08-104191 • • • 41Building - Commercial
City ity of Develral opment
y
S Permit #: 08.104191 -00-C O
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request line: (253)835-3050
Project Name: LAKEHAVEN UTILITY DISTRICT
Project Address: 31623 1ST AVE S Parcel Number: 072104 9017
Project Description: TI-Remodel of development services office.Addition of(2) offices in existing space.No
mechanical or plumbing on this permit.
Owner Applicant Contractor Lender
LAKEHAVEN UTILITY DISTRICT- LAKEHAVEN UTILITY DISTRICT- LAKEHAVEN UTILITY DISTRICT- LAKEHAVEN UTILITY DISTRICT-
WATER OPERATIONS WATER OPERATIONS WATER OPERATIONS WATER OPERATIONS
PO BOX 4249 PO BOX 4249 PO BOX 4249 PO BOX 4249
FEDERAL WAY WA 98063-4249 FEDERAL WAY WA 98063-4249 FEDERAL WAY WA 98063-4249 FEDERAL WAY WA 98063-4249
•
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 0 Existing Sprinkler System in Building? No
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 !!
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Wednesday, March 4, 2009
Permit Issued on Friday, September 5, 2008
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: See App(icati We:
,SEP 0 42008
Q • /
ti
vFI410
® THIS CARD IS TO MAIN ON-SITE
CITY OF �`- ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104191-00-CO
Owner: LAKEHAVEN UTILITY DISTRICT-WATER OPERATIONS
Address: 31623 1ST AVE S
FEDERAL WAY, WA 98003-5201
This card is part of your required inspection documents. 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 Footings/Setback(4110) 0 Re-steel (4215) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
•
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By • Date Bye-iik. rte( Date t0 _O1_, '
•
NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120) ❑ Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be 1
signed-off and approved. IBC 109.3.4/UBC 108.5.4
A By '(.---kt..-> Dat bi_4 7,..b q.. , By Date
❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
Bl/Gt-7 Date /0•,/6/4 By Date By Date
❑ Final Building (4050)
Approved
By Date 9.-
.
_For inspector reference only ___
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
CITY OF 4111 ^( o
Federal WJE C E . EIED
•r)-- �—� ® e l cl 1
PERMIT •
SF MFC(Y ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES [
33325 8171 AVENUE SOUTH•PO BOX 97 p p J 2 APPLICATION Tp
FEDERAL WAY,WA 98063-9718
-- / /
253-835-2607.FAX 253-835-2609
www.dtuafederalwaU.c om -
T11 F FEDERAL WAY
folio is
The re u redAlia�nation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
J • PROPERTY INFORMATION
SITE ADDRESS /6 23 /''.'
3 ✓(r benir4/ 'D6.-R4414 Alify Aid 79 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# O 7 2/ o Y - / ® / 7 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
•
TYPE OF PERMIT :1 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
OF-f-/cE S.14ple0✓r.44--.✓75 ®
CA in S^r L (..i a ( ( j -1 6 4' 1°l�--ec. - 7 ) 6 fir,:rc
ieb fr. (A to1vt k
PROJECT NAME(Name of Business or Owner Last Name) 44 t //4wt/" Lir/4 try ),s r,q,'c T
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER LAKE'N4v&n/ (/r/j/Ty J7/sr/1/c7 ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
Pe' Box 92"7 FeoE,ea4 kii);, 444 77`06.3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/_AKfyy✓E� C/J/,/ry PisTRic r ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
LAKEn/191EA/ lira/7Y 17/sr4Q/c7 .�/o4 8aw.7ayt9Y6 -5-5/o/
CITY,STATE,ZIP CELL
ADDRESS L )
PHONE
Po Box 92yy A-evp-,4..9z 441-1); w4 98tz3 ( ) _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other ( )
PROJECT NAME// i PRIMARY PHONE E-MAIL ADDRESS
CONTACT 1MA4 81,m.)in 441 (z53) 9Y6 - 5yo/
LENDER NAME � T Per RCW 19.27.095:
%4/t 14j.' ./ c 4W/7y D/5747/GT Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
Po Box V2 Y9 FEDER44 &/4Y AA4 98-063 ( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE OFF/cg PROPOSED USE OFF'CE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK 4(-5-670a Ov
fti
SPRINKLERED BUILDING? 0 YES 0110 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER )LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER `<LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EEISTDiO PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED sr TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerdas
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower Combo) LAVS pathroomsink.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS[roues)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 hless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of h cl ch may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out o he ce o the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this appli dtio
3/-6-,
SIGNATURE:
DATE 7
"/Lperty Owner and/or Authorized Agent
D NEW D ADDITION D ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? D YES a NO
ZONING DESIGNATION CHANGE OF USE? D YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? D YES D NO
PLATTED LOT? D YES a NO DEMO PERMIT REQUIRED? D YES a NO
1
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application