ex. Ave, -L GJ't r ( ) SUSPENDED CEILING
'4a firra411.00734.0001f
'ROVED PRI+C R,T ...a R T GG TIDE' # ,..
x
F
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
® .A TIST . ,4 PIS Y D RYO TAS t bIN,. E'.0°67E. N t V ` ?i., %
O BUILDING FINAL /0—/ .
A. 0 q ® S B C LDING UNTIL BUIffDIN£G TF AL SSAPPROVED
RECEIVED t3Y
COMMUNITY D VELOPMENT DEPARTMENT
•
a of 7� � '' CONSTRUCT I ION PERMIT APPLICATION
Vv Ry ErZF
APPLICATION NUMBER: a2,_ - O -04.)::cc,
APPLICATION NUMBER: -
APPLICATION NUMBER: -
**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. '\ "
- ■ .PROPERTY INFORMATION
SITE ADDRESS: 33530 (srZ. -Fetek.Att- ASSESSOR'S TAX/PARCEL#: 9 2(P 5-a) - 03
1 8663- / �U
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,, ', ..R PROJECT INFORMATION
TYPE OF PROJECT(This application): ' BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑,�ENGINEERING❑ FIRE PREVENTION SYSTEM
C- �
PROJECT DESCRIPTION(Provide detailed description): fPSGC /94-fi f f' 1)1 GzCa/7.--lie077,4)(
c,477/4,' 7✓3 esti 'pr)
PROJECT NAME: C zfvf iL G` iA vl✓
■ PEOPLE INFORMATION --
r-
PROPERTY OWNER: NAME: DAYTIME PHONE:
/�E 4/ (p53)lofo( -'E 3
MAILING 33 Sao(STL ll-�LJ/� JQ7Y,STATE,IIP.
( � ���� . �� 90b3P q?lS'
CONTRACTOR: NAME: fir/-��i^ �
C./ G✓ ! /a1'k. i417 ( L''',04.,-4 D. 4 :+._715 N ( )DAYTIME PHONE:
MAILING ADORES (STREET ADDRESS;CITY,STATE,ZIP): / EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ( NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
yrs ( a53) 4o6,/ - VO ktz
MAILING ADDRESS(STREET ADDRFS •CITY,STATE,ZIP): EVENING PHONE:
35530 /54 ( z53) 53? 27-43Z-7RELATIONSHIP TO PROJECT: FAX FAX NUMBER:
❑ ARCHITECT ❑ TENANT [ OTHER(DESCRIBE): f � /��' ( 25 ) 04. ( - (4-is
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER ❑ APPLICANT ❑CONTRACTOR
■ DETAILED BUILDING INFORMATION •
EXISTING USE: , 47C&- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
//,��f('r -�.,/+/'�i
PROPOSED USE: `�/E/ jT-' PROPOSED VALUATION FOR IMPROVEMENTS: $ /02)3
SPRINKLERED BUILDING? El YES FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YESO_
WATER SERVICE PROVIDER: ),LAKEHAVEN El HIGHUNE El TACOMA ❑ PRIVATE(WELL) /
SEWER SERVICE PROVIDER: JLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION4110.Y** .
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.. . ,�.• wt.FIXTURES4<014-*,,*- ,--:....*-- so>Lri
Indicate number of each type of fixture
MECHANICAL
AIR 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: ❑ ELECTRIC ❑ 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 claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,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 this application.
.i. < ,. 95/a 2-
NAME/TITLE( _ , 7,-7 /fit?-1/I-1 ,4,,-)rDATE:
❑ PROPERTY OWNER L�APPLICANT ❑ CONTRACTOR /
FOR OFFICE USE ONLY: 1
=NEW , sem❑ADDITION;; ,❑'ALTERATION_ , _ I1;REPAIR mss__❑TENANT IMPROVEMENT ':.
CENSUSvCODEa. n� ;, ` ,, =LOTSSIZE ._ ,. ' 4. � _
-gam�,��� � �. -� �� , �- ��. � "�.
ONINGDESIGNAT ON r BUILDING SHELL ONLY? .2❑YES 3L I NO g - -.
six Y. a4x>i�.x£..I i } f` - Exd S 4 fY'
COMP3? AN DESIGNATION 3 BASIC PLAN? LI uT _ NOS,..:.-,;,,,,,..r.,.1, r,"'
aSECTION° ` TOWNSHIP-.:'^‘'" ,-,4-`.
' RANGE _,,_ _NEW ADDRESS:REQUIRED? .' , !�(ESO NOS
iNOYLOT , ❑ . CANGEOF USE? ❑„YES=PLATTED ? YES O NO ,, ..4,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com